487 Records downloaded - Wed Jun 28 14:44:21 UTC 2017 RECORD 1 TITLE The impact of pre- and post-natal psycho-educational intervention on the construction of parenthood AUTHOR NAMES Razurel C. Antonietti J.-P. Rulfi F. Pasquier N. Domingues-Montanari S. Darwiche J. AUTHOR ADDRESSES (Razurel C., chantal.razurel@hesge.ch) University of Applied Sciences Western Switzerland, Haute Ecole de Santé, 47 Avenue de Champel, Geneva, Switzerland. (Antonietti J.-P.; Darwiche J.) Family and Development Research Center (FADO), Institute of Psychology, University of Lausanne, Lausanne, Switzerland. (Rulfi F.; Pasquier N.) Profa Foundation, Lausanne, Switzerland. (Domingues-Montanari S.) Longdom Publishing SL, Barcelona, Spain. CORRESPONDENCE ADDRESS C. Razurel, University of Applied Sciences Western Switzerland, Haute Ecole de Santé, 47 Avenue de Champel, Geneva, Switzerland. Email: chantal.razurel@hesge.ch SOURCE Archives of Women's Mental Health (2017) 20:3 (469-472). Date of Publication: 1 Jun 2017 ISSN 1435-1102 (electronic) 1434-1816 BOOK PUBLISHER Springer-Verlag Wien, michaela.bolli@springer.at ABSTRACT A pilot study was conducted to assess the merits and feasibility of a standardized postnatal psycho-educational interview on mothers’ mental wellbeing, self-efficacy, and mother–child and couple relationships. A comparison of prenatal psycho-educational interview (n = 23) vs. pre- and post-natal psycho-educational interviews (n = 26) was carried out. Parental self-efficacy and the mother–child relationship were significantly improved for the group who received a post-natal interview at 2 and 3 months postpartum in addition to a prenatal interview. Pre- and post-natal interviews improve the construction of parenthood. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) parenthood perinatal period prenatal period psychoeducation EMTREE MEDICAL INDEX TERMS adult age anxiety article comparative study controlled study depression feasibility study female human interview male mother child relation pilot study pregnant woman priority journal psychological well-being self concept shared parenting stress EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20170237187 PUI L615089445 DOI 10.1007/s00737-017-0720-2 FULL TEXT LINK http://dx.doi.org/10.1007/s00737-017-0720-2 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 2 TITLE Sex differences in biochemical but not behavioral responses to delay fear conditining: Effects in control and prenatal alcohol-exposed mice AUTHOR NAMES Caldwell K.K. Solomon E. Goggin S. Villicana E. Malone D. Allan A.M. AUTHOR ADDRESSES (Caldwell K.K.; Solomon E.; Goggin S.; Villicana E.; Malone D.; Allan A.M.) Department of Neurosciences, School of Medicine, University of New Mexico Health Sciences Center, Albuquerque, United States. CORRESPONDENCE ADDRESS K.K. Caldwell, Department of Neurosciences, School of Medicine, University of New Mexico Health Sciences Center, Albuquerque, United States. SOURCE Alcoholism: Clinical and Experimental Research (2017) 41 Supplement 1 (45A). Date of Publication: 1 Jun 2017 CONFERENCE NAME 40th Annual Scientific Meeting of the Research Society on Alcoholism CONFERENCE LOCATION Denver, CO, United States CONFERENCE DATE 2017-06-24 to 2017-06-28 ISSN 1530-0277 BOOK PUBLISHER Blackwell Publishing Ltd ABSTRACT Background: Studies in clinical populations and preclinical models have shown that prenatal alcohol exposure (PAE) is associated with impairments in the acquisition, consolidation and recall of information, with deficits in hippocampal formation (HPF)-dependent learning andmemory being a common finding. The glucocorticoid receptor (GR) and extracellular signal-regulated kinase 2 (ERK2) are key regulators of HPF development, structure and functioning, and, thus, are potential mediators of PAE's effects on this brain region. Methods: Mouse dams consumed either 10% (w/v) ethanol in 0.066% (w/v) saccharin (SAC) or 0.066% (w/v) SAC alone using a limited (4-h) access, drinking-in-the-dark paradigm. Male and female offspring (∼180-days of age) were trained with a single-trial delay conditioning procedure and contextual fear responses were measured 24 h later. HPF tissue was collected 20 min following training or reexposure to the context, as well as frombehaviorally naïve mice; tissue was homogenized and the nuclear fraction was isolated. Immunoblotting techniques were used tomeasure GR and ERK2 protein levels. Results: Deficits in contextual fear memory recall were recorded in both male and female PAE offspring. In males, HPF nuclear GR protein levels were increased in SAC but not PAE tissue 20 minutes following conditioning; no difference was observed in nuclear GR levels 20 minutes following contextual fear memory recall. Analyses in females found that there was a significant effect of prenatal treatment on HPF nuclear GR levels while there was no effect of conditioning group or interaction. Levels of activated ERK2 were elevated in SAC but not PAE males 20 minutes following context reexposure, and a significant interaction between prenatal exposure and conditioning was found. No effects of conditioning, prenatal treatment or interaction between these factors on nuclear ERK2 were found in female mice. Conclusions: We identified behavioral deficits in bothmale and female PAE mice but found sex differences in effects of conditioning and of PAE on HPF GR and ERK2 protein. These studies add to a growing body of literature indicating that, at least partially, different mechanisms underlie learning andmemory inmales and females and that these pathways are differentially affected by PAE. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) alcohol EMTREE DRUG INDEX TERMS endogenous compound glucocorticoid receptor mitogen activated protein kinase 1 receptor protein saccharin EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) fear prenatal exposure sex difference EMTREE MEDICAL INDEX TERMS animal experiment animal model animal tissue controlled study drinking female gene activation gene expression group dynamics hippocampus immunoblotting learning male memory mouse nonhuman participant observation progeny CAS REGISTRY NUMBERS alcohol (64-17-5) mitogen activated protein kinase 1 (137632-08-7) saccharin (81-07-2) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L616801464 DOI 10.1111/acer.13391 FULL TEXT LINK http://dx.doi.org/10.1111/acer.13391 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 3 TITLE FATHER–CHILD INTERACTIONS AT 3 MONTHS AND 24 MONTHS: CONTRIBUTIONS TO CHILDREN'S COGNITIVE DEVELOPMENT AT 24 MONTHS AUTHOR NAMES Sethna V. Perry E. Domoney J. Iles J. Psychogiou L. Rowbotham N.E.L. Stein A. Murray L. Ramchandani P.G. AUTHOR ADDRESSES (Sethna V.; Perry E.) King's College London, United Kingdom. (Domoney J.; Iles J.; Ramchandani P.G., p.ramchandani@imperial.ac.uk) Imperial College London, United Kingdom. (Psychogiou L.) University of Exeter, United Kingdom. (Rowbotham N.E.L.; Stein A.) University of Oxford, United Kingdom. (Murray L.) University of Reading, United Kingdom. (Murray L.) Stellenbosch University, South Africa. CORRESPONDENCE ADDRESS P.G. Ramchandani, Imperial College London, United Kingdom. Email: p.ramchandani@imperial.ac.uk SOURCE Infant Mental Health Journal (2017) 38:3 (378-390). Date of Publication: 1 May 2017 ISSN 1097-0355 (electronic) 0163-9641 BOOK PUBLISHER John Wiley and Sons Inc., P.O.Box 18667, Newark, United States. ABSTRACT The quality of father–child interactions has become a focus of increasing research in the field of child development. We examined the potential contribution of father–child interactions at both 3 months and 24 months to children's cognitive development at 24 months. Observational measures of father–child interactions at 3 and 24 months were used to assess the quality of fathers’ parenting (n = 192). At 24 months, the Mental Developmental Index (MDI) of the Bayley Scales of Infant Development, Second Edition (N. Bayley,) measured cognitive functioning. The association between interactions and cognitive development was examined using multiple linear regression analyses, adjusting for paternal age, education and depression, infant age, and maternal sensitivity. Children whose fathers displayed more withdrawn and depressive behaviors in father–infant interactions at 3 months scored lower on the MDI at 24 months. At 24 months, children whose fathers were more engaged and sensitive as well as those whose fathers were less controlling in their interactions scored higher on the MDI. These findings were independent of the effects of maternal sensitivity. Results indicate that father–child interactions, even from a very young age (i.e., 3 months) may influence children's cognitive development. They highlight the potential significance of interventions to promote positive parenting by fathers and policies that encourage fathers to spend more time with their young children. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child development cognitive development father child relation EMTREE MEDICAL INDEX TERMS article Bayley Scales of Infant Development child child parent relation childbirth education cognitive function test controlled study depression human infant male maternal child health care mental development parenting education paternal age preschool child priority journal EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Developmental Biology and Teratology (21) Pediatrics and Pediatric Surgery (7) Neurology and Neurosurgery (8) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English, Arabic, Chinese, French, German, Japanese, Spanish EMBASE ACCESSION NUMBER 20170369524 PUI L616378275 DOI 10.1002/imhj.21642 FULL TEXT LINK http://dx.doi.org/10.1002/imhj.21642 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 4 TITLE Antenatal small-class education versus auditorium-based lectures to promote positive transitioning to parenthood - A randomised trial AUTHOR NAMES Koushede V. Brixval C.S. Thygesen L.C. Axelsen S.F. Winkel P. Lindschou J. Gluud C. Due P. AUTHOR ADDRESSES (Koushede V., Vibe@niph.dk; Brixval C.S.; Thygesen L.C.; Due P.) National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. (Axelsen S.F.) Danish Health Authority, Copenhagen, Denmark. (Winkel P.; Lindschou J.; Gluud C.) Copenhagen Trial Unit, Centre for Clinical Intervention Research, Copenhagen, Denmark. SOURCE PLoS ONE (2017) 12:5 Article Number: e0176819. Date of Publication: 1 May 2017 ISSN 1932-6203 (electronic) BOOK PUBLISHER Public Library of Science, plos@plos.org ABSTRACT 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). EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) education parenthood EMTREE MEDICAL INDEX TERMS control group controlled clinical trial controlled study exploratory research female health care quality human linear regression analysis major clinical study model obstetric delivery parental stress pregnancy pregnant woman randomized controlled trial rank sum test statistical significance LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20170322733 PUI L615804119 DOI 10.1371/journal.pone.0176819 FULL TEXT LINK http://dx.doi.org/10.1371/journal.pone.0176819 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 5 TITLE Parent concordance and fathers' persistence through pregnancy in a prenatal program sample AUTHOR NAMES Robinson N. Jackson A. Celaya A. Saleeby E. AUTHOR ADDRESSES (Robinson N.; Jackson A.; Celaya A.; Saleeby E.) Harbor UCLA Medical Center, Torrance, United States. CORRESPONDENCE ADDRESS N. Robinson, Harbor UCLA Medical Center, Torrance, United States. SOURCE Obstetrics and Gynecology (2017) 129 Supplement 1 (191S). Date of Publication: 1 May 2017 CONFERENCE NAME 65th Annual Clinical and Scientific Meeting of the American College of Obstetricians and Gynecologists, ACOG 2017 CONFERENCE LOCATION San Diego, CA, United States CONFERENCE DATE 2017-05-06 to 2017-05-09 ISSN 1558-0474 BOOK PUBLISHER W.B. Saunders ABSTRACT INTRODUCTION: Single parent households are common and their impact is greatest in underserved communities where racial and ethnic minorities primarily reside. Paternal parental involvement has been shown to improve a child's behavioral, social and mental health, while their absence fuels school dropout, incarceration, violence and drug involvement. This study describes a father's intention for involvement in the pregnancy and the baby's life across different couple types. METHODS: Data was collected from interviews with pregnant women enrolling in MAMAs, a prenatal care program at a Los Angeles County Health facility, from December 2013 to August 2016. During the intake visit, demographic information was collected, including maternal and paternal race/ethnicity, relationship status, as well as the expressed or assumed paternal intentions for involvement during pregnancy and in the baby's life. A Chi-Square test examined father's intentions to persist through the pregnancy and the child's life among couples of the same (concordant) and different (discordant) racial and ethnic backgrounds. RESULTS: Of the 3259 women interviewed, 87.2% (n52841) stated the father of the baby intended to be involved during and after the pregnancy. In pregnancies with discordant parents (16.4%), the fathers were less likely to want to be involved than in pregnancies with concordant parents (Chi-Square 510.15, P50.001). CONCLUSION: Intentions for paternal involvement during and after pregnancy differ significantly based on parental race and ethnic concordance. Children with discordant parents are at higher risk for absent fathers. Pregnant women with discordant partners may benefit from increased social support during prenatal care and throughout the child's life. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father pregnancy EMTREE MEDICAL INDEX TERMS California chi square test child ethnicity female health care facility human infant interview major clinical study male pregnant woman prenatal care race social support LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L616800797 DOI 10.1097/01.AOG.0000514176.58892.36 FULL TEXT LINK http://dx.doi.org/10.1097/01.AOG.0000514176.58892.36 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 6 TITLE Care-by-parent as a tool for reduction in neonatal opioid withdrawal syndrome AUTHOR NAMES Lawlor M. McQuerry K. Chavan N. Shook L. Critchfield A. AUTHOR ADDRESSES (Lawlor M.; McQuerry K.; Chavan N.; Shook L.; Critchfield A.) University of Kentucky, College of Medicine, Lexington, United States. CORRESPONDENCE ADDRESS M. Lawlor, University of Kentucky, College of Medicine, Lexington, United States. SOURCE Obstetrics and Gynecology (2017) 129 Supplement 1 (92S). Date of Publication: 1 May 2017 CONFERENCE NAME 65th Annual Clinical and Scientific Meeting of the American College of Obstetricians and Gynecologists, ACOG 2017 CONFERENCE LOCATION San Diego, CA, United States CONFERENCE DATE 2017-05-06 to 2017-05-09 ISSN 1558-0474 BOOK PUBLISHER W.B. Saunders ABSTRACT INTRODUCTION: Neonatal Opioid Withdrawal Syndrome (NOWS) is a significant public health problem. Care-By-Parent (CBP) is a model for mothers to room-in with their opioid-exposed infants during inpatient observation for postnatal development of NOWS. The purpose of this study is to determine if CBP is associated with a reduction in treatment-requiring NOWS. METHODS: We performed a retrospective, case control study of pregnant women enrolled in a combined prenatal and medication assisted treatment (MAT) program for opioid-dependent patients. Patients stable on MAT (as indicated by appropriate urine drug screen at Labor & Delivery admission) who participated in CBP were matched by gestational age, smoking and breastfeeding status with controls also stable in the combined prenatal/MAT program. Fisher Exact Test, ANOVA and logistic regression were performed. Primary outcome was diagnosis of treatment-requiring NOWS in neonates. RESULTS: Forty women met inclusion criteria (20 cases, 20 controls). There were no differences in age, gravidity, parity, birth weight, Apgar scores, or buprenorphine dose (P..05). For the primary outcome, there was a statistically significant reduction in the rate of treatment requiring NOWS among cases vs controls (OR 0.08 95% CI 0.01-0.71). Significant difference was noted in patient time in program (cases vs controls, 19 vs 14 weeks, P50.02) however, logistic regression demonstrated that the time in program did not affect the rate of NOWS (OR 0.99 95% CI 0.88-1.12). CONCLUSION: CBP significantly reduces the rate of treatment requiring NOWS. This approach decreases NICU admissions, increases maternal-child bonding and has the potential for alleviating maternal substance abuse patterns. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) opiate EMTREE DRUG INDEX TERMS buprenorphine EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) neonatal abstinence syndrome EMTREE MEDICAL INDEX TERMS analysis of variance Apgar score birth weight breast feeding chemical binding child clinical article clinical trial controlled study diagnosis drug combination drug therapy drug withdrawal female Fisher exact test gestational age human logistic regression analysis newborn parity population based case control study pregnant woman smoking substance abuse urine CAS REGISTRY NUMBERS buprenorphine (52485-79-7, 53152-21-9) opiate (53663-61-9, 8002-76-4, 8008-60-4) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L616800597 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 7 TITLE Differences in social support in perinatal depression AUTHOR NAMES Scibetta E. Dossett E.C. Hom P. Gutierrez G. Moini M. Reina A. AUTHOR ADDRESSES (Scibetta E.; Dossett E.C.; Hom P.; Gutierrez G.; Moini M.; Reina A.) David Geffen School of Medicine, University of California, Los Angeles, United States. CORRESPONDENCE ADDRESS E. Scibetta, David Geffen School of Medicine, University of California, Los Angeles, United States. SOURCE Obstetrics and Gynecology (2017) 129 Supplement 1 (126S). Date of Publication: 1 May 2017 CONFERENCE NAME 65th Annual Clinical and Scientific Meeting of the American College of Obstetricians and Gynecologists, ACOG 2017 CONFERENCE LOCATION San Diego, CA, United States CONFERENCE DATE 2017-05-06 to 2017-05-09 ISSN 1558-0474 BOOK PUBLISHER W.B. Saunders ABSTRACT INTRODUCTION: Depression during pregnancy is a known risk factor for low birth weight (LBW) and preterm birth (PTB). Identifying social risk factors for depression in pregnancy can impact directed perinatal services aimed at reducing PTB and LBW. This study describes associations between partner status and depression in pregnant women in high prevalence areas for PTB and LBW in Los Angeles. METHODS: From December 2013 through August 2016, community health workers conducted a novel prenatal risk assessment with evidence-based screening tools for psychosocial risk factors in women enrolling into a Los Angeles County prenatal care program. Depression was measured using Center for Epidemiological Studies-Depression scale. Chi-square tests were performed. RESULTS: Analyses included data from 3,214 women. This cohort exhibited high rates of depression (23%). Women scoring high for depression were significantly less likely to report being married (chisquare553, p less than 0001) or living with the father of their babies (chi-square5 71, p less than 0001). Unmarried women (35%) scored higher for depression than married women (21%). Women who did not live with the father of their babies (40%) scored higher for depression than those who did (26%). CONCLUSION: Married and cohabitating pregnant women were significantly less likely to score high for depression. These findings suggest that social supports are critical pregnant women's mental health, which we know impacts PTB and LBW. Women with limited partner support could benefit from increased mood surveillance and psychological interventions during prenatal care. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) perinatal depression social support EMTREE MEDICAL INDEX TERMS California Center for Epidemiological Studies Depression Scale chi square test evidence based practice center father female health auxiliary human infant low birth weight major clinical study male mental health mood pregnant woman prematurity prenatal care prevalence risk assessment risk factor screening single woman LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L616806374 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 8 TITLE Anticipatory guidance to prevent infant sleep problems within a randomised controlled trial: Infant, maternal and partner outcomes at 6 months of age AUTHOR NAMES Galland B.C. Sayers R.M. Cameron S.L. Gray A.R. Heath A.-L.M. Lawrence J.A. Newlands A. Taylor B.J. Taylor R.W. AUTHOR ADDRESSES (Galland B.C., barbara.galland@otago.ac.nz; Sayers R.M.; Cameron S.L.; Lawrence J.A.; Taylor B.J.) Department of Women's and Children's Health, University of Otago, Dunedin, New Zealand. (Gray A.R.) Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand. (Heath A.-L.M.; Newlands A.) Department of Human Nutrition, University of Otago, Dunedin, New Zealand. (Taylor R.W.) Department of Medicine, University of Otago, Dunedin, New Zealand. CORRESPONDENCE ADDRESS B.C. Galland, Department of Women's and Children's Health, University of Otago, Dunedin, New Zealand. Email: barbara.galland@otago.ac.nz SOURCE BMJ Open (2017) 7:5 Article Number: e014908. Date of Publication: 1 May 2017 ISSN 2044-6055 (electronic) BOOK PUBLISHER BMJ Publishing Group, subscriptions@bmjgroup.com ABSTRACT Objective To evaluate the effectiveness of sleep education delivered antenatally and at 3 weeks postpartum to prevent infant sleep problems at 6 months of age. Design Sleep intervention within a randomised controlled trial for the Prevention of Overweight in Infancy (POI) study. Participants 802 families were randomly allocated to one of four groups: usual care (control), sleep intervention (sleep), food, activity and breastfeeding intervention (FAB), and combined group receiving both interventions (combination). Interventions All groups received standard Well Child care. The sleep intervention groups (sleep and combination) received an antenatal group education session (all mothers and most partners) emphasising infant self-settling and safe sleeping, and a home visit at 3 weeks reinforcing the antenatal sleep education. FAB and combination groups received four contacts providing education and support on breast feeding, food and activity up to 4 months postpartum. Outcome measures Here we report secondary sleep outcomes from the POI study: the prevalence of parent-reported infant sleep problems and night waking, and differences in sleep duration. Additional outcomes reported include differences in infant self-settling, safe sleep practices, and maternal and partner reports of their own sleep, fatigue and depression symptoms. Results Linear or mixed linear regression models found no significant intervention effects on sleep outcomes, with 19.1% of mothers and 16.6% of partners reporting their infant's sleep a problem at 6 months. Actigraphy estimated the number of night wakings to be significantly reduced (8%) and the duration of daytime sleep increased (6 min) in those groups receiving the sleep intervention compared with those who did not. However, these small differences were not clinically significant and not observed in 24 hours infant sleep diary data. No other differences were observed. Conclusion A strategy delivering infant sleep education antenatally and at 3 weeks postpartum was not effective in preventing the development of parent-reported infant sleep problems. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) anticipatory guidance sleep disorder (prevention) EMTREE MEDICAL INDEX TERMS accelerometer actimetry article breast feeding controlled study depression fatigue female food human infant infant care male outcome assessment puerperium randomized controlled trial sleep quality sleep time wakefulness DEVICE MANUFACTURERS (United States)Mini Mitter EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Neurology and Neurosurgery (8) CLINICAL TRIAL NUMBERS ClinicalTrials.gov (NCT00892983) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20170407220 PUI L616560249 DOI 10.1136/bmjopen-2016-014908 FULL TEXT LINK http://dx.doi.org/10.1136/bmjopen-2016-014908 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 9 TITLE Paternal depression symptoms during pregnancy and after childbirth among participants in the growing up in New Zealand study AUTHOR NAMES Underwood L. Waldie K.E. Peterson E. D'Souza S. Verbiest M. McDaid F. Morton S. AUTHOR ADDRESSES (Underwood L., l.underwood@auckland.ac.nz; Waldie K.E.; Peterson E.; Verbiest M.; Morton S.) Growing Up in New Zealand, University of Auckland, Auckland, New Zealand. (Underwood L., l.underwood@auckland.ac.nz; D'Souza S.; Morton S.) Center for Longitudinal Research-He Ara Ki Mua, School of Population Health, University of Auckland, PO Box 18288, Auckland, New Zealand. (Waldie K.E.; Peterson E.; D'Souza S.) School of Psychology, University of Auckland, Auckland, New Zealand. (Verbiest M.) National Institute for Health Innovation, School of Population Health, University of Auckland, Auckland, New Zealand. (McDaid F.) Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand. CORRESPONDENCE ADDRESS L. Underwood, Center for Longitudinal Research-He Ara Ki Mua, School of Population Health, University of Auckland, PO Box 18288, Auckland, New Zealand. Email: l.underwood@auckland.ac.nz SOURCE JAMA Psychiatry (2017) 74:4 (360-369). Date of Publication: 1 Apr 2017 ISSN 2168-622X BOOK PUBLISHER American Medical Association, smcleod@itsa.ucsf.edu ABSTRACT IMPORTANCE Antenatal and postnatal depression are known to be common and associated with poor outcomes for women and their children. There is little evidence on depression symptoms among men during the perinatal period. OBJECTIVE To identify characteristics associated with depression symptoms among men whose partners were pregnant and subsequently gave birth. DESIGN, SETTING, AND PARTICIPANTS A longitudinal cohort study provided data from a demographically diverse sample of 3523 New Zealand men who completed interviews during their partner's pregnancy and 9 months after the birth of their child. Participants were drawn from a cohort whose partners were pregnant women with a due date between April 25, 2009, and March 25, 2010, who were enrolled in the Growing Up in New Zealand study. Data analysis was conducted from September 1, 2015, to January 8, 2016. MAIN OUTCOMES AND MEASURES Depression symptoms were measured using the Edinburgh Postnatal Depression Scale and the 9-item Patient Health Questionnaire; elevated depression symptoms were defined as scores higher than 12 and 9, respectively. RESULTS The mean (SD) age of the participants at the antenatal interview was 33.20 (6.25) years (range, 16-63 years). Elevated antenatal paternal depression symptoms affected 82 fathers (2.3%) and were associated with perceived stress (odds ratio [OR], 1.38; 95% CI, 1.30-1.47) and fair to poor health during their partner's pregnancy (OR, 2.06; 95% CI, 1.18-3.61). Elevated postnatal paternal depression symptoms affected 153 (4.3%) of fathers and were associated with perceived stress in pregnancy (OR, 1.12; 95% CI, 1.08-1.17), no longer being in a relationship with the mother 9 months after childbirth (OR, 6.36; 95% CI, 2.28-17.78), having fair to poor health at 9 months (OR, 3.29; 95% CI, 2.10-5.16), being unemployed at 9 months (OR, 1.86; 95% CI, 1.11-3.10), and a history of depression (OR, 2.84; 95% CI, 1.69-4.78). CONCLUSIONS AND RELEVANCE Expectant fathers were at risk of depression symptoms if they felt stressed or were in poor health. Rates of elevated depression symptoms were higher during the postpartum period and were associated with adverse social and relationship factors. Identifying fathers most at risk of depressive symptoms and when best to target interventions (antenatal or postnatal) may be beneficial to men and their families. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) paternal behavior perinatal depression EMTREE MEDICAL INDEX TERMS adolescent adult article childbirth clinical evaluation cohort analysis controlled study disease association Edinburgh Postnatal Depression Scale family stress female follow up human Likert scale longitudinal study major clinical study male mother New Zealand Patient Health Questionnaire 9 perinatal period pregnancy pregnant woman stress unemployment EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20170284401 MEDLINE PMID 28199455 (http://www.ncbi.nlm.nih.gov/pubmed/28199455) PUI L615489178 DOI 10.1001/jamapsychiatry.2016.4234 FULL TEXT LINK http://dx.doi.org/10.1001/jamapsychiatry.2016.4234 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 10 TITLE Sexual activity and sexual dysfunction of women in the perinatal period: a longitudinal study AUTHOR NAMES Wallwiener S. Müller M. Doster A. Kuon R.J. Plewniok K. Feller S. Wallwiener M. Reck C. Matthies L.M. Wallwiener C. AUTHOR ADDRESSES (Wallwiener S., Stephanie.Wallwiener@googlemail.com; Doster A.; Plewniok K.; Feller S.; Wallwiener M.; Matthies L.M.) Department of Obstetrics and Gynecology, University of Heidelberg, Im Neuenheimer Feld 440, Heidelberg, Germany. (Müller M.; Reck C.) Department of Psychology, Ludwig Maximilian University, Leopoldstr. 13, Munich, Germany. (Kuon R.J.) Department of Gynecological Endocrinology and Fertility Disorders, University Hospital Heidelberg, INF 440, Heidelberg, Germany. (Wallwiener C.) Department of Women’s Health, Research Institute for Women’s Health, University of Tübingen, Tübingen, Germany. CORRESPONDENCE ADDRESS S. Wallwiener, Department of Obstetrics and Gynecology, University of Heidelberg, Im Neuenheimer Feld 440, Heidelberg, Germany. Email: Stephanie.Wallwiener@googlemail.com SOURCE Archives of Gynecology and Obstetrics (2017) 295:4 (873-883). Date of Publication: 1 Apr 2017 ISSN 1432-0711 (electronic) 0932-0067 BOOK PUBLISHER Springer Verlag, service@springer.de ABSTRACT Purpose: Reduced sexual activity and dysfunctional problems are highly prevalent in the perinatal period, and there is a lack of data regarding the degree of normality during pregnancy. Several risk factors have been independently associated with a greater extent of Female Sexual Dysfunction (FSD). Therefore, this study aimed to assess the prevalence of sexual inactivity and sexual dysfunctions in German women during the perinatal period and the verification of potential risk factors. Methods: Questionnaires were administered to 315 women prenatally (TI 3rd trimester) and postpartum (TII 1 week, TIII 4 months), including the Female Sexual Function Index (FSFI), the Edinburgh Postnatal Depression Scale (EPDS), and the Questionnaire of Partnership (PFB). Results: The frequency of sexual inactivity was 24% (TI), 40.5% (TII), and 19.9% (TIII). Overall, 26.5−34.8% of women were at risk of sexual dysfunction (FSFI score <26.55) at all measurement points. Sexual desire disorder was the most prevalent form of Female sexual dysfunction. Furthermore, especially breastfeeding and low partnership quality were revealed as significant risk factors for sexual dysfunctional problems postpartum. Depressive symptoms having a cesarean section and high maternal education were correlated with dysfunctional problems in several subdomains. Conclusions: Findings indicated that women at risk of FSD differed significantly in aspects of partnership quality, breastfeeding, mode of delivery, maternal education, and depressive symptoms. Aspects of perinatal sexuality should be routinely implemented in the counseling of couples in prenatal classes. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) female sexual dysfunction perinatal period sexual behavior EMTREE MEDICAL INDEX TERMS adult article breast feeding cohort analysis controlled study counseling Edinburgh Postnatal Depression Scale female Female Sexual Function Index gestational age human hypoactive sexual desire disorder longitudinal study prevalence puerperium questionnaire Questionnaire of Partnership risk factor third trimester pregnancy EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20170162073 PUI L614643955 DOI 10.1007/s00404-017-4305-0 FULL TEXT LINK http://dx.doi.org/10.1007/s00404-017-4305-0 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 11 TITLE Effects of prenatal childbirth education for partners of pregnant women on paternal postnatal mental health and couple relationship: A systematic review AUTHOR NAMES Suto M. Takehara K. Yamane Y. Ota E. AUTHOR ADDRESSES (Suto M.) Graduate School of International and Cultural Studies, Tsuda College, Japan. (Takehara K.) National Center for Child Health and Development, Japan. (Yamane Y.) College, National Rehabilitation Center for Persons with Disabilities, Japan. (Ota E., ota@slcn.ac.jp) Graduate School of Nursing Science, St.Luke's International University, Japan. CORRESPONDENCE ADDRESS E. Ota, Japan. Email: ota@slcn.ac.jp SOURCE Journal of Affective Disorders (2017) 210 (115-121). Date of Publication: 1 Mar 2017 ISSN 1573-2517 (electronic) 0165-0327 BOOK PUBLISHER Elsevier B.V. ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education expectant father human relation mental health pregnant woman prenatal period EMTREE MEDICAL INDEX TERMS Beck Depression Inventory Center for Epidemiological Studies Depression Scale child parent relation childbirth Edinburgh Postnatal Depression Scale female General Health Questionnaire housekeeping human life satisfaction male outcome assessment parental behavior parental stress parenthood personal experience postnatal care priority journal psychological adjustment puerperal depression puerperal psychosis randomized controlled trial (topic) review satisfaction systematic review EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Psychiatry (32) Neurology and Neurosurgery (8) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20160945854 PUI L613814585 DOI 10.1016/j.jad.2016.12.025 FULL TEXT LINK http://dx.doi.org/10.1016/j.jad.2016.12.025 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 12 TITLE Moving toward a shared process: The impact of parent experiences on perinatal palliative care AUTHOR NAMES Hasegawa S.L. Fry J.T. AUTHOR ADDRESSES (Hasegawa S.L.; Fry J.T., jtfry@luriechildrens.org) Division of Neonatology, Ann & Robert H. Lurie Children's Hospital of Chicago, Box 45, 225 E. Chcago Ave, Chicago, United States. CORRESPONDENCE ADDRESS J.T. Fry, Division of Neonatology, Ann & Robert H. Lurie Children's Hospital of Chicago, Box 45, 225 E. Chcago Ave, Chicago, United States. Email: jtfry@luriechildrens.org SOURCE Seminars in Perinatology (2017) 41:2 (95-100). Date of Publication: 1 Mar 2017 ISSN 1558-075X (electronic) 0146-0005 BOOK PUBLISHER W.B. Saunders ABSTRACT Perinatal palliative care programs seek to support parents expecting a baby diagnosed with a serious medical condition. Clinicians have increasingly recognized the importance of parental perspectives on the medical care mothers and their fetuses and live-born children receive, especially regarding factors influencing individual choices and knowledge of the medical community. We describe, using literature on trisomy 13 and trisomy 18, how information shared between parents and providers can improve perinatal counseling and family support. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) palliative therapy parent perinatal care personal experience EMTREE MEDICAL INDEX TERMS article conflict doctor patient relation family counseling grief human medical decision making patient autonomy pregnancy termination prenatal diagnosis social environment social support trisomy 13 trisomy 18 EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Human Genetics (22) Pediatrics and Pediatric Surgery (7) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20170148363 PUI L614566458 DOI 10.1053/j.semperi.2016.11.002 FULL TEXT LINK http://dx.doi.org/10.1053/j.semperi.2016.11.002 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 13 TITLE Motivating women and their partners to participate in childbirth education and increasing natural delivery rates in Iran AUTHOR NAMES Page L. AUTHOR ADDRESSES (Page L.) Royal College of Midwives, King's College London, London, United Kingdom. (Page L.) University of Technology Sydney, Sydney, Australia. (Page L.) Griffith University, Australia. SOURCE BJOG: An International Journal of Obstetrics and Gynaecology (2017) 124:4 (640). Date of Publication: 1 Mar 2017 ISSN 1471-0528 (electronic) 1470-0328 BOOK PUBLISHER Blackwell Publishing Ltd, customerservices@oxonblackwellpublishing.com EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) medical education motivational interviewing natural childbirth EMTREE MEDICAL INDEX TERMS ambivalence decision making empathy health service health survey human note obesity prenatal care randomized controlled trial (topic) self concept smoking substance abuse uncertainty EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 20160938671 PUI L613830929 DOI 10.1111/1471-0528.14473 FULL TEXT LINK http://dx.doi.org/10.1111/1471-0528.14473 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 14 TITLE Effects of an antenatal mindfulness-based childbirth and parenting programme on the postpartum experiences of mothers: A qualitative interview study AUTHOR NAMES Roy Malis F. Meyer T. Gross M.M. AUTHOR ADDRESSES (Roy Malis F., froymalis@hotmail.com; Gross M.M., Gross.Mechthild@mh-hannover.de) Midwifery Research and Education Unit, Hannover Medical School, Carl-Neuberg-Str. 1, Hannover, Germany. (Meyer T., Meyer.Thorsten@mh-hannover.de) Integrative Rehabilitation Research Unit, Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Carl-Neuberg-Str. 1, Hannover, Germany. CORRESPONDENCE ADDRESS M.M. Gross, Midwifery Research and Education Unit, Hannover Medical School, Carl-Neuberg-Str. 1, Hannover, Germany. Email: Gross.Mechthild@mh-hannover.de SOURCE BMC Pregnancy and Childbirth (2017) 17:1 Article Number: 57. Date of Publication: 7 Feb 2017 ISSN 1471-2393 (electronic) BOOK PUBLISHER BioMed Central Ltd., info@biomedcentral.com ABSTRACT Background: Applications of mindfulness during the perinatal period have recently been explored and appear to offer a decrease in stress, anxiety and depression during this period. However, it still remains unclear what practical use women make of mindfulness during the postpartum period and the mechanisms through which it works. The subjective experience of mindfulness practice by mothers is not fully understood. The aim of the present study was to explore how women enrolled in a "Mindfulness-Based Childbirth and Parenting programme" experienced mindfulness practice during the postpartum period. Methods: Ten pregnant women over 18 years of age with singleton pregnancies, no diagnoses of mental illness and participation in a "Mindfulness-Based Childbirth and Parenting programme" were recruited to take part in a postpartum interview. Audio recordings of the interviews were transcribed and analysed thematically based on a phenomenological approach. The transcripts of nine interviews were submitted to a coding process consisting of the identification of words, sentences or paragraphs expressing common ideas. These ideas were classified in codes, each code representing a specific description, function or action (e.g. self-perception, personal organization, formal/informal meditation practice). Progressively, a framework of thematic ideas was extracted from the transcripts, allowing the interviews to be systematically organized and their content analysed in depth. Results: Five themes emerged from the descriptions of practices of mindfulness during the postpartum period: perception of the present moment, breathing, acceptance, self-compassion and the perception of mindfulness as a shelter. Conclusion: Mindfulness practices during the postpartum period may contribute to a mother's psychological wellbeing. The perception of mindfulness as a shelter had not previously been reported. Future research could address whether this role is specific to the postpartum period. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation childbirth mindfulness prenatal care EMTREE MEDICAL INDEX TERMS adult article experience female human human experiment meditation pregnant woman puerperium qualitative research self concept wellbeing EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20170108999 PUI L614311826 DOI 10.1186/s12884-017-1240-9 FULL TEXT LINK http://dx.doi.org/10.1186/s12884-017-1240-9 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 15 TITLE Newborn vitamin K prophylaxis: an analysis of information resources for parents and professionals AUTHOR NAMES Miller H. Wheeler B. Kerruish N. AUTHOR ADDRESSES (Miller H.) Dunedin School of Medicine, University of Otago, Dunedin (Wheeler B.) Women's and Children's Health, University of Otago, Dunedin (Kerruish N.) Bioethics Centre, University of Otago, Dunedin SOURCE The New Zealand medical journal (2016) 129:1446 (44-52). Date of Publication: 2 Dec 2016 ISSN 1175-8716 (electronic) ABSTRACT AIMS: Vitamin K prophylaxis represents one of the first healthcare decisions families make for their newborn. Information resources are an important component of this process. This study aimed to identify and analyse written information about vitamin K.METHODS: Resources concerning vitamin K prophylaxis for both parents and health professionals were accessed through tertiary hospitals in New Zealand and Australia, midwives associated with Queen Mary Maternity Centre (Dunedin, New Zealand), antenatal class providers in the Dunedin, New Zealand area, and an online search of Australian and New Zealand government and hospital websites, as well as the Centre for Disease Control (CDC) in the US. These materials were assessed with regard to coverage of information relevant to vitamin K prophylaxis, whether a statement of the recommended option was included, and information concerning parental choice.RESULTS: In Australia, the majority of centres use the Australian Government National Health and Medical Research Council (NHMRC) resource. In New Zealand, eight different resources are in use. There was variation between resources in all aspects, including use of different incidence rates for vitamin K deficiency bleeding (VKDB). No New Zealand resources were available in languages other than English. The resources for health professionals also varied, and the two available New Zealand consensus statements (Ministry of Health and College of Midwives) differed in terms of their main recommendation.CONCLUSIONS: Many different information resources are available regarding vitamin K prophylaxis in New Zealand. Standardisation of such information would be more equitable and would facilitate easier review of content and translation into multiple languages. EMTREE DRUG INDEX TERMS vitamin (drug administration) vitamin K group (drug administration) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) questionnaire EMTREE MEDICAL INDEX TERMS Australia clinical trial female human incidence male multicenter study New Zealand newborn newborn hemorrhagic disease (epidemiology, prevention) CAS REGISTRY NUMBERS vitamin K group (12001-79-5) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 27906918 (http://www.ncbi.nlm.nih.gov/pubmed/27906918) PUI L615397411 COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 16 TITLE Predictors of breast feeding self-efficacy in the immediate postpartum period: A cross-sectional study AUTHOR NAMES Yang X. Gao L.-L. Ip W.-Y. Sally Chan W.C. AUTHOR ADDRESSES (Yang X., yxiao1025@163.com) School of Nursing, Zhengzhou University, Zhengzhou, China (Gao L.-L., gaoll@mail.sysu.edu.cn) School of Nursing, Sun Yat-sen University, Guangzhou, China (Ip W.-Y., ip2013@cuhk.edu.hk) Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong, China (Sally Chan W.C.) School of Nursing & Midwifery, University of Newcastle, Australia. Electronic address: sally.chan@Newcastle.edu.au SOURCE Midwifery (2016) 41 (1-8). Date of Publication: 1 Oct 2016 ISSN 1532-3099 (electronic) ABSTRACT OBJECTIVE: to examine breast feeding self-efficacy and identify its predictors among mainland Chinese mothers in the early postpartum period.DESIGN AND SETTING: a cross-sectional descriptive questionnaire survey was conducted in a regional teaching hospital with childbirth rate over 3000 per year at Guangzhou, China from April 1 to July 14, 2014.PARTICIPANTS: a total of 571 Chinese mothers who were within 72-96hours post partum were recruited consecutively to the study.MEASUREMENTS: data were collected by the Chinese version of the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF), the Network Support for Breastfeeding Scale (NSBS) and a socio-demographic data sheet.FINDINGS: a total of 640 eligible women was approached and 571 mothers completed the study with the response rate of 89%. Mothers reported moderate level of breast feeding self-efficacy in the immediate postpartum period. The best-fit regression analysis revealed six variables that explained 43.9% of the variance in breast feeding self-efficacy in the immediate postpartum period. They were intention of breast feeding, support from husband, support from nurses/midwives, attending antenatal breast feeding classes, time from childbirth to initiate breast feeding and previous breast feeding experience.CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: this study found six predictors of breast feeding self-efficacy in the immediate postpartum period. In order to increase maternal breast feeding self-efficacy level, a more women-centred approach is recommended. Mothers and fathers should be facilitated to attend antenatal classes on breast feeding. New mother' husband could be encouraged in supporting breast feeding. Nurses and midwives could encourage new mothers to initiate breast feeding as soon as possible. Further work to promote early mother-infant contact post birth, such as via skin to skin contact should also be facilitated where possible. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) psychology self concept EMTREE MEDICAL INDEX TERMS adult breast feeding China cross-sectional study devices education female human parent pregnancy psychometry puerperium questionnaire regression analysis social support socioeconomics LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 27479635 (http://www.ncbi.nlm.nih.gov/pubmed/27479635) PUI L616539616 DOI 10.1016/j.midw.2016.07.011 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2016.07.011 COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 17 TITLE 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 AUTHOR NAMES Levett K.M. Smith C.A. Bensoussan A. Dahlen H.G. AUTHOR ADDRESSES (Levett K.M., K.Levett@westernsydney.edu.au; Smith C.A., Caroline.Smith@westernsydney.edu.au; Bensoussan A., A.Bensoussan@westernsydney.edu.au) National Institute of Complementary Medicines (NICM), Western Sydney University, Sydney, Australia (Dahlen H.G., H.Dahlen@westernsydney.edu.au) School of Nursing and Midwifery, Western Sydney University, Sydney, Australia SOURCE Midwifery (2016) 40 (124-131). Date of Publication: 1 Sep 2016 ISSN 1532-3099 (electronic) ABSTRACT 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® 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) education patient satisfaction procedures standards EMTREE MEDICAL INDEX TERMS adult alternative medicine Australia childbirth education controlled study female human information processing labor nurse midwife physiology pregnancy pregnant woman psychology randomized controlled trial LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 27428108 (http://www.ncbi.nlm.nih.gov/pubmed/27428108) PUI L616471066 DOI 10.1016/j.midw.2016.06.011 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2016.06.011 COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 18 TITLE To know or not to know – parents’ attitudes to and preferences for prenatal diagnosis AUTHOR NAMES Ekelin M. Persson L. Välimäki A. Crang Svalenius E. AUTHOR ADDRESSES (Ekelin M., maria.ekelin@med.lu.se; Crang Svalenius E.) Department of Health Sciences, Lund University, Lund, Sweden. (Persson L.; Välimäki A.) Department of Obstetrics & Gynaecology, Kristianstad Hospital, Sweden. CORRESPONDENCE ADDRESS M. Ekelin, Department of Health Sciences, Lund University, Lund, Sweden. Email: maria.ekelin@med.lu.se SOURCE Journal of Reproductive and Infant Psychology (2016) 34:4 (356-369). Date of Publication: 7 Aug 2016 ISSN 1469-672X (electronic) 0264-6838 BOOK PUBLISHER Routledge, info@tandf.co.uk ABSTRACT Objective: To highlight expectant parents’ attitudes concerning prenatal diagnosis, what the parents wish to know and what they chose not to know about their unborn baby, also in what form and to what extent they wish for prenatal diagnosis. Background: Parents have to make decisions concerning prenatal diagnosis. Screening programmes change rapidly and there is a need for parental influence on this development. Methods: An interview study with 10 women in late pregnancy and six partners. Results: The main categories ‘A time for preparation’ and ‘A lot but not everything’ included the parents’ positive attitudes towards prenatal diagnosis, especially if it could be carried out in early pregnancy and was of help for the baby, but also their negative attitudes toward information about possible future diseases that could not be prevented and towards invasive diagnosis. The parents had confidence in the caregivers’ offers of screening programmes, but described their own attitudes as changing from before pregnancy, when newly pregnant and after their ultrasound examination. The parents described themselves as partly lacking knowledge about what the existing options for prenatal diagnosis involved. Conclusions: There is a great need for competent caregivers to inform the parents-to-be about the different methods for fetal diagnosis available to them and also what information the different methods can give. Partners need to be involved in the decision-making process. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) parental attitude prenatal diagnosis EMTREE MEDICAL INDEX TERMS article child development decision making female health care system heart disease human interview male newborn pregnant woman risk assessment screening EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Pediatrics and Pediatric Surgery (7) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20160521338 PUI L611216036 DOI 10.1080/02646838.2016.1200019 FULL TEXT LINK http://dx.doi.org/10.1080/02646838.2016.1200019 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 19 TITLE First-time parents' prenatal needs for early parenthood preparation-A systematic review and meta-synthesis of qualitative literature AUTHOR NAMES Entsieh A.A. Hallström I.K. AUTHOR ADDRESSES (Entsieh A.A., aentsiehk@gmail.com) Department of Health Science, Faculty of Medicine, Lund University, Box 188, 221 00 Lund, Sweden (Hallström I.K.) Department of Health Science, Faculty of Medicine, Lund University, Box 188, 221 00 Lund, Sweden. Electronic address: inger.hallstrom@med.lu.se SOURCE Midwifery (2016) 39 (1-11). Date of Publication: 1 Aug 2016 ISSN 1532-3099 (electronic) ABSTRACT OBJECTIVE: contribute to the existing body of knowledge about the specific needs of first-time parents specifically for early parenthood.METHOD: the databases PubMed, MEDLINE, PSYCINFO, CINAHL, EMBASE, Family Studies Abstracts, and Web of Science, were searched using search terms: prenatal, antenatal, preparation, education, parents, parenthood. The meta-synthesis included 12 articles representing 12 studies. The meta-ethnographic approach of Nobilt and Hare was used in the meta-synthesis.SYNTHESIS AND FINDINGS: first-time expectant and new parents reflect a need for antenatal education to actively include male partners pre- and postnatal. Participants wished for early and realistic information about parenting skills, and to have the opportunity to seek support and help from health professionals when need arose especially during the early postnatal period. Another element was the need to learn both from peers and other new parents coming as guest speakers. Participants wished to have been well informed ahead of time, about the possible changes in their conjugal relationship and the related coping strategies.KEY CONCLUSIONS: equal emphasis should be placed both during the prenatal and postnatal periods in antenatal education classes.IMPLICATIONS FOR PRACTICE: interventions aiming at enhancing positive transitions to parenthood could be introduced early during the postnatal period. Parenthood education classes could adopt adult learning strategies that are participatory, and experiential in nature. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) needs assessment qualitative research standards EMTREE MEDICAL INDEX TERMS adult education female human male meta analysis parent patient education pregnancy prenatal care procedures LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 27321714 (http://www.ncbi.nlm.nih.gov/pubmed/27321714) PUI L616469602 DOI 10.1016/j.midw.2016.04.006 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2016.04.006 COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 20 TITLE Prenatal education of parents about newborn screening and residual dried blood spots a randomized clinical trial AUTHOR NAMES Botkin J.R. Rothwell E. Anderson R.A. Rose N.C. Dolan S.M. Kuppermann M. Stark L.A. Goldenberg A. Wong B. AUTHOR ADDRESSES (Botkin J.R., jeffrey.botkin@hsc.utah.edu; Rothwell E.; Anderson R.A.; Rose N.C.; Stark L.A.; Wong B.) University of Utah, 50 North Medical Dr, Research Administration Bldg, Ste 108, Salt Lake City, United States. (Rose N.C.) Intermountain Healthcare, Salt Lake City, United States. (Dolan S.M.) Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, United States. (Kuppermann M.) University of California, San Francisco, United States. (Goldenberg A.) Case Western Reserve University, Cleveland, United States. CORRESPONDENCE ADDRESS J.R. Botkin, University of Utah, 50 North Medical Dr, Research Administration Bldg, Ste 108, Salt Lake City, United States. Email: jeffrey.botkin@hsc.Utah.edu SOURCE JAMA Pediatrics (2016) 170:6 (543-549). Date of Publication: 1 Jun 2016 ISSN 2168-6203 BOOK PUBLISHER American Medical Association, smcleod@itsa.ucsf.edu ABSTRACT 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 into1 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 RELEVANCEL: 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education dried blood spot testing newborn screening EMTREE MEDICAL INDEX TERMS adult article attitude behavior California controlled study decision making educational status ethnicity female health survey high risk pregnancy human income knowledge language major clinical study marriage medical history movie multicenter study multimedia New York newborn outcome assessment parent patient care prenatal care priority journal puerperium race difference randomized controlled trial EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Pediatrics and Pediatric Surgery (7) CLINICAL TRIAL NUMBERS ClinicalTrials.gov (NCT02676245) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20160443217 PUI L610778513 DOI 10.1001/jamapediatrics.2015.4850 FULL TEXT LINK http://dx.doi.org/10.1001/jamapediatrics.2015.4850 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 21 TITLE Development, Implementation, and Evaluation of a Pilot Parenting Educational Intervention in a Pregnancy Buprenorphine Clinic AUTHOR NAMES Giles A.C. Ren D. Founds S. AUTHOR ADDRESSES (Giles A.C.) University of Pittsburgh School of Nursing in Pittsburgh, PA.. Electronic address: averiega@aim.com (Ren D.; Founds S.) University of Pittsburgh School of Nursing in Pittsburgh, PA SOURCE Nursing for women's health (2016) 20:3 (258-267). Date of Publication: 1 Jun 2016 ISSN 1751-486X (electronic) ABSTRACT We developed a pilot evidence-based prenatal educational intervention to increase knowledge of neonatal abstinence syndrome (NAS) and early parenting skills for women with opiate dependency who enrolled in a pregnancy buprenorphine clinic. We developed, implemented, and tested modules regarding expectations during newborn hospitalization for observation or treatment of NAS and regarding evidence-based parenting skills in response to NAS behaviors. Testing evaluated baseline knowledge of early parenting skills with newborns at risk for NAS and change from baseline after the educational intervention. No statistically significant difference in composite knowledge scores was observed. A brief survey completed by the participants postpartum affirmed the perception of women that the educational intervention effectively prepared them for the early postpartum period while their newborns were hospitalized. EMTREE DRUG INDEX TERMS buprenorphine (adverse drug reaction, drug therapy) narcotic antagonist (drug therapy) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) chemically induced child parent relation education EMTREE MEDICAL INDEX TERMS adult complication female human infant care mother neonatal abstinence syndrome (etiology, therapy) newborn opiate addiction (drug therapy, epidemiology) opiate substitution treatment pathophysiology pilot study pregnancy pregnancy complication (drug therapy) prenatal care procedures program evaluation CAS REGISTRY NUMBERS buprenorphine (52485-79-7, 53152-21-9) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 27287352 (http://www.ncbi.nlm.nih.gov/pubmed/27287352) PUI L615393979 DOI 10.1016/j.nwh.2016.04.024 FULL TEXT LINK http://dx.doi.org/10.1016/j.nwh.2016.04.024 COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 22 TITLE How various drugs affect anxiety-related behavior in male and female rats prenatally exposed to methamphetamine AUTHOR NAMES Macúchová E. Ševčíková M. Hrebíčková I. Nohejlová K. Šlamberová R. AUTHOR ADDRESSES (Macúchová E.; Ševčíková M.; Hrebíčková I.; Nohejlová K.; Šlamberová R., romana.slamberova@lf3.cuni.cz) Charles University in Prague, Third Faculty of Medicine, Department of Normal, Pathological and Clinical Physiology, Prague, Czech Republic. CORRESPONDENCE ADDRESS R. Šlamberová, Department of Normal, Pathological and Clinical Physiology, Third Faculty of Medicine, Ke Karlu 4, Praha 2, Czech Republic. Email: romana.slamberova@lf3.cuni.cz SOURCE International Journal of Developmental Neuroscience (2016) 51 (1-11). Date of Publication: 1 Jun 2016 ISSN 1873-474X (electronic) 0736-5748 BOOK PUBLISHER Elsevier Ltd ABSTRACT Different forms of anxiety-related behavior have been reported after a single drug use of many abused substances, however, less is known about how males and females are affected differently from exposure to various drugs. Furthermore, chronic prenatal methamphetamine (MA) exposure was shown to predispose the animal to an increased sensitivity to drugs administrated in adulthood. Using the Elevated plus-maze test (EPM), the first aim of the present study was to examine how male and female rats are affected by acute drug treatment with subcutaneously (s.c.) administrated (a) MA (1 mg/kg); (b) drugs with a similar mechanism of action to MA: amphetamine (AMP, 1 mg/kg), cocaine (COC, 5 mg/kg), 3,4-methylenedioxymethamphetamine (MDMA, 5 mg/kg); and (c) drugs with different mechanisms of action: morphine (MOR, 5 mg/kg), and δ 9-tetrahydrocannabinol (THC, 2 mg/kg). The second aim was to determine if prenatally MA-exposed (5 mg/kg) animals show an increased sensitivity to adult drug treatment. The parameters analyzed were divided into two categories: anxiety-related behavior and anxiety-unrelated/exploratory behavior. Our results showed in female rats a decreased percentage of the time spent in the closed arms (CA) after MA, and an increased percentage of the time spent in the open arms (OA) after MA, AMP, and COC treatment, indicating an anxiolytic-like effect. In females, MDMA and THC treatment increased the percentage of the time spent in the CA. An increased percentage of the time spent in the CA was also seen after MOR treatment in females as well as in males, indicating an anxiogenic-like effect. As far as the interaction between prenatal MA exposure and adult drug treatment is concerned, there was no effect found. In conclusion, it seems that: (a) in some cases female rats are more vulnerable to acute drug treatment, in terms of either anxiogenic- or anxiolytic-like effects; (b) prenatal MA exposure does not sensitize animals to the anxiety-related effects of any of the drugs. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) methamphetamine EMTREE DRUG INDEX TERMS amphetamine cocaine dronabinol midomafetamine morphine EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) anxiety prenatal exposure sex difference EMTREE MEDICAL INDEX TERMS adult adulthood animal behavior animal experiment article controlled study drug sensitivity elevated plus maze test estrus cycle exploratory behavior female male nonhuman priority journal rat sensitization tranquilizing activity vulnerable population CAS REGISTRY NUMBERS 3,4 methylenedioxymethamphetamine (42542-10-9) amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7, 60-13-9, 60-15-1) cocaine (50-36-2, 53-21-4, 5937-29-1) dronabinol (7663-50-5) methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2) morphine (52-26-6, 57-27-2) EMBASE CLASSIFICATIONS Drug Dependence, Alcohol Abuse and Alcoholism (40) Neurology and Neurosurgery (8) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20160317630 PUI L610006728 DOI 10.1016/j.ijdevneu.2016.04.001 FULL TEXT LINK http://dx.doi.org/10.1016/j.ijdevneu.2016.04.001 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 23 TITLE Girls and boys born before 28 weeks gestation: Risks of cognitive, behavioral, and neurologic outcomes at age 10 years AUTHOR NAMES Kuban K.C.K. Joseph R.M. O'Shea T.M. Allred E.N. Heeren T. Douglass L. Stafstrom C.E. Jara H. Frazier J.A. Hirtz D. Leviton A. Ware J. Coster T. Hanson B. Wilson R. McGhee K. Lee P. Asgarian A. Sadhwani A. Perrin E. Neger E. Mattern K. Walkowiak J. Barron S. Shah B. Singh R. Smith A. Klein D. McQuiston S. Venuti L. Powers B. Foley A. Dessureau B. Wood M. Damon-Minow J. Ehrenkranz R. Benjamin J. Romano E. Tsatsanis K. Chawarska K. Kim S. Dieterich S. Bearrs K. Peters N. Brown P. Ansusinha E. Waldrep E. Friedman J. Hounshell G. Allred D. Engelke S.C. Darden-Saad N. Stainback G. Warner D. Wereszczak J. Bernhardt J. McKeeman J. Meyer E. Pastyrnak S. Rathbun J. Nota S. Crumb T. Lenski M. Weiland D. Lloyd M. Hunter S. Msall M. Ramoskaite R. Wiggins S. Washington K. Martin R. Prendergast B. Scott M. Klarr J. Kring B. Deridder J. Vogt K. AUTHOR ADDRESSES (Kuban K.C.K., karl.kuban@bmc.org; Douglass L.) Department of Pediatrics, Boston Medical Center, 1 Boston Medical Center Place Dowling Building, Boston, United States. (Joseph R.M.) Department of Anatomy and Neuroanatomy, Boston University, Boston, United States. (O'Shea T.M.) Department of Pediatrics, Division of Neonatal-Perinatal Medicine, University of North Carolina, Chapel Hill, United States. (Allred E.N.; Leviton A.) Department of Neurology, Harvard Medical School, Boston, United States. (Allred E.N.; Leviton A.) Department of Neurology, Neuroepidemiology Unit, Boston Children's Hospital, Boston, United States. (Heeren T.) Department of Biostatistics, Boston University School of Public Health, Boston, United States. (Stafstrom C.E.) Division of Pediatric Neurology, Department of Neurology, Johns Hopkins Hospital, Baltimore, United States. (Jara H.) Department of Radiology, Boston Medical Center, Boston University, Boston, United States. (Frazier J.A.) Department of Psychiatry, University of Massachusetts Medical School, University of Massachusetts Memorial Health Care, Worcester, United States. (Hirtz D.) National Institute of Neurological Disorders and Stroke, Bethesda, United States. (Ware J.; Coster T.; Hanson B.; Wilson R.; McGhee K.; Lee P.; Asgarian A.; Sadhwani A.; Perrin E.; Neger E.; Mattern K.; Walkowiak J.; Barron S.; Shah B.; Singh R.; Smith A.; Klein D.; McQuiston S.; Venuti L.; Powers B.; Foley A.; Dessureau B.; Wood M.; Damon-Minow J.; Ehrenkranz R.; Benjamin J.; Romano E.; Tsatsanis K.; Chawarska K.; Kim S.; Dieterich S.; Bearrs K.; Peters N.; Brown P.; Ansusinha E.; Waldrep E.; Friedman J.; Hounshell G.; Allred D.; Engelke S.C.; Darden-Saad N.; Stainback G.; Warner D.; Wereszczak J.; Bernhardt J.; McKeeman J.; Meyer E.; Pastyrnak S.; Rathbun J.; Nota S.; Crumb T.; Lenski M.; Weiland D.; Lloyd M.; Hunter S.; Msall M.; Ramoskaite R.; Wiggins S.; Washington K.; Martin R.; Prendergast B.; Scott M.; Klarr J.; Kring B.; Deridder J.; Vogt K.) CORRESPONDENCE ADDRESS K.C.K. Kuban, Department of Pediatrics, Boston Medical Center, 1 Boston Medical Center Place Dowling Building, Boston, United States. Email: karl.kuban@bmc.org SOURCE Journal of Pediatrics (2016) 173 (69-75.e1). Date of Publication: 1 Jun 2016 ISSN 1097-6833 (electronic) 0022-3476 BOOK PUBLISHER Mosby Inc., customerservice@mosby.com ABSTRACT Objectives To compare the prevalence of cognitive, neurologic, and behavioral outcomes at 10 years of age in 428 girls and 446 boys who were born extremely preterm. Study design A total of 889 of 966 eligible children previously enrolled in the multicenter Extremely Low Gestational Age Newborns Study from 2002-2004 were evaluated at 10 years of age. Children underwent a neuropsychological battery and testing for autism spectrum disorder (ASD), and parents reported on their child's behavior, development, and seizures. Results Of the children, 28% of boys and 21% of girls exhibited moderate to severe impairment on summary measures of cognitive abilities. Boys had a higher prevalence of impairment than girls in nearly all measures of cognition, were more than twice as likely to have microcephaly (15% in boys, 8% in girls), and require more often assistive devices to ambulate (6% in boys, 4% in girls). In contrast, boys and girls had comparable risk for a history of seizure (identified in 10% of the cohort) or epilepsy (identified in 7% of the cohort). The boy-to-girl ratio of ASD (9% in boys, 5% in girls) was lower than expected compared with the overall US autism population. Conclusions In this contemporary cohort of children born extremely premature and evaluated at school age, boys had higher prevalence of cognitive, neurologic, and behavioral deficits than girls. The ratio of boys to girls among those with ASD deserves further study as does the perinatal environmental-genetic interactions that might contribute to male preponderance of deficits in this high-risk sample. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) executive function gestational age intelligence quotient language ability EMTREE MEDICAL INDEX TERMS adult article autism (diagnosis) Autism Diagnostic Observation Schedule child controlled study epilepsy female human major clinical study male microcephaly motor dysfunction multicenter study observational study prevalence priority journal school child seizure sex ratio EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Pediatrics and Pediatric Surgery (7) Neurology and Neurosurgery (8) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20160240619 MEDLINE PMID 27004675 (http://www.ncbi.nlm.nih.gov/pubmed/27004675) PUI L609203077 DOI 10.1016/j.jpeds.2016.02.048 FULL TEXT LINK http://dx.doi.org/10.1016/j.jpeds.2016.02.048 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 24 TITLE Hypnobirth within the NHS: time to ditch the parent craft? AUTHOR NAMES Gavin-Jones T. AUTHOR ADDRESSES (Gavin-Jones T.) SOURCE The practising midwife (2016) 19:5 (16, 18-9). Date of Publication: 1 May 2016 ISSN 1461-3123 ABSTRACT Antenatal education within the National Health Service (NHS) is a service in decline within some hospital trusts. Classes on offer are being moved into online formats or discontinued completely. Whilst research into antenatal education remains limited, what is known is that good birth preparation is of value. "Participative preparation for childbirth can enhance women's overall satisfaction with the childbirth experience" (Schrader McMillan et al 2009: 49). There are pockets of excellent antenatal education within the NHS, but no system for regulating the quality and content. Traditional 'parent craft' classes can be oversubscribed, turning what should be a participative group into an audience. Offering good quality antenatal education has the potential to increase normality, improve the birth outcome and the experience of both woman and her birth partner. Is it time to ditch the parent craft and implement dynamic woman-focused education? EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) hypnosis obstetric delivery organization and management parent EMTREE MEDICAL INDEX TERMS Great Britain human national health service patient education LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 27295754 (http://www.ncbi.nlm.nih.gov/pubmed/27295754) PUI L611180378 COPYRIGHT Copyright 2016 Medline is the source for the citation and abstract of this record. RECORD 25 TITLE Genetic counseling for men with recurrent pregnancy loss or recurrent implantation failure due to abnormal sperm chromosomal aneuploidy AUTHOR NAMES Kohn T.P. Kohn J.R. Darilek S. Ramasamy R. Lipshultz L. AUTHOR ADDRESSES (Kohn T.P.; Kohn J.R.) Baylor College of Medicine, Houston, United States. (Darilek S.) Molecular and Human Genetics Clinical Program, Baylor College of Medicine, Houston, United States. (Ramasamy R.) Department of Urology, Miller School of Medicine, University of Miami, Miami, United States. (Lipshultz L., larryl@bcm.edu) Scott Department of Urology, Baylor College of Medicine, 6624 Fannin Street Suite 1700, Houston, United States. CORRESPONDENCE ADDRESS L. Lipshultz, Scott Department of Urology, Baylor College of Medicine, 6624 Fannin Street Suite 1700, Houston, United States. Email: larryl@bcm.edu SOURCE Journal of Assisted Reproduction and Genetics (2016) 33:5 (571-576). Date of Publication: 1 May 2016 ISSN 1573-7330 (electronic) 1058-0468 BOOK PUBLISHER Springer New York LLC, barbara.b.bertram@gsk.com ABSTRACT Purpose: The purpose of this study is to review recurrent pregnancy loss (RPL) due to sperm chromosomal abnormalities and discuss the genetic counseling that is required for men with sperm chromosomal abnormalities. Method: The literature was reviewed, and a genetic counselor lends her expertise as to how couples with RPL and sperm chromosomal abnormalities ought to be counseled. The review of the literature was performed using MEDLINE. Results: Sperm fluorescence in situ hybridization (FISH) can be used to determine if disomy or unbalanced chromosomal translocations are present. In men with aneuploidy in sperm or who carry a chromosomal translocation, pre-implantation genetic screening (PGS) combined with in vitro fertilization (IVF) and intra-cytoplasmic sperm injection (ICSI) can increase chances of live birth. In men with abnormal sperm FISH results, the degree of increased risk of abnormal pregnancy remains unclear. Genetic counselors can provide information to couples about the risk for potential trisomies and sex chromosome aneuploidies and discuss their reproductive and testing options such as PGS, use of donor sperm, and adoption. The provision of genetic counseling also allows a couple to be educated about recommended prenatal testing since pregnancies conceived with a partner who has had abnormal sperm FISH are considered to be at increased risk for aneuploidy. Conclusion: We review the literature and discuss genetic counseling for couples with RPL or recurrent implantation failure due to increased sperm aneuploidy. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) abnormal sperm chromosomal aneuploidy aneuploidy genetic counseling pregnancy disorder recurrent implantation failure recurrent pregnancy loss spontaneous abortion EMTREE MEDICAL INDEX TERMS adoption chromosome aberration chromosome translocation conception disomy fluorescence in situ hybridization genetic screening high risk patient human in vitro fertilization intracytoplasmic sperm injection live birth priority journal review semen analysis sperm donor trisomy EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Human Genetics (22) Urology and Nephrology (28) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20160252273 MEDLINE PMID 27020275 (http://www.ncbi.nlm.nih.gov/pubmed/27020275) PUI L609300149 DOI 10.1007/s10815-016-0702-8 FULL TEXT LINK http://dx.doi.org/10.1007/s10815-016-0702-8 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 26 TITLE Sex differences in renal transcriptome and programmed hypertension in offspring exposed to prenatal dexamethasone AUTHOR NAMES Tain Y.-L. Hsu C.-N. AUTHOR ADDRESSES (Tain Y.-L.) Kaohsiung Chang Gung Memorial Hospital, Pediatrics, Kaohsiung, Taiwan. (Hsu C.-N.) Kaphsiung Chang Gung Memorial Hospital, Pharmacy, Kaohsiung, Taiwan. CORRESPONDENCE ADDRESS Y.-L. Tain, Kaohsiung Chang Gung Memorial Hospital, Pediatrics, Kaohsiung, Taiwan. SOURCE Nephrology Dialysis Transplantation (2016) 31 SUPPL. 1 (i111). Date of Publication: May 2016 CONFERENCE NAME 53rd ERA-EDTA Congress CONFERENCE LOCATION Vienna, Austria CONFERENCE DATE 2016-05-21 to 2016-05-24 ISSN 1460-2385 BOOK PUBLISHER Oxford University Press ABSTRACT Introduction and Aims: Glucocorticoids, predominantly dexamethasone (DEX), are widely used to reduce the risk of prematurity-related chronic lung disease. However, prenatal DEX treatment links to a variety of adverse effects in later life, including hypertension. Our previous reports showed that prenatal DEX exposure induced programmed hypertension in adult male offspring. Renal programming is a driving mechanism. Given that sex differences exist in the blood pressure (BP) control, and that renal transcriptome is sex-specific, thus we intended to elucidate whether prenatal DEX-induced programmed hypertension is in a sex-specific manner and identify candidate genes and pathways using the whole-genome RNA next-generation sequencing (NGS) approach. Methods: Offspring were assigned to 4 groups (n = 7-8/group): male control (MC), female control (FC), male DEX (MD), and female DEX (FD). Dexamethasone (0.1 mg/kg body weight) or vehicle was intraperitoneally administered to pregnant SD rats from gestational day 16 to 22, to construct a DEX model. BP was measured using a tail-cuff method. Rats were killed at 16 weeks of age. Kidney samples were used for NGS analysis. Results: The major novel findings of this study are (1) prenatal DEX induced sex-specific increase in blood pressure in adult male but not female offspring (Figure); (2) prenatal DEX elicited renal programming in a sex-specific fashion as demonstrated by 8 and 18 DEGs in male and female offspring, respectively. Among them, two genes, Hbb and Hba-a2, were shared; (3) a total of 90 and 93 sex-biased DEGs were identified in control and DEX exposure offspring, respectively; (4) our NGS data showed that there were 4 sex biased genes-related KEGG pathways, including drug metabolism, metabolism of xenobiotics by cytochrome P450, retinol metabolism, and glycosaminoglycan degradation; (5) we observed sex-specific expression of Agt, Agtr1a, and Agtr2a in the RAS, which was not altered by DEX exposure; and (6) the resistance of female offspring to prenatal DEX-induced programmed hypertension is related to a lower Agt mRNA expression and higher AT2R protein level. Conclusions: In conclusion, prenatal DEX induced programmed hypertension, which was confined to male adult offspring. However, prenatal DEX induced long-term alterations of renal transcriptome in both sexes. Our NGS data identified Hbb and Hba-a2 related to DEX-induced programmed hypertension. In addition, a number of sex-biased genes might elicit programmed changes in response to prenatal DEX exposure. It is thought that by exploring the sex-dependent underlying mechanisms to prenatal DEX-induced renal programming, we might develop novel deprogramming strategy for the prevention of programmed hypertension in premature baby receiving corticosteroids in both sexes. (Figure Presented). EMTREE DRUG INDEX TERMS (MAJOR FOCUS) dexamethasone edetic acid transcriptome EMTREE DRUG INDEX TERMS corticosteroid cytochrome cytochrome P450 genomic RNA glucocorticoid glycosaminoglycan messenger RNA protein retinol RNA xenobiotic agent EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) hypertension progeny sex difference EMTREE MEDICAL INDEX TERMS adult adverse drug reaction blood pressure blood pressure regulation body weight chronic lung disease cuff drug metabolism exposure female gene kidney male metabolism model next generation sequencing prematurity prevention rat risk Sprague Dawley rat LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L72326179 DOI 10.1093/ndt/gfw158.5 FULL TEXT LINK http://dx.doi.org/10.1093/ndt/gfw158.5 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 27 TITLE Comparison of birth outcomes of pregnant women receiving antenatal training and not AUTHOR NAMES Cömert D.K. Altun T.E. Aydin B. Karadaʇ B. Tonyali N.V. Yalvaç S. Kandemir O. AUTHOR ADDRESSES (Cömert D.K.) Department of Obstetrics and Gynecology, Ankara Training and Research Hospital, Ankara, Turkey. (Altun T.E.; Aydin B.; Tonyali N.V.; Yalvaç S.; Kandemir O.) Department of Obstetrics and Gynecology, Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Ankara, Turkey. (Karadaʇ B.) Department of Obstetrics and Gynecology, Antalya Training and Research Hospital, Antalya, Turkey. CORRESPONDENCE ADDRESS D.K. Cömert, Department of Obstetrics and Gynecology, Ankara Training and Research Hospital, Ankara, Turkey. SOURCE Journal of the Turkish German Gynecology Association (2016) 17 Supplement 1 (S192-S193). Date of Publication: 1 May 2016 CONFERENCE NAME 11th Turkish German Gynecology Congress CONFERENCE LOCATION Antalya, Turkey CONFERENCE DATE 2016-05-11 to 2016-05-15 ISSN 1309-0380 BOOK PUBLISHER AVES Ibrahim Kara ABSTRACT Introduction: In many parts of the world antenatal Training is recommended for pregnant women and their partners. These programs aim to increase breastfeeding success, cope with pain and stress during childbirth, build women's confidence in their ability to give birth, improve maternal psycho-social health, prepare women and their partners for childbirth and parenthood and develop social support networks. The aim of the study is to compare the child birth process of those women who received antenatal Training with those of prega- nant women who did not take antenatal ecucation. Material and Methods: A retrospective study was designed between September 2010 and December 2013. We reviewed the labour records of 52 pregnant women who received antenatal Training and 363 women who did not. Exclusion criteria were pregnancy with complications like hypertension, gestational diabetes, preeclampsia, placenta previa, previous cesarean section, multiple pregnancy, multiparity, breech, transverse and compound presentation, preterm birth, still birth, delivering at a different health center. The data were obtained from patients files from the hospital archive. Results: The findings indicate that women who received antenatal Training were statistically significantly older than the women who did not receive antenatal Training (p<0.001). No statistically significant differences were found in the initial characteristics of the two groups of patients in terms of chronic disease, smoking in pregnancy, estimated gestational age using last menstrual period and ultrasonography (p>0.05). Among two groups, there were no statistical differences in the mean birth weight, estimated birth weight, the mode of delivery and the indications for cesarean section (p>0.05). Women who received antenatal Training and were admitted to the hospital with complaints of uterine contractions instead of preterm rupture of membranes, had more cervical dilatation compared to women who did not receive antenatal Training (p=0.022). No statistically significant differences were found between two groups in the mean length of first and second stage of labor, frequency of episiotomy, 1(st) and 5(th) minutes Apgar scores of the newborn, the changes in hemoglobin and hematocrit values at birth, the length of hospitalisation, the complications experienced in the birth and in the postpartum period and neonatal intensive care needs (p>0.05). Conclusion: Our study is the first one comparing the changes in hemoglobin and hematocrit values at birth, the length of stay in hospital and neonatal intensive care needs between a group of women with antenatal Training and another group of women with no antenatal Training. The findings of this study may be affected by the fact that the birth process is followed by the doctors and in case of emergency medical interventions would be made of regardless of the consent of the pregnant women. The antenatal Training would be effective in terms of psychological support and it may decrease subjective complaints. Although the existing findings are not conclusive, if the future studies demonstrate more benefits of the antenatal Training, more countries may utilize the Training and include the antenatal Training in antenatal care programs. EMTREE DRUG INDEX TERMS endogenous compound hemoglobin EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) pregnancy outcome pregnant woman EMTREE MEDICAL INDEX TERMS Apgar score birth weight cesarean section controlled study diabetes mellitus echography episiotomy female gestational age health center hematocrit hospital human information center information processing labor stage 2 length of stay major clinical study maternal hypertension membrane multipara multiple pregnancy newborn newborn intensive care placenta previa preeclampsia prematurity prenatal care puerperium retrospective study rupture smoking stillbirth uterine cervix dilatation uterus contraction CAS REGISTRY NUMBERS hemoglobin (9008-02-0) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L612656436 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 28 TITLE Development and Evaluation of a Peer Support Program for Parents Facing Perinatal Loss AUTHOR NAMES Diamond R.M. Roose R.E. AUTHOR ADDRESSES (Diamond R.M., rdiamond@usj.edu) Department of Human Development and Family Studies, Marriage & Family Therapy Program, at the University of Saint Joseph in West Hartford, CT (Roose R.E.) Maternal Fetal Medicine Center and clinical coordinator for the Still Missed Perinatal Bereavement Program at Adventist Midwest Region/Adventist Hinsdale Hospital in Hinsdale, IL SOURCE Nursing for women's health (2016) 20:2 (146-156). Date of Publication: 1 Apr 2016 ISSN 1751-486X (electronic) ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) bereavement organization and management peer group perinatal death psychology EMTREE MEDICAL INDEX TERMS adult attitude to death cohort analysis directive counseling female human male newborn parent pregnancy program development program evaluation self help United States LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 27067931 (http://www.ncbi.nlm.nih.gov/pubmed/27067931) PUI L614955826 DOI 10.1016/j.nwh.2016.02.001 FULL TEXT LINK http://dx.doi.org/10.1016/j.nwh.2016.02.001 COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 29 TITLE Effect of removal of planned parenthood from the Texas women's health program AUTHOR NAMES Stevenson A.J. Flores-Vazquez I.M. Allgeyer R.L. Schenkkan P. Potter J.E. AUTHOR ADDRESSES (Stevenson A.J.; Potter J.E., joe@prc.utexas.edu) Population Research Center, University of Texas at Austin, 305 East 23rd St., Austin, United States. (Flores-Vazquez I.M.; Allgeyer R.L.) Texas Health and Human Services Commission, Austin, United States. (Schenkkan P.) Graves, Dougherty, Hearon, and Moody, Austin, United States. CORRESPONDENCE ADDRESS J.E. Potter, Population Research Center, University of Texas at Austin, 305 East 23rd St., Austin, United States. Email: joe@prc.utexas.edu SOURCE New England Journal of Medicine (2016) 374:9 (853-860). Date of Publication: 3 Mar 2016 ISSN 1533-4406 (electronic) 0028-4793 BOOK PUBLISHER Massachussetts Medical Society ABSTRACT Background Texas is one of several states that have barred Planned Parenthood affiliates from providing health care services with the use of public funds. After the federal government refused to allow (and courts blocked) the exclusion of Planned Parenthood affiliates from the Texas Medicaid fee-for-service family-planning program, Texas excluded them from a state-funded replacement program, effective January 1, 2013. We assessed rates of contraceptive-method provision, method continuation through the program, and childbirth covered by Medicaid before and after the Planned Parenthood exclusion. Methods We used all program claims from 2011 through 2014 to examine changes in the number of claims for contraceptives according to method for 2 years before and 2 years after the exclusion. Among women using injectable contraceptives at baseline, we observed rates of contraceptive continuation through the program and of childbirth covered by Medicaid. We used the difference-in-differences method to compare outcomes in counties with Planned Parenthood affiliates with outcomes in those without such affiliates. Results After the Planned Parenthood exclusion, there were estimated reductions in the number of claims from 1042 to 672 (relative reduction, 35.5%) for long-acting, reversible contraceptives and from 6832 to 4708 (relative reduction, 31.1%) for injectable contraceptives (P<0.001 for both comparisons). There was no significant change in the number of claims for short-acting hormonal contraceptive methods during this period. Among women using injectable contraceptives, the percentage of women who returned for a subsequent on-time contraceptive injection decreased from 56.9% among those whose subsequent injections were due before the exclusion to 37.7% among those whose subsequent injections were due after the exclusion in the counties with Planned Parenthood affiliates but increased from 54.9% to 58.5% in the counties without such affiliates (estimated difference in differences in counties with affiliates as compared with those without affiliates,-22.9 percentage points; P<0.001). During this period in counties with Planned Parenthood affiliates, the rate of childbirth covered by Medicaid increased by 1.9 percentage points (a relative increase of 27.1% from baseline) within 18 months after the claim (P=0.01). Conclusions The exclusion of Planned Parenthood affiliates from a state-funded replacement for a Medicaid fee-for-service program in Texas was associated with adverse changes in the provision of contraception. For women using injectable contraceptives, there was a reduction in the rate of contraceptive continuation and an increase in the rate of childbirth covered by Medicaid. EMTREE DRUG INDEX TERMS injectable contraceptive agent medroxyprogesterone acetate oral contraceptive agent (oral drug administration) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) family planning women's health EMTREE MEDICAL INDEX TERMS article childbirth contraceptive behavior contraceptive patch hormonal contraception human intrauterine contraceptive device lowest income group medicaid priority journal United States unplanned pregnancy CAS REGISTRY NUMBERS medroxyprogesterone acetate (71-58-9) EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20160192452 MEDLINE PMID 26836435 (http://www.ncbi.nlm.nih.gov/pubmed/26836435) PUI L608849924 DOI 10.1056/NEJMsa1511902 FULL TEXT LINK http://dx.doi.org/10.1056/NEJMsa1511902 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 30 TITLE Evaluation of α-Globin Gene Mutations among Different Ethnic Groups in Khuzestan Province, Southwest Iran AUTHOR NAMES Khosravi A. Jalali-Far M. Saki N. Hosseini H. Galehdari H. Kiani-Ghalesardi O. Paridar M. Azarkeivan A. Magaji-Hamid K. AUTHOR ADDRESSES (Khosravi A.) Stud. Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran. (Jalali-Far M., mohammadali.jalalifar9979@gmail.com; Saki N.; Hosseini H.; Galehdari H.; Kiani-Ghalesardi O.) Health Research Institute, Research Center of Thalassemia and Hemoglobinopathy, Ahvaz Jundishapur University of Medical Sciences, Golestan Street, Ahvaz, Iran. (Paridar M.) Department of Laboratory Sciences, School of Paramedicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. (Azarkeivan A.) Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Thalassemia Clinic, Tehran, Iran. (Magaji-Hamid K.) Immunology Department, School of Public Health, Tehran University of Medical Sciences (TUMS-IC), Tehran, Iran. (Magaji-Hamid K.) Immunology Department, Faculty of Medical Laboratory Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria. CORRESPONDENCE ADDRESS M. Jalali-Far, Health Research Institute, Research Center of Thalassemia and Hemoglobinopathy, Ahvaz Jundishapur University of Medical Sciences, Golestan Street, Ahvaz, Iran. Email: mohammadali.jalalifar9979@gmail.com SOURCE Hemoglobin (2016) 40:2 (113-117). Date of Publication: 3 Mar 2016 ISSN 1532-432X (electronic) 0363-0269 BOOK PUBLISHER Taylor and Francis Ltd, healthcare.enquiries@informa.com ABSTRACT α-Thalassemia (α-thal) is one of the most common inherited hemoglobin (Hb) disorders in the world. In addition to large deletions, over 50 different α-thal point mutations were detected around the world, thus, patients showed different phenotypes with regard to genotype. This study evaluated the genetic frequency of α-thal in Khuzestan Province, Southwest Iran, to help implement premarital and prenatal screening programs. The study was conducted on couples proposing to get married and parents who were referred to the genetic center of Shafa Hospital, Ahvaz, Iran, for prenatal diagnosis (PND) in 2012. Genomic DNA was purified by the salting-out method and tested using multiplex gap-polymerase chain reaction (gap-PCR), amplification refractory mutation system-PCR (ARMS-PCR), reverse hybridization test strips and DNA sequencing. Overall, 11 mutations were found on the α-globin genes. Based on gene frequency, the most common mutant allele was -α(3.7) (rightward) (71.3%) followed by the two gene deletion - -(MED) (9.7%). Other common mutations were α(codon 19)α (GCG>GC-, α2) (8.4%), the polyadenylation (polyA1) site α(polyA1)α (AATAAA>AATAAG) (2.8%), and α(-5 nt)α (-TGAGG) (2.0%). In addition, an extremely rare mutation at α(codon 21)α [Hb Fontainebleau, HBA2: c.64G > C (or HBA1)] was also found. The results of this study are critical for correct diagnosis of α-thal carriers, premarriage counseling and PND. This study suggests that the distribution of mutations on the α-globin genes differs among the ethnic groups in Khuzestan Province as well as in other provinces. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) hemoglobin alpha chain (endogenous compound) EMTREE DRUG INDEX TERMS genomic DNA (endogenous compound) hemoglobin A (endogenous compound) hemoglobin A2 (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) ethnic group gene mutation EMTREE MEDICAL INDEX TERMS alpha thalassemia article blood examination DNA purification DNA sequence female gene deletion gene frequency genotype hemoglobin blood level human major clinical study male marital therapy mean corpuscular volume point mutation polyadenylation polymerase chain reaction prenatal diagnosis prenatal screening CAS REGISTRY NUMBERS hemoglobin A (9034-51-9) hemoglobin A2 (37203-64-8, 37203-65-9, 53262-80-9, 9034-53-1, 99493-07-9) EMBASE CLASSIFICATIONS Human Genetics (22) Hematology (25) Clinical and Experimental Biochemistry (29) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20160134357 MEDLINE PMID 26878087 (http://www.ncbi.nlm.nih.gov/pubmed/26878087) PUI L608394537 DOI 10.3109/03630269.2015.1130720 FULL TEXT LINK http://dx.doi.org/10.3109/03630269.2015.1130720 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 31 TITLE Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment AUTHOR NAMES Serçekuş P. Başkale H. AUTHOR ADDRESSES (Serçekuş P.) Pamukkale University, Faculty of Health Sciences, Denizli, Turkey. Electronic address: pinarsercekus@gmail.com (Başkale H.) Pamukkale University, Faculty of Health Sciences, Denizli, Turkey. Electronic address: hakkgul@gmail.com SOURCE Midwifery (2016) 34 (166-172). Date of Publication: 1 Mar 2016 ISSN 1532-3099 (electronic) ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation patient education prenatal care psychology self concept EMTREE MEDICAL INDEX TERMS adult birth female human male parent pregnancy questionnaire LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 26656473 (http://www.ncbi.nlm.nih.gov/pubmed/26656473) PUI L616699292 DOI 10.1016/j.midw.2015.11.016 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2015.11.016 COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 32 TITLE Antenatal support for parents who are expecting a baby with a congenital heart disease AUTHOR NAMES Lumanisakio T. De Sousa S. Johansen V. AUTHOR ADDRESSES (Lumanisakio T.; De Sousa S.; Johansen V.) Royal Brompton and Harefield, London, United Kingdom. CORRESPONDENCE ADDRESS T. Lumanisakio, Royal Brompton and Harefield, London, United Kingdom. SOURCE Heart (2016) 102 SUPPL. 1 (A13). Date of Publication: March 2016 CONFERENCE NAME British Congenital Cardiac Association Annual Meeting 2015 CONFERENCE LOCATION Cardiff, United Kingdom CONFERENCE DATE 2015-11-17 to 2015-11-18 ISSN 1468-201X BOOK PUBLISHER BMJ Publishing Group ABSTRACT Introduction When parents are expecting a baby they receive support and information to help them prepare for the delivery and arrival of the baby. However when their baby receives antrenatal diagnosis of congenital heart disease (CHD) it fall outside the normal spectrum of pregnancy and often the expected pathway post-delivery changes. Background The Brompton Centre for Fetal Cardiology offers support to families from the time of antenatal diagnosis of CHD with the aim of improving the quality of care offered. Based on feedback from parents, after visiting individually the Hospital, the CNSF's felt that parents are more likely to benefit from group experience. The CNSF's offer antenatal support sessions once a month at Royal Brompton Hospital, founded by the Brompton Fountain charity, where parents speakers along with the nurses offer their time voluntarily. This include debrief with an introduction of the service is provided, an explanation of the hospital facilities and what support is offered. Following this, a visit to the children's ward and intensive care is offered. This allows closer contact with the environment, medical equipment and the type of bed space their baby will be expected to be cared for in during their admission. After the visit mothers, who are interested in breast feeding, are offered a session with the Breastfeeding team to clarify how they can be supported whilst their baby is recovering. Method A retrospective observational survey was performed at the end of the Antenatal support sessions at Royal Brompton Hospital. Parents expressed their observations regarding their likes, dislikes and suggested changes to the service. Results Between June 2014 and June 2015 46 pregnant women and their partners, relatives and friends attended the support sessions. In this period 100% satisfaction of the antenatal support sessions was demonstrated. Conclusions Participants expressed satisfaction of the current service. Further research to identify that the information given during the antenatal support sessions is in accordance with parents experiences, after their child is born, would be beneficial. Amendments to the current survey are being considered to identify further elements of the service that could benefit from improvement. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) baby congenital heart disease parent EMTREE MEDICAL INDEX TERMS breast feeding cardiology child diagnosis environment feedback system female friend hospital human intensive care medical device mother nurse pregnancy pregnant woman prenatal diagnosis satisfaction social welfare ward LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L72328504 DOI 10.1136/heartjnl-2016-309377.23 FULL TEXT LINK http://dx.doi.org/10.1136/heartjnl-2016-309377.23 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 33 TITLE Parents Desire Parenting Education During Prenatal Care AUTHOR NAMES Niemczyk N.A. AUTHOR ADDRESSES (Niemczyk N.A.) SOURCE Journal of midwifery & women's health (2016) 61:2 (278). Date of Publication: 1 Mar 2016 ISSN 1542-2011 (electronic) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) education prenatal care EMTREE MEDICAL INDEX TERMS child parent relation human motivation parent LANGUAGE OF ARTICLE English MEDLINE PMID 27494013 (http://www.ncbi.nlm.nih.gov/pubmed/27494013) PUI L611792477 COPYRIGHT Copyright 2016 Medline is the source for the citation and abstract of this record. RECORD 34 TITLE The HAPPY (Healthy and Active Parenting Programmme for early Years) feasibility randomised control trial: acceptability and feasibility of an intervention to reduce infant obesity AUTHOR NAMES McEachan R.R. Santorelli G. Bryant M. Sahota P. Farrar D. Small N. Akhtar S. Sargent J. Barber S.E. Taylor N. Richardson G. Farrin A.J. Bhopal R.S. Bingham D.D. Ahern S.M. Wright J. AUTHOR ADDRESSES (McEachan R.R., Rosie.mceachan@bthft.nhs.uk; Santorelli G., g.santorelli@leeds.ac.uk.Leeds; Bryant M., m.j.bryant@leeds.ac.uk.Leeds; Farrar D., diane.farrar@bthft.nhs.uk.Department; Akhtar S., Shaheen.akhtar@bthft.nhs.uk; Barber S.E., sally.barber@bthft.nhs.uk; Bingham D.D., Daniel.bingham@bthft.nhs.uk.School; Ahern S.M., sara.ahern@bthft.nhs.uk; Wright J., john.wright@bthft.nhs.uk) Bradford Institute for Health Research, Bradford Teaching Hospital NHS Foundation Trust, Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ, UK (Santorelli G., g.santorelli@leeds.ac.uk.Leeds; Bryant M., m.j.bryant@leeds.ac.uk.Leeds; Farrin A.J., a.j.farrin@leeds.ac.uk) Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, LS2 9JT, UK (Sahota P., p.sahota@leedsbeckett.ac.uk) Institute for Health and Wellbeing, Leeds Beckett University, Leeds, LS1 3HE, UK (Farrar D., diane.farrar@bthft.nhs.uk.Department) Department of Health Sciences, University of York, York, YO10 5DD, UK (Small N., n.a.small@bradford.ac.uk) Faculty of Health Studies, University of Bradford, Bradford, BD7 1DP, UK (Sargent J., Judith.sargent@barnardos.org.uk) Barnardo's, Bradford, BD8 7BS, UK (Taylor N., n.taylor@mq.edu.au) Australian Institute of Health Innovation, Macquarie University, Sydney, NSW 2109, Australia (Richardson G., Gerry.richardson@york.ac.uk) Centre for Health Economics, University of York, York, YO10 5DD, UK (Bhopal R.S., raj.bhopal@edinburgh.ac.uk) Edinburgh Migration, Ethnicity and Health Research Group, Centre for Population Health Sciences, Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, EH8 9AG, UK (Bingham D.D., Daniel.bingham@bthft.nhs.uk.School) School of Sport, Health and Exercise Science, Loughborough University, Leicestershire, LE11 3TT, UK () SOURCE BMC public health (2016) 16 (211). Date of Publication: 1 Mar 2016 ISSN 1471-2458 (electronic) ABSTRACT BACKGROUND: The prevalence of infant obesity is increasing, but there is a lack of evidence-based approaches to prevent obesity at this age. This study tested the acceptability and feasibility of evaluating a theory-based intervention aimed at reducing risk of obesity in infants of overweight/obese women during and after pregnancy: the Healthy and Active Parenting Programme for Early Years (HAPPY).METHODS: A feasibility randomised controlled trial was conducted in Bradford, England. One hundred twenty overweight/obese pregnant women (Body Mass Index [BMI] ≥25 kg/m(2)) were recruited between 10-26 weeks gestation. Consenting women were randomly allocated to HAPPY (6 antenatal, 6 postnatal sessions: N = 59) or usual care (N = 61). Appropriate outcome measures for a full trial were explored, including: infant's length and weight, woman's BMI, physical activity and dietary intake of the women and infants. Health economic data were collected. Measurement occurred before randomisation and when the infant was aged 6 months and 12 months. Feasibility outcomes were: recruitment/attrition rates, and acceptability of: randomisation, measurement, and intervention. Intra-class correlations for infant weight were calculated. Fidelity was assessed through observations and facilitator feedback. Focus groups and semi-structured interviews explored acceptability of methods, implementation, and intervention content.RESULTS: Recruitment targets were met (~20 women/month) with a recruitment rate of 30 % of eligible women (120/396). There was 30 % attrition at 12 months; 66 % of recruited women failed to attend intervention sessions, but those who attended the first session were likely to continue to attend (mean 9.4/12 sessions, range 1-12). Reaction to intervention content was positive, and fidelity was high. Group clustering was minimal; an adjusted effect size of -0.25 standard deviation scores for infant weight at 12 months (95 % CI: -0.16-0.65) favouring the intervention was observed using intention to treat analyses. No adverse events were reported.CONCLUSIONS: The HAPPY intervention appeared feasible and acceptable to participants who attended and those delivering it, however attendance was low; adaptations to increase initial attendance are recommended. Whilst the study was not powered to detect a definitive effect, our results suggest a potential to reduce risk of infant obesity. The evidence reported provides valuable lessons to inform progression to a definitive trial.TRIAL REGISTRATION: Current Controlled Trials ISRCTN56735429. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health behavior procedures psychology EMTREE MEDICAL INDEX TERMS adult child parent relation childhood obesity (epidemiology, prevention) controlled study England feasibility study female follow up health promotion human infant mother obesity (epidemiology) obesity (epidemiology) pregnancy randomized controlled trial statistics and numerical data CLINICAL TRIAL NUMBERS ISRCTN (ISRCTN56735429) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 26931491 (http://www.ncbi.nlm.nih.gov/pubmed/26931491) PUI L616255071 DOI 10.1186/s12889-016-2861-z FULL TEXT LINK http://dx.doi.org/10.1186/s12889-016-2861-z COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 35 TITLE Does antenatal education reduce fear of childbirth? AUTHOR NAMES Karabulut Ö. Coşkuner Potur D. Doğan Merih Y. Cebeci Mutlu S. Demirci N. AUTHOR ADDRESSES (Karabulut Ö.; Doğan Merih Y.; Cebeci Mutlu S.) Zeynep Kamil Women and Child Disease Training and Research Hospital, İstanbul, Turkey (Coşkuner Potur D.; Demirci N.) Faculty of Health Sciences, Department of Obstetrics and Gynecology Nursing, Division of Nursing, Marmara University, İstanbul, Turkey SOURCE International nursing review (2016) 63:1 (60-67). Date of Publication: 1 Mar 2016 ISSN 1466-7657 (electronic) ABSTRACT AIM: The aim of this study was to determine the effect of antenatal education on fear of childbirth, acceptance of pregnancy and identification with motherhood role.BACKGROUND: There is insufficient evidence pertaining to the effect of antenatal education on fear of childbirth, acceptance of pregnancy and identification with motherhood role.INTRODUCTION: The purpose of antenatal education is to help couples make the right decisions during delivery. Through antenatal education, couples prepare themselves for delivery.METHODS: This is a quasi-experimental and prospective study that employs a pre- and post-education model. In total, 192 pregnant women (education group, n = 69 and control group, n = 123) participated in the study. Data were collected using the pregnancy identification form: the Prenatal Self-Evaluation Questionnaire and a version of the Wijma Delivery Expectancy/Experience Questionnaire.RESULTS: Prior to participating in the study, the education group and control group had similar levels of acceptance of pregnancy and identification with motherhood role, whereas a significant difference was found in their fear of childbirth levels. When surveyed again after receiving education, the two groups' levels of acceptance of pregnancy and fear of childbirth were found to be significantly different. However, they had similar levels of identification with the motherhood role.CONCLUSION: Antenatal education appears to increase the acceptance of pregnancy, does not affect the identification with motherhood role and reduces the fear of childbirth.IMPLICATIONS FOR NURSING AND HEALTH POLICY: A systematic antenatal education programme, as part of routine antenatal care services, would help reduce the rate of interventional labour and facilitate pregnant women's conscious participation in the act of labour by reducing their fear of childbirth. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education coping behavior fear patient education prevention and control psychology EMTREE MEDICAL INDEX TERMS adolescent adult birth comparative study female human mental stress middle aged pregnancy pregnant woman prospective study questionnaire Turkey young adult MOLECULAR SEQUENCE NUMBERS GENBANK (CD002869) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 26612181 (http://www.ncbi.nlm.nih.gov/pubmed/26612181) PUI L616596422 DOI 10.1111/inr.12223 FULL TEXT LINK http://dx.doi.org/10.1111/inr.12223 COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 36 TITLE Effects of prenatal childbirth education for partners of pregnant women on paternal postnatal mental health: A systematic review and meta-analysis protocol AUTHOR NAMES Suto M. Takehara K. Yamane Y. Ota E. AUTHOR ADDRESSES (Suto M., maiko.suto@gmail.com) Tsuda College, 2-1-1 Tsuda-machi, Kodaira-shi, Tokyo, Japan. (Takehara K., takehara-k@ncchd.go.jp; Ota E., ota-e@ncchd.go.jp) National Center for Child Health and Development, 10-1 Okura 2-chome, Setagaya, Tokyo, Japan. (Yamane Y., yyumina1121@yahoo.co.jp) Ome, Tokyo, Japan. CORRESPONDENCE ADDRESS E. Ota, National Center for Child Health and Development, 10-1 Okura 2-chome, Setagaya, Tokyo, Japan. Email: ota-e@ncchd.go.jp SOURCE Systematic Reviews (2016) 5:1 Article Number: 21. Date of Publication: 3 Feb 2016 ISSN 2046-4053 (electronic) BOOK PUBLISHER BioMed Central Ltd., info@biomedcentral.com ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education mental health parental behavior postnatal care EMTREE MEDICAL INDEX TERMS article bibliographic database depression electronic medical record human information processing pregnancy priority journal puerperal depression risk assessment systematic review EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20160107447 MEDLINE PMID 26841924 (http://www.ncbi.nlm.nih.gov/pubmed/26841924) PUI L608069756 DOI 10.1186/s13643-016-0199-3 FULL TEXT LINK http://dx.doi.org/10.1186/s13643-016-0199-3 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 37 TITLE Prenatal counseling tools for the pediatric radiologist as part of a multidisciplinary team AUTHOR NAMES Lawrence A.K. Menzel M.B. Bulas D.I. AUTHOR ADDRESSES (Lawrence A.K.; Menzel M.B., mmenzel@childrensnational.org) Fetal Medicine Institute, Children’s National Health System, 111 Michigan Ave. NW, Suite M3118, Washington, United States. (Menzel M.B., mmenzel@childrensnational.org) Department of Pediatrics, George Washington University, Washington, United States. (Bulas D.I.) Division of Diagnostic Imaging and Radiology, Childrens National Health Systems, George Washington University School of Medicine, Washington, United States. CORRESPONDENCE ADDRESS M.B. Menzel, Fetal Medicine Institute, Children’s National Health System, 111 Michigan Ave. NW, Suite M3118, Washington, United States. Email: mmenzel@childrensnational.org SOURCE Pediatric Radiology (2016) 46:2 (172-176). Date of Publication: 1 Feb 2016 ISSN 1432-1998 (electronic) 0301-0449 BOOK PUBLISHER Springer Verlag, service@springer.de ABSTRACT Fetal abnormalities are present in 3–5% of all pregnancies, leading to increased anxiety and the need for important discussions between patients and their care providers. Regardless of the severity of the anomaly, receiving the information can be traumatic for the pregnant patient and her partner. Most physicians who aren’t trained to provide prenatal counseling understandably feel uncomfortable with the uncertainty and complex issues that arise in such high-stress counseling sessions. Genetic counselors are specifically trained to counsel patients in the setting of a fetal abnormality; however additional input from pediatric radiologists and other pediatric specialists is invaluable to parents in these situations and such input is an essential part of a team approach to prenatal counseling. The goal of this article is to provide a basic approach to counseling in the prenatal setting for pediatric radiologists and other specialists. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) counseling pediatric radiologist prenatal counseling EMTREE MEDICAL INDEX TERMS consultation fetus disease human information interpersonal communication priority journal review EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20160109095 MEDLINE PMID 26829948 (http://www.ncbi.nlm.nih.gov/pubmed/26829948) PUI L608105336 DOI 10.1007/s00247-015-3448-z FULL TEXT LINK http://dx.doi.org/10.1007/s00247-015-3448-z COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 38 TITLE Intentions of Muslim Arab women in Israel to attend prenatal classes AUTHOR NAMES Ben Natan M. Ashkenazi M. Masarwe S. AUTHOR ADDRESSES (Ben Natan M., meraav@hy.health.gov.il; Ashkenazi M.; Masarwe S.) Pat Matthews School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel. (Ben Natan M., meraav@hy.health.gov.il) Department of Nursing, School of Health Professions, Tel Aviv University, Israel. CORRESPONDENCE ADDRESS M. Ben Natan, Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Centre, P.O.B. 169, Hadera, Israel. Email: meraav@hy.health.gov.il SOURCE Women and Birth (2016) 29:1 (e8-e12). Date of Publication: 1 Feb 2016 ISSN 1878-1799 (electronic) 1871-5192 BOOK PUBLISHER Elsevier ABSTRACT Background: Prenatal education has many benefits to both mother and child. In Israel, prenatal classes are offered to pregnant women in their third trimester from all cultures and sectors. However, Israeli Muslim Arab women often do not attend these classes. Aim: To explore factors influencing the intention of Muslim Arab women in Israel to attend prenatal classes, using the Theory of Planned Behavior. Methods: The study was a cross-sectional quantitative correlational design. A convenience sample consisting of 200 Arab Muslim women completed a questionnaire based on the literature review and the theoretical model. Findings: The research findings indicate that women's intention to attend prenatal classes increases with more positive beliefs and attitudes toward prenatal education, greater subjective social pressure to attend classes, and with higher perceived control of attending such classes. The higher a woman's age and level of education, the greater her intention to attend classes. This study shows that the spouse is the most significant factor influencing women's decisions on this matter. Conclusion: In order to raise the intentions of Muslim Arab women in Israel to attend prenatal classes, policy makers must design programs to increase the awareness of prenatal education among both women and men in the Muslim Arab sector, emphasizing its benefits for mothers, infants, and families as a whole. Classes should reflect the uniqueness of Israeli Muslim Arab culture and combine traditional and modern outlooks. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education patient attitude women's health EMTREE MEDICAL INDEX TERMS age Arab article correlational study cross-sectional study cultural factor educational status female health belief human Israel priority journal social problem spouse EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2015312486 MEDLINE PMID 26275721 (http://www.ncbi.nlm.nih.gov/pubmed/26275721) PUI L605693798 DOI 10.1016/j.wombi.2015.07.009 FULL TEXT LINK http://dx.doi.org/10.1016/j.wombi.2015.07.009 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 39 TITLE A qualitative study in parental perceptions and understanding of SIDS-reduction guidance in a UK bi-cultural urban community AUTHOR NAMES Crane D. Ball H.L. AUTHOR ADDRESSES (Crane D., denise.crane@durham.ac.uk; Ball H.L., h.l.ball@durham.ac.uk) Durham University, Department of Anthropology, Dawson Building, South Road, Durham, United Kingdom. CORRESPONDENCE ADDRESS D. Crane, Durham University, Department of Anthropology, Dawson Building, South Road, Durham, United Kingdom. Email: denise.crane@durham.ac.uk SOURCE BMC Pediatrics (2016) 16:1 Article Number: 23. Date of Publication: 30 Jan 2016 ISSN 1471-2431 (electronic) BOOK PUBLISHER BioMed Central Ltd., info@biomedcentral.com ABSTRACT Background: Differences in both Sudden Infant Death Syndrome (SIDS) rates and infant care practices between white British and South Asians in UK are well known, but research has not yet examined how these two groups understand and implement SIDS-reduction guidance. This study aimed to discover how white British and Pakistani mothers in Bradford recall, understand and interpret SIDS-reduction guidance, and to explore whether and how they implement this guidance in caring for their infants. Methods: In-depth narrative interviews with 46 mothers (25 white British origin and 21 Pakistani origin) of 8-12 week old infants recruited from the pool of participants enrolled in the 'Born in Bradford' (BiB) cohort study. Results: All mothers were aware of UK SIDS-reduction guidance from leaflets presented to them during antenatal or postnatal interactions with health care providers. Pakistani mothers tended to dismiss the guidance in toto as being irrelevant to their cultural practices; white British mothers dismissed, adapted and adopted aspects of the guidance to suit their preferred parenting decisions and personal circumstances. Many mothers misunderstood or misinterpreted the guidance given and explained their infant care behaviour according to their social and cultural circumstances. Conclusions: Current SIDS reduction information in the UK does not meet the needs of immigrant families, and is easily misinterpreted or misunderstood by mothers from all sections of the community. Tailored information acknowledging cultural differences in infant care practices is vital, as is greater discussion with all mothers about the reasons for SIDS reduction guidance. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to illness child care cultural anthropology maternal attitude practice guideline protocol compliance sudden infant death syndrome EMTREE MEDICAL INDEX TERMS adult article British citizen Caucasian cohort analysis controlled study family decision making female health care personnel human infant interview narrative Pakistani parental attitude perinatal period prenatal period qualitative research social aspect social belief United Kingdom urban population EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Pediatrics and Pediatric Surgery (7) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20160090367 MEDLINE PMID 26830470 (http://www.ncbi.nlm.nih.gov/pubmed/26830470) PUI L608032870 DOI 10.1186/s12887-016-0560-7 FULL TEXT LINK http://dx.doi.org/10.1186/s12887-016-0560-7 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 40 TITLE Effects of maternal lifestyle intervention during pregnancy on untreated partner weight: Results from fit for delivery study AUTHOR NAMES Hagobian T.A. Phelan S. Gorin A.A. Phipps M.G. Abrams B. Wing R.R. AUTHOR ADDRESSES (Hagobian T.A., thagobia@calpoly.edu; Phelan S.) Kinesiology Department, California Polytechnic State University, San Luis Obispo, United States. (Phelan S.; Wing R.R.) Miriam Hospital, Weight Control and Diabetes Research Center, Providence, United States. (Gorin A.A.) Department of Psychology, University of Connecticut, Storrs, United States. (Phipps M.G.) Department of Obstetrics and Gynecology, Warren Alpert Medical School, Brown University Women, Infants Hospital of Rhode Island, Providence, United States. (Abrams B.) School of Public Health, University of California, Berkeley, United States. CORRESPONDENCE ADDRESS T.A. Hagobian, Kinesiology Department, California Polytechnic State University, San Luis Obispo, United States. Email: thagobia@calpoly.edu SOURCE Obesity (2016) 24:1 (23-25). Date of Publication: 1 Jan 2016 ISSN 1930-739X (electronic) 1930-7381 BOOK PUBLISHER Blackwell Publishing Inc., subscrip@blackwellpub.com ABSTRACT Objective To test the hypothesis that untreated partners of pregnant women receiving a prenatal lifestyle intervention (vs. standard care) would lose more weight during pregnancy and postpartum. Methods Fit for Delivery was a study of 401 pregnant women with overweight/obesity (OW/OB) and normal weight (NW) randomized to prenatal lifestyle intervention or standard care. Mother's self-report of partners' weight was obtained at study entry (<16 weeks gestation), 30 weeks gestation, and 6 and 12 months postpartum. Results At study entry, 157 of 200 (78%) of intervention mothers and 144 of 201 (72%) of standard care mothers reported having a partner. In intent-to-treat analyses, there was no significant treatment × time effects on partner weight (P = 0.67). In secondary analyses, partners of OW/OB intervention women lost weight from study entry to 6 and 12 months postpartum (-0.5 ± 9.5 kg, -1.0 ± 9.3 kg; P < 0.05), while partners of standard care women gained weight during the same time frame (+2.5 ± 6.7 kg, +2.9 ± 7.4 kg; P < 0.05); adjusting for partner study entry BMI removed these effects. Conclusions Lifestyle intervention delivered to pregnant women did not significantly reduce weight of untreated partners. Future research is needed to test prenatal interventions that engage partners and use objective measures of weight. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) body weight intervention study lifestyle maternal lifestyle intervention pregnancy prenatal period EMTREE MEDICAL INDEX TERMS article body mass clinical effectiveness controlled study female gestation period gestational age human intention to treat analysis multipara obesity pregnant woman puerperium randomized controlled trial weight change weight gain EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20151051935 MEDLINE PMID 26748631 (http://www.ncbi.nlm.nih.gov/pubmed/26748631) PUI L607363846 DOI 10.1002/oby.21368 FULL TEXT LINK http://dx.doi.org/10.1002/oby.21368 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 41 TITLE Effects of maternal lifestyle intervention during pregnancy on untreated partner weight: Results from fit for delivery study AUTHOR NAMES Hagobian T.A. Phelan S. Gorin A.A. Phipps M.G. Abrams B. Wing R.R. AUTHOR ADDRESSES (Hagobian T.A.; Phelan S.) Kinesiology Department, California Polytechnic State University, San Luis Obispo, California, USA (Phelan S.; Wing R.R.) Miriam Hospital, Weight Control and Diabetes Research Center, Providence, Rhode Island, USA (Gorin A.A.) Department of Psychology, University of Connecticut, Storrs, Connecticut, USA (Phipps M.G.) Department of Obstetrics and Gynecology, Warren Alpert Medical School, Brown University Women & Infants Hospital of Rhode Island, Providence, Rhode Island, USA (Abrams B.) School of Public Health, University of California, Berkeley, California, USA SOURCE Obesity (Silver Spring, Md.) (2016) 24:1 (23-25). Date of Publication: 1 Jan 2016 ISSN 1930-739X (electronic) ABSTRACT OBJECTIVE: To test the hypothesis that untreated partners of pregnant women receiving a prenatal lifestyle intervention (vs. standard care) would lose more weight during pregnancy and postpartum.METHODS: Fit for Delivery was a study of 401 pregnant women with overweight/obesity (OW/OB) and normal weight (NW) randomized to prenatal lifestyle intervention or standard care. Mother's self-report of partners' weight was obtained at study entry (<16 weeks gestation), 30 weeks gestation, and 6 and 12 months postpartum.RESULTS: At study entry, 157 of 200 (78%) of intervention mothers and 144 of 201 (72%) of standard care mothers reported having a partner. In intent-to-treat analyses, there was no significant treatment × time effects on partner weight (P = 0.67). In secondary analyses, partners of OW/OB intervention women lost weight from study entry to 6 and 12 months postpartum (-0.5 ± 9.5 kg, -1.0 ± 9.3 kg; P < 0.05), while partners of standard care women gained weight during the same time frame (+2.5 ± 6.7 kg, +2.9 ± 7.4 kg; P < 0.05); adjusting for partner study entry BMI removed these effects.CONCLUSIONS: Lifestyle intervention delivered to pregnant women did not significantly reduce weight of untreated partners. Future research is needed to test prenatal interventions that engage partners and use objective measures of weight. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) lifestyle mother physiology spouse weight loss program EMTREE MEDICAL INDEX TERMS adult body weight complication controlled study female gestational age human human relation intention to treat analysis obesity (therapy) obesity (therapy) obstetric delivery pregnancy pregnancy complication (therapy) prenatal care procedures psychology randomized controlled trial risk reduction statistics and numerical data weight gain young adult LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 26637985 (http://www.ncbi.nlm.nih.gov/pubmed/26637985) PUI L615184477 DOI 10.1002/oby.21368 FULL TEXT LINK http://dx.doi.org/10.1002/oby.21368 COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 42 TITLE Sex differences in renal transcriptome and programmed hypertension in offspring exposed to prenatal dexamethasone AUTHOR NAMES Tain Y.-L. Wu M.-S. Lin Y.-J. AUTHOR ADDRESSES (Tain Y.-L., tainyl@hotmail.com; Wu M.-S.) Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. (Tain Y.-L., tainyl@hotmail.com) Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. (Lin Y.-J.) Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. CORRESPONDENCE ADDRESS Y.-L. Tain, Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital, 123 Dabi Rd., Niausung, Kaohsiung, Taiwan. Email: tainyl@hotmail.com SOURCE Steroids (2016) 115 (40-46). Date of Publication: 2016 ISSN 1878-5867 (electronic) 0039-128X BOOK PUBLISHER Elsevier Inc., usjcs@elsevier.com ABSTRACT Glucocorticoids, predominantly dexamethasone (DEX), are widely used to reduce the risk of prematurity-related chronic lung disease. However, prenatal DEX treatment links to adverse effects in later life, including hypertension. Given that sex differences exist in the blood pressure (BP) control, and that renal transcriptome is sex-specific, thus we intended to elucidate whether prenatal DEX-induced programmed hypertension is in a sex-specific manner and identify candidate genes and pathways using the whole-genome RNA next-generation sequencing (NGS) approach. Offspring were assigned to 4 groups (n = 7–8/group): male control (MC), female control (FC), male DEX (MD), and female DEX (FD). Dexamethasone (0.1 mg/kg body weight) or vehicle was intraperitoneally administered to pregnant SD rats from gestational day 16–22, to construct a DEX model. Rats were killed at 16 weeks of age. Prenatal DEX induced sex-specific increase in BPs in male but not female adult offspring. Prenatal DEX elicited renal programming in a sex-specific fashion as demonstrated by 8 and 18 DEGs in male and female offspring, respectively. Among them, two genes, Hbb and Hba-a2, were shared. The resistance of female offspring to prenatal DEX-induced programmed hypertension is related to a lower Agt expression. Prenatal DEX induced programmed hypertension in adult male but not female offspring, which was related to renal programming affecting sex-biased genes and the RAS. Early identification of sex-specific underlying mechanisms could provide novel deprogramming strategy to reach maximal optimization in both sexes. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) dexamethasone (drug toxicity, intraperitoneal drug administration) transcriptome (endogenous compound) EMTREE DRUG INDEX TERMS adenosine triphosphatase (potassium sodium) (endogenous compound) adenosine triphosphatase (potassium sodium) alpha 1 subunit (endogenous compound) angiotensin (endogenous compound) angiotensin 1 receptor (endogenous compound) angiotensin 2 receptor (endogenous compound) angiotensin receptor (endogenous compound) angiotensin[1-7] (endogenous compound) arginine (endogenous compound) biological marker (endogenous compound) citrulline (endogenous compound) cytochrome P450 (endogenous compound) glycosaminoglycan (endogenous compound) kidney injury molecule 1 (endogenous compound) messenger RNA (endogenous compound) n(g),n(g) dimethylarginine (endogenous compound) neutrophil gelatinase associated lipocalin (endogenous compound) peroxisome proliferator activated receptor (endogenous compound) prorenin receptor (endogenous compound) retinol (endogenous compound) serum and glucocorticoid regulated kinase 1 (endogenous compound) sodium chloride cotransporter (endogenous compound) sodium potassium chloride cotransporter (endogenous compound) sodium proton exchange protein (endogenous compound) unclassified drug EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) hypertension prenatal exposure progeny programmed hypertension sex difference EMTREE MEDICAL INDEX TERMS adult amino acid blood level animal experiment animal model animal tissue article blood pressure regulation body weight controlled study diastolic blood pressure disease resistance drug metabolism female gene gene expression genome analysis glycosaminoglycan metabolism Hba a2 gene Hbb gene kidney injury kidney mass male mean arterial pressure next generation sequencing nonhuman rat signal transduction systolic blood pressure Tff3 gene vitamin metabolism CAS REGISTRY NUMBERS adenosine triphosphatase (potassium sodium) () angiotensin (1407-47-2) angiotensin[1-7] (39386-80-6) arginine (1119-34-2, 15595-35-4, 7004-12-8, 74-79-3) citrulline (372-75-8) cytochrome P450 (9035-51-2) dexamethasone (50-02-2) n(g),n(g) dimethylarginine (30315-93-6) retinol (68-26-8, 82445-97-4) sodium proton exchange protein (204597-32-0) EMBASE CLASSIFICATIONS Cardiovascular Diseases and Cardiovascular Surgery (18) Developmental Biology and Teratology (21) Human Genetics (22) Urology and Nephrology (28) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20160601686 PUI L611675780 DOI 10.1016/j.steroids.2016.08.006 FULL TEXT LINK http://dx.doi.org/10.1016/j.steroids.2016.08.006 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 43 TITLE Recruiting male partners for couple HIV counselling and testing in Malawi's Option B+ programme: A randomized controlled trial AUTHOR NAMES Rosenberg N. Mtande T. Saidi F. Stanley C. Jere E. Mwangomba L. Kumwenda K. Mofolo I. Mwale M. Chauma A. Miller W.C. Hoffman I. Hosseinipour M.C. AUTHOR ADDRESSES (Rosenberg N., nora_rosenberg@unc.edu; Mtande T.; Saidi F.; Stanley C.; Jere E.; Mwangomba L.; Kumwenda K.; Mofolo I.; Hosseinipour M.C.) UNC Project, Lilongwe, Malawi. (Rosenberg N., nora_rosenberg@unc.edu; Miller W.C.; Hoffman I.; Hosseinipour M.C.) Department of Medicine, University of North Carolina, Chapel Hill, United States. (Mwale M.; Chauma A.) District Health Office, Lilongwe, Malawi. CORRESPONDENCE ADDRESS N. Rosenberg, UNC Project, Lilongwe, Malawi. Email: nora_rosenberg@unc.edu SOURCE Journal of the International AIDS Society (2015) 18 SUPPL. 4 (19-20). Date of Publication: 2015 CONFERENCE NAME 8th IAS Conference on HIV Pathogenesis, Treatment and Prevention CONFERENCE LOCATION Vancouver, BC, Canada CONFERENCE DATE 2015-07-19 to 2015-07-22 ISSN 1758-2652 BOOK PUBLISHER International AIDS Society ABSTRACT Introduction: In Malawi's antenatal programme, HIV counselling and testing (HCT) for pregnant women is nearly universal, but couple HCT (cHCT) is uncommon, even though it is included in the Option B+ guidelines. cHCT is critical for HIV-infected women: many have HIV-infected partners in need of HIV diagnosis and treatment or HIV-uninfected partners in need of HIV prevention. cHCT may also increase Option B+ retention. Two partner recruitment strategies were assessed for cHCT uptake, male HIV status, female Option B+ retention and consistent condom use. Methods: Newly diagnosed HIV-infected pregnant women≥16 years with male partners in Lilongwe were recruited from Bwaila District Hospital Antenatal Unit from March to October 2014 to participate in a randomized controlled trial. Women in the ''invitation only'' arm received an invitation inviting male partners to antenatal care; women in the ''invitation plus tracing'' arm received the same invitation but male partners were traced by phone and/or home visit if they failed to present within one week.Women were assessed one month later. Analyses were conducted using Chi-squared tests. Results: Of 220 eligible women, 200 (90%) consented and enrolled. cHCT uptake was 52% in the invitation only arm and 74% in the invitation plus tracing arm (p=0.001). Among the 126 men who presented for cHCT, 25% already knew they were HIV-infected, 47% learned they were HIV-infected for the first time and 25% were HIVuninfected with no difference by arm (p=0.8). There was a trend towards greater one-month retention among women in the invitation plus tracing arm (91%) compared to the invitation only arm (83%) (p=0.09). Among HIV-discordant couples, unprotected sex declined from 94 to 23% (p<0.001) following cHCT. Participation did not lead to intimate partner violence in either arm. Conclusions: The invitation plus tracing strategy was extremely effective for recruiting male partners for cHCT and substantially more effective than the invitation only strategy. Both strategies identified many HIV-infected men and HIV-discordant couples. cHCT resulted in higher ART retention, declines in unprotected sex in HIV-discordant couples and no intimate partner violence. Scaling up an invitation plus tracing strategy within the Option B+ programme would have substantial public health benefits. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) counseling human Human immunodeficiency virus Malawi male pathogenesis prevention randomized controlled trial EMTREE MEDICAL INDEX TERMS arm condom use diagnosis female partner violence pregnant woman prenatal care professional practice public health public hospital scale up unprotected sex LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L72112777 DOI 10.7448/IAS.18.5.20342 FULL TEXT LINK http://dx.doi.org/10.7448/IAS.18.5.20342 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 44 TITLE Improvements in Unmarried African American Parents' Rapport, Communication, and Problem-Solving Following a Prenatal Coparenting Intervention AUTHOR NAMES McHale J.P. Salman-Engin S. Coovert M.D. AUTHOR ADDRESSES (McHale J.P.) University of South Florida St. Petersburg, St. Petersburg, FL (Salman-Engin S.) Psychology Department, Bilkent University, Ankara, Turkey (Coovert M.D.) University of South Florida, Tampa, FL SOURCE Family process (2015) 54:4 (619-629). Date of Publication: 1 Dec 2015 ISSN 1545-5300 (electronic) ABSTRACT This report examines effects of a coparenting intervention designed for and delivered to expectant unmarried African American mothers and fathers on observed interaction dynamics known to predict relationship adjustment. Twenty families took part in the six-session "Figuring It Out for the Child" (FIOC) dyadic intervention offered in a faith-based human services agency during the third trimester of the mother's pregnancy, and completed a postpartum booster session 1 month after the baby's arrival. Parent referrals for the FIOC program were received from a county Health Department and from OBGYNs and Pregnancy Centers in the targeted community. All intervention sessions were delivered by a trained male-female paraprofessional team whose fidelity to the FIOC manualized curriculum was independently evaluated by a team of trained analysts. At both the point of intake ("PRE") and again at an exit evaluation completed 3 months postpartum ("POST"), the mothers and fathers were videotaped as they completed two standardized "revealed differences" conflict discussions. Blinded videotapes of these sessions were evaluated using the System for Coding Interactions in Dyads. Analyses documented statistically significant improvements on 8 of 12 variables examined, with effect sizes ranging from moderate to large. Overall, 14 families demonstrated beneficial outcomes, 3 did not improve, and 3 showed some signs of decline from the point of intake. For most interaction processes, PRE to POST improvements were unrelated to degree of adherence the paraprofessional interventionists showed to the curriculum. However, better interventionist competence was related to decreases in partners' Coerciveness and Negativity and Conflict, and to smaller increases in partner Withdrawal. Implications of the work for development and delivery of community-based coparenting interventions for unmarried parents are discussed. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) illegitimacy psychology EMTREE MEDICAL INDEX TERMS adolescent adult African American child parent relation education family size father female human human relation interpersonal communication marriage mother pilot study pregnancy problem solving puerperium videorecording young adult LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 25754186 (http://www.ncbi.nlm.nih.gov/pubmed/25754186) PUI L612325481 DOI 10.1111/famp.12147 FULL TEXT LINK http://dx.doi.org/10.1111/famp.12147 COPYRIGHT Copyright 2016 Medline is the source for the citation and abstract of this record. RECORD 45 TITLE 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 AUTHOR NAMES Segal N.L. AUTHOR ADDRESSES (Segal N.L.) Department of Psychology,California State University,Fullerton,CA,USA SOURCE Twin research and human genetics : the official journal of the International Society for Twin Studies (2015) 18:6 (812-818). Date of Publication: 1 Dec 2015 ISSN 1832-4274 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) register twins EMTREE MEDICAL INDEX TERMS aggression childbirth education face genetic epigenesis human international cooperation Japan LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 26678055 (http://www.ncbi.nlm.nih.gov/pubmed/26678055) PUI L615968643 DOI 10.1017/thg.2015.81 FULL TEXT LINK http://dx.doi.org/10.1017/thg.2015.81 COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 46 TITLE Daytime Sleepiness in Men During Early Fatherhood: Implications for Work Safety AUTHOR NAMES Mellor G. Van Vorst S. AUTHOR ADDRESSES (Mellor G., garymellor@edeninoznz.com.au) Griffith University (Van Vorst S.) Southern Cross University SOURCE Workplace health & safety (2015) 63:11 (495-501). Date of Publication: 1 Nov 2015 ISSN 2165-0969 (electronic) ABSTRACT This study measured the daytime sleepiness (DS) and work safety of fathers during the first 12 weeks of their babies' lives (i.e., early fatherhood). A questionnaire was developed using the Epworth Sleepiness Scale (ESS), the Safety Behaviour at Work Scale, a self-reported sleep history, and a work-related incident history. Of the 221 participants, the vast majority reported they experienced less than 6 hours of interrupted sleep per night during the 12 weeks of the study, and an increasing frequency and severity of DS. The study also revealed an inverse correlation between ESS and Safety Behaviour at Work scores; fathers were 14% more likely to report a near-miss accident at work at 12 weeks. This study posits that antenatal classes and assessment of fathers' sleepiness at work by occupational health practitioners could assist fathers in reducing daytime sleepiness and mitigating the risk of workplace incidents. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father child relation physiology standards EMTREE MEDICAL INDEX TERMS adult human male middle aged newborn occupational health questionnaire safety work schedule LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 26310240 (http://www.ncbi.nlm.nih.gov/pubmed/26310240) PUI L616662669 DOI 10.1177/2165079915595157 FULL TEXT LINK http://dx.doi.org/10.1177/2165079915595157 COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 47 TITLE Enhancing relationship functioning during the transition to parenthood: a cluster-randomised controlled trial AUTHOR NAMES Daley-McCoy C. Rogers M. Slade P. AUTHOR ADDRESSES (Daley-McCoy C., cathyrn.daley-mccoy@swyt.nhs.uk) Child and Adolescent Mental Health Service, South West Yorkshire NHS Trust, Beech House, Margaret Street, Wakefield, United Kingdom. (Rogers M.) Parent Education, The Jessop Wing, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom. (Slade P.) Clinical Psychology, Institute of Psychology, Health and Society, University of Liverpool, Liverpool, United Kingdom. CORRESPONDENCE ADDRESS C. Daley-McCoy, Child and Adolescent Mental Health Service, South West Yorkshire NHS Trust, Beech House, Margaret Street, Wakefield, United Kingdom. SOURCE Archives of Women's Mental Health (2015) 18:5 (681-692). Date of Publication: 13 Oct 2015 ISSN 1435-1102 (electronic) 1434-1816 BOOK PUBLISHER Springer-Verlag Wien, michaela.bolli@springer.at ABSTRACT This randomised controlled trial examined the feasibility of enhancing relationship functioning in couples during the transition to parenthood through the development and delivery of a low-intensity antenatal intervention. The 2-h psycho-educational programme marks the first of its kind to be trialled in the UK and was delivered as an adjunct to existing antenatal classes provided through the National Health Service. A cluster randomised design was used as antenatal classes rather than participants were randomly allocated to either treatment condition. Feasibility was assessed on the basis of pragmatic delivery and acceptability of the intervention. Data from 47 participants who received the intervention and 36 participants who did not was then compared to provide a preliminary indication of its effectiveness. Outcomes were assessed in terms of relationship satisfaction, couple communication and psychological distress. The intervention appeared feasible in terms of pragmatic delivery, rates of uptake and attendance at sessions. Participant evaluation forms also indicated that people were reasonably satisfied with the intervention and would recommend it to friends. Three significant phases × condition interactions were indicated using mixed-methods analyses of variance (ANOVAs); women in the intervention condition reported significantly less deterioration in relationship satisfaction (F(1, 44) = 3.11; p = 0.021; eta(2) = 0.07), while men in the intervention condition reported significantly less deterioration in couple communication (F(1, 35) = 2.59; p = 0.029; eta(2) = 0.08) and significant improvement in their experience of psychological distress (adjusted z = 1.99; p = 0.023; Cohen's d = 0.47). These positive preliminary indicators lend support to future large-scale investigation. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) human relation parenthood relationship functioning EMTREE MEDICAL INDEX TERMS adult article distress syndrome female follow up human interpersonal communication male outcome assessment priority journal program effectiveness relationship satisfaction satisfaction EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2015738758 MEDLINE PMID 25663309 (http://www.ncbi.nlm.nih.gov/pubmed/25663309) PUI L602194471 DOI 10.1007/s00737-015-0510-7 FULL TEXT LINK http://dx.doi.org/10.1007/s00737-015-0510-7 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 48 TITLE Alpha-and beta-globin gene mutation co-inheritance: Phenotype and genotype correlation AUTHOR NAMES Ketabchi N. Jalali Far M. Saki N. Mohammadi Asl J. Khosravi A. Kavianpour M. Golchin N. Shirjang S. AUTHOR ADDRESSES (Ketabchi N.; Jalali Far M.; Saki N.; Kavianpour M.; Golchin N.) Health Research Institute, Research Center of Thalassemia and Hemoglobinopathy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. (Mohammadi Asl J.) Department of Medical Genetics, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. (Khosravi A.) Department of Hematology, Allied Medical School, Tehran University of Medical Sciences, Tehran, Iran. (Shirjang S.) Hematology and Oncology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. CORRESPONDENCE ADDRESS N. Ketabchi, Health Research Institute, Research Center of Thalassemia and Hemoglobinopathy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. SOURCE Leukemia Research (2015) 39 Supplement 2 (S29). Date of Publication: 1 Oct 2015 CONFERENCE NAME 6th International Eurasian Hematology Congress CONFERENCE LOCATION Antalya, Turkey CONFERENCE DATE 2015-10-14 to 2015-10-18 ISSN 1873-5835 BOOK PUBLISHER Elsevier Ltd ABSTRACT Introduction: The globin gene disorders including the thalassemias are among the most common human genetic diseases worldwide. D-and E-thalassemias are arising from the reduced or absent synthesis of the hemoglobin tetrameric chains. In Iran where thalassemia is prevalent, co-inheritance of hemoglobin gene defects is an important status that can lead to complex hemoglobinopathies without obvious clinical manifestations. Therefore, understanding the influence of these coinheritance interactions in prevalent regions is essential to provide a comprehensive molecular assessments for accurate identification and differential diagnosis especially in D-and E-genes mutation coinheritance patients. Materials and Methods: In this cross sectional study, we have investigated all the Iranian couples with low hematological indices that referred to Noor genetic diagnostic laboratory in Ahvaz, Iran during 2011-2014. Patients with co-inheritance of D-and E-globin gene mutation were included in our study. We used multiplex gap-PCR, ARMS-PCR, DNA sequencing and hemoglobin electrophoresis for diagnosis of any D-and/or E thalassaemia mutations or hemoglobinopathies. Results: Of the 2146 prenatal screening program, 93 couples (4.3%) were found to have the co-inheritance of D-and E-globin gene mutation (Table 1). The mean values of Hb, MCV, MCH and HbA2 were 12.97, 70.7, 22.9 and 4.08, respectively. The most prevalent mutation of alpha chain was aa/-D3.7 (67.74%) and the most prevalent mutations of beta chain were IVSII-1 (G>A),-88 (C>A), Cd36-37 (-T) and Fr8/9 (+G). 34.4% and 8.6% of our patients had co-inheritance of sickle cell and Hb D with D-thalassemia respectively. Conclusion: The co-inheritance of D-and E-thalassemia should be considered in genetic counseling of families with different clinical symptoms to avoid misdiagnosis of thalassemia carriers. Especially in cases with a near-normal range of blood cell indices the possibility that they may carry the both D, E-thalassaemia mutations must be considered in prevalent regions. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) hemoglobin alpha chain hemoglobin beta chain EMTREE DRUG INDEX TERMS CD36 antigen CD37 antigen endogenous compound hemoglobin D EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) gene mutation genotype globin gene inheritance phenotype EMTREE MEDICAL INDEX TERMS alpha chain beta chain case report cross-sectional study diagnosis diagnostic error differential diagnosis disease carrier DNA sequence doctor patient relation electrophoresis family gene frequency genetic counseling human Iran polymerase chain reaction prenatal screening sickle cell symptom thalassemia CAS REGISTRY NUMBERS hemoglobin D (39346-78-6) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L614781315 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 49 TITLE A study to prolong breastfeeding duration: Design and rationale of the Parent Infant Feeding Initiative (PIFI) randomised controlled trial AUTHOR NAMES Maycock B.R. Scott J.A. Hauck Y.L. Burns S.K. Robinson S. Giglia R. Jorgensen A. White B. Harries A. Dhaliwal S. Howat P.A. Binns C.W. AUTHOR ADDRESSES (Maycock B.R., b.maycock@curtin.edu.au; Scott J.A., jane.scott@curtin.edu.au; Burns S.K., s.burns@curtin.edu.au; Robinson S., suzanne.robinson@curtin.edu.au; Giglia R., roslyn.giglia@telethonkids.org.au; Jorgensen A., A.Jorgensen@exchange.curtin.edu.au; White B., becky.white@curtin.edu.au; Harries A., Anna.harries@curtin.edu.au; Dhaliwal S., s.dhaliwal@curtin.edu.au; Howat P.A., p.howat@curtin.edu.au; Binns C.W., c.binns@curtin.edu.au) School of Public Health, Curtin University, GPO Box U1987, Perth, Australia. (Maycock B.R., b.maycock@curtin.edu.au; Scott J.A., jane.scott@curtin.edu.au; Burns S.K., s.burns@curtin.edu.au; Howat P.A., p.howat@curtin.edu.au; Binns C.W., c.binns@curtin.edu.au) Collaboration for Evidence, Research and Impact in Public Health (CERIPH), Curtin University, Perth, Australia. (Hauck Y.L., y.hauck@curtin.edu.au; Dhaliwal S., s.dhaliwal@curtin.edu.au) School of Nursing and Midwifery, Curtin University, Perth, Australia. (Giglia R., roslyn.giglia@telethonkids.org.au) Telethon Kids Institute, Perth, Australia. CORRESPONDENCE ADDRESS J.A. Scott, School of Public Health, Curtin University, GPO Box U1987, Perth, Australia. SOURCE BMC Pregnancy and Childbirth (2015) 15:1 Article Number: 159. Date of Publication: 1 Aug 2015 ISSN 1471-2393 (electronic) BOOK PUBLISHER BioMed Central Ltd., info@biomedcentral.com ABSTRACT Background: Very few Australian infants are exclusively breastfed to 6months 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 26weeks 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 26weeks 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding breast feeding duration parental attitude randomized controlled trial (topic) EMTREE MEDICAL INDEX TERMS article Australia breast feeding education cost effectiveness analysis factorial design health care delivery human intervention study mobile phone paternal attitude postnatal care prenatal care sample size social support survival EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Health Policy, Economics and Management (36) Pediatrics and Pediatric Surgery (7) CLINICAL TRIAL NUMBERS LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2015237371 MEDLINE PMID 26231519 (http://www.ncbi.nlm.nih.gov/pubmed/26231519) PUI L605410206 DOI 10.1186/s12884-015-0601-5 FULL TEXT LINK http://dx.doi.org/10.1186/s12884-015-0601-5 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 50 TITLE An evaluation of expectant parents knowledge, satisfaction and use of a self-instructional infant CPR kit AUTHOR NAMES Barry M. AUTHOR ADDRESSES (Barry M., maebh.barry@ul.ie) Department of Nursing and Midwifery, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland SOURCE Midwifery (2015) 31:8 (805-810). Date of Publication: 1 Aug 2015 ISSN 1532-3099 (electronic) ABSTRACT OBJECTIVE: in many parts of Europe as in Ireland, maternity services do not provide infant CPR training routinely to expectant or new parents. Little is known of the views of expectant women and their partners about learning the skills of infant CPR as part of their antenatal education. The aim of this study was to evaluate knowledge, satisfaction and use of a 22 minute Self-Instructional Infant CPR kit to facilitate the teaching of infant CPR and the relief of choking in an infant.METHODS: expectant women with their partners were recruited through the antenatal education classes from one maternity hospital in Ireland. An uncontrolled pre-post-test design was used and participants were surveyed immediately pre- and post-training and six months following training.FINDINGS: the study sample comprised of 77 participants including 42 nulliparous women at least 32 weeks gestation or greater. It found significant difference in knowledge scores following training compared to baseline p=<0.0001 and at six months p=<0.0001 compared to immediate post training for both infant CPR and choking prevention. There was a 70% (n=58) response rate at six months with 84.5% reporting average or above confidence levels for performance of Infant CPR. The multiplier educational effect was 37.9% with 22 out of 58 participants sharing the kits with family and friends. Participants (57 out of 58) indicated that the maternity services should facilitate infant CPR training for expectant women and their partners.CONCLUSION: expectant women and their partners are very motivated to learn the skills of infant CPR. The facilitation of a 22 minute self-instructional infant CPR kit is effective in increasing infant CPR knowledge and confidence in parents at six months post training. Findings provide the views of expectant and new parents on the relevance of acquiring the skills of infant CPR as part of their preparation for parenthood. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health education midwife patient education patient satisfaction resuscitation EMTREE MEDICAL INDEX TERMS female human Ireland national health service newborn parent pregnancy LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 25960113 (http://www.ncbi.nlm.nih.gov/pubmed/25960113) PUI L615129871 DOI 10.1016/j.midw.2015.04.002 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2015.04.002 COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 51 TITLE A Content Analysis of Infant and Toddler Food Advertisements in Taiwanese Popular Pregnancy and Early Parenting Magazines AUTHOR NAMES Chen Y.-C. Chang J.-S. Gong Y.-T. AUTHOR ADDRESSES (Chen Y.-C.) School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan yichun@tmu.edu.tw (Chang J.-S.; Gong Y.-T.) School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan SOURCE Journal of human lactation : official journal of International Lactation Consultant Association (2015) 31:3 (458-466). Date of Publication: 1 Aug 2015 ISSN 1552-5732 (electronic) ABSTRACT BACKGROUND: Mothers who are exposed to formula advertisements (ads) are less likely to initiate breastfeeding and more likely to breastfeed for a shorter duration than other mothers.OBJECTIVE: The purpose of this study was to examine infant and toddler food ads in pregnancy and early parenting magazines.METHODS: A content analysis of infant and toddler food ads printed in 12 issues of 4 magazines published in 2011 was performed. Coding categories of ads included product category, advertisement category, marketing information, and advertising appeal. The target age and health-related message of each product were coded.RESULTS: The researchers identified 756 infant and toddler food ads in the magazines. Compared with complementary food ads, formula product ads used more marketing strategies such as antenatal classes and baby contests to influence consumers and promote products. Nutritional quality and child health benefits were the two most frequently used advertising appeals. In addition, this study identified 794 formula products and 400 complementary food products; 42.8% of the complementary food products were intended for 4-month-old infants. Furthermore, 91.9% of the ads for formula products and 81% of the ads for complementary food products contained claims concerning health function or nutrient content.CONCLUSIONS: Taiwanese pregnancy and early parenting magazines contain numerous infant and toddler food ads. These ads generally use health-related claims regarding specific nutrient content and health functions to promote infant and toddler foods. Health professionals should provide more information to parents on the differences between breast milk and formula milk, and they should be aware of the potential effect of infant and toddler food ads on parents' infant feeding decisions. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation food pregnancy statistics and numerical data EMTREE MEDICAL INDEX TERMS advertising artificial milk female human infant preschool child procedures publication LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 25766374 (http://www.ncbi.nlm.nih.gov/pubmed/25766374) PUI L616446605 DOI 10.1177/0890334415576513 FULL TEXT LINK http://dx.doi.org/10.1177/0890334415576513 COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 52 TITLE Postnatal mortality, growth failure and heart defects in the Ts1Cje mouse model of Down syndrome AUTHOR NAMES Ferres M. Guedj F. Bianchi D. AUTHOR ADDRESSES (Ferres M.) Beth Israel Deaconess Medical Center, Boston, United States. (Guedj F.) Tufts Medical Center, Boston, United States. (Bianchi D.) Tufts University, School of Medicine, Boston, United States. CORRESPONDENCE ADDRESS M. Ferres, Beth Israel Deaconess Medical Center, Boston, United States. SOURCE Prenatal Diagnosis (2015) 35 SUPPL. 1 (83-84). Date of Publication: July 2015 CONFERENCE NAME 19th International Conference on Prenatal Diagnosis and Theraphy, ISPD 2015 CONFERENCE LOCATION Washington, DC, United States CONFERENCE DATE 2015-07-12 to 2015-07-15 ISSN 0197-3851 BOOK PUBLISHER John Wiley and Sons Ltd ABSTRACT OBJECTIVES: Several mouse models have been developed to better understand the pathophysiology of Down syndrome and design new treatments. The Ts1Cje model is of particular interest for prenatal therapy, because affected males are fertile, allowing affected pups to be carried in wild-type females, similar to the situation in humans. Here we sought to establish natural history and growth profiles in Ts1Cje fetal and neonatal mice, and to determine if heart defects are present in this strain. METHODS: Pups were studied either on embryonic (E) day 15, or postnatally (P) on days 3 to 21. PCR amplification targeting the neomycincassette (present in Ts1Cje) and Sry gene (present in males) was used to analyze genotypes and sex ratios. Histological evaluations to investigate for the presence of heart defects were performed on day E15. Postnatal body weights and lengths in Ts1Cje mice were recorded and compared to wildtype littermates. RESULTS: Genotyping of embryos revealed Mendelian transmission of the derivative chromosome. In embryos, 50% were Ts1Cje. Heart defects (ASD, VSD) were observed in Ts1Cje embryos (5 out of 15). Ts1Cje pups showed significant growth delays, manifesting as two different phenotypes, I and II (Figure 1). The type II phenotype was more severely affected, with smaller size and neonatal lethality by day P10. Postnatal mortality was significantly higher in Ts1Cje compared to WT (69% vs. 31%, p<0.05), and was associated with intrauterine growth restriction. After weaning, only 24% of pups were Ts1Cje with a male predominance in survivors (ratio = 1.6:1). CONCLUSIONS: In this study we have identified two different neonatal phenotypes that are associated with the Ts1Cje genotype. The equal proportions of Ts1Cje and WT embryos observed in utero suggest that this genotype is not associated with antenatal lethality. There is, however, significant postnatal mortality, which may be due to the presence of cardiac defects and growth failure. The presence of congenital heart disease and growth restriction are additional endpoints against which to assess the effects of prenatal therapy. (Figure Presented). EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Down syndrome growth disorder heart mortality mouse mouse model prenatal diagnosis EMTREE MEDICAL INDEX TERMS body weight chromosome congenital heart disease embryo female genotype history human lethality male model pathophysiology phenotype prenatal growth sex ratio SRY gene survivor therapy weaning wild type LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L72072354 DOI 10.1002/pd.4617 FULL TEXT LINK http://dx.doi.org/10.1002/pd.4617 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 53 TITLE Non-invasive prenatal diagnosis of phenylketonuria AUTHOR NAMES Kong X. Cram D. Liang D. Wu L. AUTHOR ADDRESSES (Kong X.) First Affiliated Hospital, Zhengzhou University, Zhengzhou, China. (Cram D.) Berry Genomics, Beijing, China. (Liang D.; Wu L.) State Key Laboratory of Medical Genetics, Central South University, Changsha, Hunan, China. CORRESPONDENCE ADDRESS X. Kong, First Affiliated Hospital, Zhengzhou University, Zhengzhou, China. SOURCE Prenatal Diagnosis (2015) 35 SUPPL. 1 (12). Date of Publication: July 2015 CONFERENCE NAME 19th International Conference on Prenatal Diagnosis and Theraphy, ISPD 2015 CONFERENCE LOCATION Washington, DC, United States CONFERENCE DATE 2015-07-12 to 2015-07-15 ISSN 0197-3851 BOOK PUBLISHER John Wiley and Sons Ltd ABSTRACT OBJECTIVES: Phenylketonuria (PKU) is an autosomal recessive metabolic disorder commonly caused by mutations in the phenylalanine hydroxylase (PAH) gene. The availability of non-invasive prenatal testing (NIPT) is urgently needed to reduce the medical burden associated with PKU, particularly in countries where family DNA testing and invasive prenatal diagnostic services are limited. The aim of the study was to determine the reliability and accuracy of a new fetal genotyping assay termed circulating single molecule amplification and resequencing technology (cSMART) for NIPT of PKU. METHODS: In two prenatal programs for metabolic disorders, 18 couples at risk of having a child with PKU were offered invasive testing by Sanger sequencing of fetal amniocytes. Stored plasma samples from these pregnancies were also analysed retrospectively by a 16-plex cSMART assay involving targeted primers for the 13 different parental PAH mutations and three PAH non pathogenic SNPs. The percentage of mutant alleles/SNPs in the plasma samples determined by cSMART assay was used to deduce fetal DNA fraction and assign fetal genotypes. RESULTS: The 18 plasma samples from pregnancies at risk for PKU were coded and blindly analyzed by cSMART assay at an independent sequencing facility. NIPT diagnosed five normal, six paternal carrier, two maternal carrier and five affected foetuses. All NIPT diagnoses were concordant with fetal genotypes retrospectively determined by Sanger sequencing of amniocyte DNA. Correct fetal genotyping by cSMART assay was achieved with fetal DNA fractions ranging from 6.3% to 24.4%. In addition, the cSMART assay also correctly assigned the maternal PAH genotypes. CONCLUSIONS: The cSMART assay is highly sensitive and specific for fetal genotyping of maternal plasma samples from pregnancies at risk for PKU. This new assay has clinical potential for combined prenatal diagnosis and parental carrier testing for all known diseasespecific PKU mutations during pregnancy. EMTREE DRUG INDEX TERMS DNA phenylalanine 4 monooxygenase EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) phenylketonuria prenatal diagnosis EMTREE MEDICAL INDEX TERMS amnion cell assay autosomal recessive inheritance child diagnosis fetus gene genotype human maternal plasma metabolic disorder mutant mutation plasma pregnancy preventive health service reliability risk technology LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L72072198 DOI 10.1002/pd.4616 FULL TEXT LINK http://dx.doi.org/10.1002/pd.4616 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 54 TITLE Modification & field testing of a decision aid & decision coaching for counseling parents facing the potential birth of an extremely premature infant AUTHOR NAMES Moore G. Lemyre B. Dunn S. Daboval T. Ding S. Shephard A. Lawson M. AUTHOR ADDRESSES (Moore G.; Lemyre B.; Dunn S.; Daboval T.; Ding S.; Shephard A.; Lawson M.) Children's Hospital of Eastern Ontario, Ottawa, Canada. CORRESPONDENCE ADDRESS T. Daboval, Children's Hospital of Eastern Ontario, Ottawa, Canada. SOURCE Paediatrics and Child Health (Canada) (2015) 20:5 (e63). Date of Publication: June-July 2015 CONFERENCE NAME 92nd Annual Conference of the Canadian Paediatric Society CONFERENCE LOCATION Toronto, ON, Canada CONFERENCE DATE 2015-06-24 to 2015-06-27 ISSN 1205-7088 BOOK PUBLISHER Pulsus Group Inc. ABSTRACT BACKGROUND: Risk of death or neurodevelopmental impairment (NDI) is relatively high for extremely premature infants (EPI - 22-25 weeks GA). Given the notable prognostic uncertainty about the outcome, early intensive care and palliative care are both potentially acceptable options. Use of decision aids (DA) and decision coaching have been shown to improve decision quality and patient engagement in the decision making process. Although DAs have been evaluated in simulated antenatal counseling sessions for EPI, none have been tested during real life consultations. OBJECTIVES: 1) To create a DA specific to our population; and 2) field test the DA and decision coaching in an at risk population. DESIGN/METHODS: The only published EPI DA was assessed using the International Patient Decision Aids Standards (IPDAS) tool. An existing working group for EPI was surveyed to identify key elements to include in a DA and feedback was sought from the local family decision services team, neonatologists and parents. Four neonatologists were trained in decision coaching and alpha-tested the DA. The revised DA along with decision coaching was then field tested on women (and partners) at risk of delivering between 23+0 and 24+6 weeks GA. Usefulness for decision making and degree of pre/post decisional conflict were assessed. RESULTS: Deficits were identified in the published DA (IPDAS score 13/35): need for more information overall, incorporation of local data and creation of a detailed palliative care description. The EPI working group identified seven key elements essential for the DA: survival; moderate/severe NDI rates; quality of life of survivors and their parents; and maternal risk of death and long term morbidity. Revisions were made to the DA and to the number and content of the decision cards (3-options, 6-key elements and 16-GA specific data). Post-modification IPDAS score was 31/35. Ongoing field testing (8 parents to date) suggests: neonatologists like using the DA; average consult is 50 mins; DA presents balanced and clear information; DA reduces parental decisional conflict (22/40 down to 4/40). CONCLUSION: We were able to improve the quality of an existing yet untested DA using multi-source feedback. Field testing to date demonstrates our DA's promise for helping parents engage in the decision making process at the limit of viability. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Canadian counseling human infant parent prematurity society EMTREE MEDICAL INDEX TERMS consultation death decision making feedback system female intensive care morbidity neonatologist palliative therapy patient population quality of life risk survival survivor LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L72223357 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 55 TITLE Indomethacin dose-interruption & maternal chorioamnionitis as risk factors for indomethacin treatment failure in preterm infants with PDA AUTHOR NAMES Mitra S. Abdul Wahab M.G. AUTHOR ADDRESSES (Mitra S.; Abdul Wahab M.G.) McMaster University, Hamilton, Canada. CORRESPONDENCE ADDRESS S. Mitra, McMaster University, Hamilton, Canada. SOURCE Paediatrics and Child Health (Canada) (2015) 20:5 (e62). Date of Publication: June-July 2015 CONFERENCE NAME 92nd Annual Conference of the Canadian Paediatric Society CONFERENCE LOCATION Toronto, ON, Canada CONFERENCE DATE 2015-06-24 to 2015-06-27 ISSN 1205-7088 BOOK PUBLISHER Pulsus Group Inc. ABSTRACT BACKGROUND: Preterm infants often respond differently to Indomethacin for PDA closure with some requiring multiple courses of the drug and subsequently surgical ligation. OBJECTIVES: To identify perinatal and postnatal risk factors associated with failure of primary course of indomethacin for treatment of PDA. DESIGN/METHODS: We studied infants who received indomethacin for PDA between 2010-2013. We identified those who failed primary pharmacotherapy and required subsequent courses or surgical ligation.Failure of primary course of indomethacin was defined as infants requiring more than one full course of indomethacin or received one full course of indomethacin followed by surgical ligation. Perinatal/neonatal variables in infants with and without indomethacin failure were compared by univariate analysis. Subsequently, variables which had significant difference two groups were selected to carry out logistic regression analysis. RESULTS: Out of 77 infants analyzed, 36 (46.7%) had primary indomethacin failure and nine infants (11.7%) underwent surgical ligation. Univariate analysis revealed that infants with primary indomethacin failure were significantly more immature, of male sex, did not receive a complete course of antenatal corticosteroids, indomethacin dose interruption was documented during clinical care and their mothers had clinical chorioamnionitis. (Table 1). The multivariable logistic regression analysis showed that dose interruption and clinical chorioamnionitis were independent risk factors for indomethacin failure (Table 2). CONCLUSION: Indomethacin dose interruption and clinical chorioamnionitis appear to be independent risk factors for primary indomethacin failure in preterm infants. This study generates an important and previously unexplored hypothesis regarding the role of dosage interruption in treatment failure. This could pave the way for future prospective cohort studies to better analyze this interaction and also prospective RCTs to potentially find a solution to this problem. (Table Presented). EMTREE DRUG INDEX TERMS (MAJOR FOCUS) indometacin EMTREE DRUG INDEX TERMS corticosteroid EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Canadian chorioamnionitis human infant prematurity risk factor society treatment failure EMTREE MEDICAL INDEX TERMS cohort analysis drug therapy female hypothesis ligation logistic regression analysis male mother univariate analysis LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L72223355 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 56 TITLE Phthalates might interfere with testicular function by reducing testosterone and insulin-like factor 3 levels AUTHOR NAMES Chang W.-H. Li S.-S. Wu M.-H. Pan H.-A. Lee C.-C. AUTHOR ADDRESSES (Chang W.-H.; Li S.-S.; Lee C.-C., cclee@mail.ncku.edu.tw) Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, 138 Sheng-Li Road, Tainan, Taiwan. (Wu M.-H.) Department of Obstetrics and Gynecology, Hospital of National Cheng Kung University, 138 Sheng-Li Road, Tainan, Taiwan. (Pan H.-A.) An-An Women and Children Clinic, 286 Kaiyuan Road, Tainan, Taiwan. (Lee C.-C., cclee@mail.ncku.edu.tw) Research Center of Environmental Trace Toxic Substance, National Cheng Kung University, 138 Sheng-Li Road, Tainan, Taiwan. CORRESPONDENCE ADDRESS C.-C. Lee, Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, 138 Sheng-Li Road, Tainan, Taiwan. Email: cclee@mail.ncku.edu.tw SOURCE Human Reproduction (2015) 30:11 (2658-2670). Date of Publication: 26 May 2015 ISSN 1460-2350 (electronic) 0268-1161 BOOK PUBLISHER Oxford University Press, jnl.info@oup.co.uk ABSTRACT STUDY QUESTION Do phthalates create a male reproductive hormone imbalance by down-regulating the secretion of testosterone and insulin-like factor 3 (INSL3)? SUMMARY ANSWER Our study suggests that exposure to phthalates is related to a reduction in the secretion of testosterone and INSL3 in adult males. WHAT IS KNOWN ALREADY There is evidence that exposure to phthalates, an abundant group of industrial plasticizers, negatively affects testosterone biosynthesis, but little is known about the mechanism in men. The hypothesis that exposure to phthalates reduces the levels of testosterone and INSL3, a marker of Leydig cell function, is underexplored. STUDY DESIGN, SIZE, DURATION This case-control study of 176 men ran from 2010 to 2012. Infertile men were recruited through infertility clinics in Taiwan, fertile men were recruited from childbirth preparation classes and all were categorized based on the World Health Organization definition of infertility and by the diagnoses of obstetricians. PARTICIPANTS/MATERIALS, SETTING, METHODS Urinary concentrations of 11 phthalate metabolites were measured, along with serum levels of FSH, LH, total testosterone (TT), estradiol, sex hormone-binding globulin and Inhibin B. Androgen status indices including free testosterone (fT) and the free androgen index (FAI) were calculated. The circulating INSL3 level was evaluated using a radioimmunoassay. Non-parametric analyses, trend tests and linear regression models were used. MAIN RESULTS AND THE ROLE OF CHANCE Urinary mono-n-butyl phthalate (MnBP), mono-(2-ethylhexyl) phthalate (MEHP) and mono-2-ethyl-5-carboxypentyl phthalate were significantly higher in infertile than in fertile men. Serum Inhibin B, the Inhibin B: FSH ratio, the TT: LH ratio and INSL3 were significantly lower in infertile men. In multiple regression models controlled for potential confounders, there is an inverse association between urinary levels of mono-methyl phthalate (MMP), mono-iso-butyl phthalate (MiBP), MEHP, MEHP% and serum TT (P = 0.001, 0.007, 0.042 and 0.012, respectively). The inverse associations were also found between urinary levels of MiBP, monobenzyl phthalate (MBzP), MEHP, MEHP% and serum fT (P = 0.028, 0.017, 0.045 and 0.027, respectively); between urinary levels of MMP, MEHP, MEHP% and the TT: LH ratio (P = 0.004, 0.029 and 0.039, respectively); between urinary levels of MMP, MiBP, MnBP, MBzP, MEHP and the FAI (P = 0.002, 0.008, 0.037, 0.028, 0.042 and 0.016, respectively). Urinary MBzP and MEHP% were negatively associated with a decrease in serum INSL3 (P = 0.049 and <0.001). We also observed a strong inverse relationship between MEHP% quartiles and serum TT, fT, the TT: LH ratio and INSL3 (P(trend) = 0.003, 0.080, 0.002 and 0.012, respectively). Serum INSL3, TT, fT and the TT: LH ratio were lower for men in the highest MEHP% quartile than in the reference group (P = 0.007, 0.002, 0.090 and 0.001, respectively). LIMITATIONS, REASONS FOR CAUTION A potential limitation is using a single urine and blood sample to predict urinary phthalate metabolites and reproductive hormone status over long periods. However, there is evidence that a single measure provides a reliable result in population studies. WIDER IMPLICATIONS OF THE FINDINGS Non-occupational exposure to phthalates, including di-2-ethylhexyl phthalate, might lead to adverse effects on testicular/Leydig cell function and be of concern owing to the ubiquitous multisource exposure to phthalates among the general population. Although our findings are in agreement with recent experimental data, more studies are required to draw firm conclusions on the relation of INSL3 to phthalate exposure or testicular/Leydig cell function. STUDY FUNDING/COMPETING INTEREST(S) This work was supported by grants NSC 100-2314-B-006-054 and NSC 101-2314-B-006-052-MY2 from the Taiwan Ministry of Science and Technology. The authors have no conflicts of interest to disclose. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) insulin (endogenous compound) insulin like factor 3 (endogenous compound) phthalic acid (endogenous compound) testosterone (endogenous compound) EMTREE DRUG INDEX TERMS creatinine (endogenous compound) estradiol (endogenous compound) follitropin (endogenous compound) inhibin B (endogenous compound) luteinizing hormone (endogenous compound) mono 2 ethyl 5 carboxypentyl phthalate (endogenous compound) mono n butyl phthalate (endogenous compound) phthalic acid 2 ethylhexyl monoester (endogenous compound) sex hormone binding globulin (endogenous compound) unclassified drug EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) testis function EMTREE MEDICAL INDEX TERMS adult article blood sampling case control study controlled study creatinine urine level human kidney concentrating capacity major clinical study male male infertility radioimmunoassay sperm quality Taiwan testosterone release urinalysis urine level CAS REGISTRY NUMBERS creatinine (19230-81-0, 60-27-5) estradiol (50-28-2) follitropin (9002-68-0) inhibin B (115088-91-0) insulin (9004-10-8) luteinizing hormone (39341-83-8, 9002-67-9) phthalic acid (88-99-3) phthalic acid 2 ethylhexyl monoester (4376-20-9) testosterone (58-22-0) EMBASE CLASSIFICATIONS Urology and Nephrology (28) Clinical and Experimental Biochemistry (29) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2015500026 MEDLINE PMID 26385792 (http://www.ncbi.nlm.nih.gov/pubmed/26385792) PUI L606824970 DOI 10.1093/humrep/dev225 FULL TEXT LINK http://dx.doi.org/10.1093/humrep/dev225 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 57 TITLE The phenomenon of intrapartum transfer from a western Australian birth centre to a tertiary maternity hospital: The overall experiences of partners AUTHOR NAMES Kuliukas L. Hauck Y. Duggan R. Lewis L. AUTHOR ADDRESSES (Kuliukas L.) School of Nursing and Midwifery, Curtin University, GPO Box U1987, Perth, Western Australia, Australia; Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, PO Box 134, Subiaco, Western Australia 6904, Australia. Electronic address: l.kuliukas@curtin.edu.au (Hauck Y.) School of Nursing and Midwifery, Curtin University, GPO Box U1987, Perth, Western Australia, Australia; Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, PO Box 134, Subiaco, Western Australia 6904, Australia. Electronic address: y.hauck@curtin.edu.au (Duggan R.) School of Nursing and Midwifery, Curtin University, GPO Box U1987, Perth, Western Australia, Australia. Electronic address: r.duggan@curtin.edu.au (Lewis L., lucy.lewis@curtin.edu.au) School of Nursing and Midwifery, Curtin University, GPO Box U1987, Perth, Western Australia, Australia; Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, PO Box 134, Subiaco, Western Australia 6904, Australia. Electronic address: SOURCE Midwifery (2015) 31:5 (e87-e93). Date of Publication: 1 May 2015 ISSN 1532-3099 (electronic) ABSTRACT AIM: the aim of this Western Australian study was to describe the overall labour and birth experience of partners within the context of an intrapartum transfer occurring from a low risk midwifery-led, woman-centred unit to an obstetric unit.DESIGN: a descriptive phenomenological design was used. 15 male partners were interviewed in the first 8 weeks post partum between July and October, 2013 to explore their experience of the intrapartum transfer.SETTING: a midwifery-led birth centre set on the grounds of a tertiary maternity referral hospital.PARTICIPANTS: partners of women who were transferred from the birth centre to the onsite tertiary hospital due to complications during the first and second stages of labour.FINDINGS: five main themes emerged: (1) 'emotional roller coaster'; (2) 'partner׳s role in changing circumstances' with subthemes: 'acknowledgement for his inside knowledge of her' and 'challenges of being a witness'; (3) 'adapting to a changing model of care' with subthemes: 'moving from an inclusive nurturing and continuity model' and 'transferring to a medicalised model'; (4) 'adapting to environmental changes' with subthemes: 'feeling comfortable in the familiar birth centre', 'going to the place where things go wrong' and 'Back to comfortable familiarity afterwards' and (5) 'coming to terms with altered expectations around the labour and birth experience'.KEY CONCLUSIONS: partners acknowledged the benefits of midwifery continuity of care, however, noted that as partners they also provided essential continuity as they felt they knew their woman better than any care provider. Partners found it difficult to witness their woman׳s difficult labour journey. They found the change of environment from birth centre to labour ward challenging but appreciated that experienced medical assistance was at hand when necessary. Being able to return to the birth centre environment was acknowledged as beneficial for the couple. Following the transfer experience partners asked for the opportunity to debrief to clarify and better understand the process.IMPLICATIONS FOR PRACTICE: findings may be used to inform partners in childbirth education classes about what to expect when transfer takes place and offer the opportunity for them to debrief after the birth. Finally, themes can provide insight to maternity care professionals around the emotions experienced by partners during intrapartum transfer to enhance informed choice, involvement in care and empathetic support. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) birth life event psychology standards EMTREE MEDICAL INDEX TERMS adult Australia female human male maternity ward patient transport pregnancy qualitative research questionnaire sexuality tertiary care center utilization LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 25682533 (http://www.ncbi.nlm.nih.gov/pubmed/25682533) PUI L612338013 DOI 10.1016/j.midw.2015.01.010 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2015.01.010 COPYRIGHT Copyright 2016 Medline is the source for the citation and abstract of this record. RECORD 58 TITLE The lasting influence of early intervention on the methylome AUTHOR NAMES O'Donnell K.J. Li C. Beckmann K. Olds D. Grigorenko E. Leckman J.F. Holbrook J.D. Kobor M. Meaney M. AUTHOR ADDRESSES (O'Donnell K.J.; Meaney M.) Ludmer Centre for Neuroinformatics and Mental Health, Douglas Mental Health University Institute, Montreal, Canada. (Li C.; Holbrook J.D.) Brenner Centre for Molecular Medicine, Singapore Institute for Clinical Sciences, NUS, Singapore, Singapore. (Beckmann K.) Psychiatry, Columbia University, New York, United States. (Olds D.) Pediatrics, University of Colorado Denver, Denver, United States. (Grigorenko E.; Leckman J.F.) Yale School of Medicine, Yale, New Haven, United States. (Kobor M.) Centre for Molecular Medicine and Therapeutics, University of British Columbia, Vancouver, Canada. CORRESPONDENCE ADDRESS K.J. O'Donnell, Ludmer Centre for Neuroinformatics and Mental Health, Douglas Mental Health University Institute, Montreal, Canada. SOURCE Biological Psychiatry (2015) 77:9 SUPPL. 1 (16S). Date of Publication: 1 May 2015 CONFERENCE NAME 70th Annual Scientific Convention and Meeting of the Society of Biological Psychiatry, SOBP 2015 CONFERENCE LOCATION Toronto, ON, Canada CONFERENCE DATE 2015-05-14 to 2015-05-16 ISSN 0006-3223 BOOK PUBLISHER Elsevier USA ABSTRACT Background: The persisting influence of childhood adversity on vulnerability for mental disorder is well established. Both animal models and clinical studies identify epigenetic regulation of genomic function as a plausible mediating mechanism. We have carried out the first epigenetic analysis of the effect of the Nurse Family Partnership (NFP), a perinatal parenting intervention with established treatment outcomes. Method: We used the Humanmethylation450 Beadchip (Illumina) to measure genome-wide DNA methylation (methylome) in whole blood samples from participants (n=188, aged 27 years) born to women from treatment and control groups. Methylation data were corrected for cellular heterogeneity and batch effects. Principal component and regression analyses determined associations between DNA methylation, early intervention and child maltreatment. Results: NFP treatment-associated with 1015 CpGs across 593 genes (p<0.05). Interestingly, treatment-associated CpGs showed significant enrichment for neurodevelopmental processes, including NOTCH-signaling (unadjusted p= 3.84x10-5; Bejamini- Hochberg adjusted p=0.02). We also observed a significant association between child maltreatment and variation in the methylome at 27 years of age independent of gender, ethnicity and the cellular heterogeneity of whole blood. History of maltreatment associated with 1552 variably methylated CpGs across 878 genes. Conclusions: We provide some of the first evidence that early intervention associates with DNA methylation, while also demonstrating the persisting influence of child maltreatment on the methylome. These cross-sectional data emphasize a need to determine the developmental timing of these epigenetic changes and their role in mediating NFP program effects on child outcomes. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) DNA EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child DNA methylation early intervention epigenetics human psychiatry society EMTREE MEDICAL INDEX TERMS animal model blood blood sampling child parent relation childhood clinical study control group ethnicity female gender gene genome mental disease methylation nurse regression analysis treatment outcome LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71846211 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 59 TITLE High salt exacerbates programmed hypertension in maternal fructose-fed male offspring AUTHOR NAMES Tain Y.-L. Chan J.Y.H. Hsu C.-N. AUTHOR ADDRESSES (Tain Y.-L.) Kaohsiung Chang Gung Memorial Hospital, Pediatrics, Kaohsiung, Taiwan. (Tain Y.-L.) Chang Gung University, College of Medicine, Medicine, Kaohsiung, Taiwan. (Chan J.Y.H.) Kaohsiung Chang Gung Memorial Hospital, Center for Translational Research in Biomedical Sciences, Kaohsiung, Taiwan. (Hsu C.-N.) Kaohsiung Chang Gung Memorial Hospital, Pharmacy, Kaohsiung, Taiwan. CORRESPONDENCE ADDRESS Y.-L. Tain, Kaohsiung Chang Gung Memorial Hospital, Pediatrics, Kaohsiung, Taiwan. SOURCE Nephrology Dialysis Transplantation (2015) 30 SUPPL. 3 (iii90). Date of Publication: May 2015 CONFERENCE NAME 52nd ERA-EDTA Congress CONFERENCE LOCATION London, United Kingdom CONFERENCE DATE 2015-05-28 to 2015-05-31 ISSN 0931-0509 BOOK PUBLISHER Oxford University Press ABSTRACT Introduction and Aims: Our current diet is comprised of unbalanced nutrients, mainly too many carbohydrates and salt. Widespread consumption of food and drink that contain high fructose has skyrocketed during the last four decades, which is correlated to the increased prevalence of metabolic syndrome and associated comorbidities, including hypertension. In addition to high dietary fructose, increased salt intake is significantly raising the risk of hypertension. Given that hypertension is a multifactorial disorder, that multiple insults could be additive lead to developmental programming, we thereby examined whether maternal high fructose (HF) exposure and postnatal high salt (HS) intake have any synergistic effect on blood pressure elevation on adult offspring. Methods: Male offspring were assigned to four groups: control, HF, HS, and HF+HS. Pregnant SD rats received regular chow or chow supplemented with fructose (60% diet by weight) during the whole period of pregnancy and lactation. Male offspring rats in HS group receive NaCl (1%) in their drinking water from weaning to 3 months of age. Blood pressure (BP) was measured by an indirect tail-cuff method every other week. All rats were sacrificed at 12 weeks old. Components of the renin-angiotensin system (RAS) were analyzed including renin (Ren), prorenin receptor (Atp6ap2), angiotensinogen (Agt), angiotensin converting enzyme (Ace), Ace2, angiotensin II type 1 (Agtr1a) and 2 receptor (Agtr1b), and angiotensin (1-7) Mas receptor (Mas1) by qPCR. Four sodium transporters were analyzed in this study included Na-K-2Cl cotransporter (Slc12a1), type 3 sodium hydrogen exchanger (Slc9a3), Na(+)/Clcotransporter (Slc12a3), and Na(+)/K(+)ATPase α1 subunit (Atp1a1). Results: We found HF and HS group both developed hypertension at 12 weeks of age. HF and HS have a synergistic effect on the increase of BP. Prenatal HF increased renal mRNA expression of Ace2 and Mas1. Postnatal HS increased Ace, whereas decreased Agtr1b and Mas1 in the kidney. Next, renal mRNA of Atp6ap2, Ace, and Agtr1a were significantly higher in the HF(+)HS group vs. control. Next, HS increased Sgk1, Slc12a1, and Atp1a1 expression in the kidney. The renal expression of Slc12a1, and Atp1a1 were higher in HF+HS group compared to control. Moreover, the renal protein level of Na-K-2Cl cotransporter, type 3 sodium hydrogen exchanger, and Na(+)/Clcotransporter were higher in HS and HF+HS group vs. control. Conclusions: In conclusion, prenatal HF and postnatal HS both induced hypertension in adult male offspring. Postnatal HS intake exacerbates prenatal HF-induced programmed hypertension. However, HF and HS induced programmed hypertension by mediating the RAS and sodium transporters in the kidney differentially. With better understanding the inter-relationships between HF and HS on the development of hypertension will aid in the prevention of programmed hypertension in the children exposed to high fructose and salt. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) edetic acid fructose EMTREE DRUG INDEX TERMS adenosine triphosphatase angiotensin angiotensin II angiotensinogen carbohydrate cotransporter dipeptidyl carboxypeptidase drinking water messenger RNA prorenin receptor protein receptor renin sodium sodium proton exchange protein EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) hypertension male progeny EMTREE MEDICAL INDEX TERMS adult blood pressure child cuff diet diseases exposure food human kidney lactation metabolic syndrome X nutrient pregnancy prevalence prevention rat renin angiotensin aldosterone system risk salt intake Sprague Dawley rat weaning weight LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L72206494 DOI 10.1093/ndt/gfv168.4 FULL TEXT LINK http://dx.doi.org/10.1093/ndt/gfv168.4 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 60 TITLE What women want: Provision of obstetric anaesthetic information in the antenatal period AUTHOR NAMES Innes E.E. Hoyle J. Yentis S.M. AUTHOR ADDRESSES (Innes E.E.; Hoyle J.; Yentis S.M.) Magill Department of Anaesthesia, Chelsea and Westminster Hospital, London, United Kingdom. CORRESPONDENCE ADDRESS E.E. Innes, Magill Department of Anaesthesia, Chelsea and Westminster Hospital, London, United Kingdom. SOURCE International Journal of Obstetric Anesthesia (2015) 24 SUPPL. 1 (S54). Date of Publication: May 2015 CONFERENCE NAME Annual Meeting of the Obstetric Anaesthetists' Association 2015 CONFERENCE LOCATION Torquay, United Kingdom CONFERENCE DATE 2015-05-21 to 2015-05-22 ISSN 1532-3374 BOOK PUBLISHER Churchill Livingstone ABSTRACT Introduction: Approximately two thirds of women delivering in our unit receive anaesthetic intervention, but only a small proportion meet an anaesthetist antenatally. Women and their partners often have questions about pain relief and anaesthetic services available, and the period of active labour is not the ideal time to answer these. Currently, women are given information leaflets antenatally, but these may remain unread, or lead to questions that women would like answered before labour. The anaesthetic input into our unit's antenatal classes is often ad -hoc. We aimed to produce a factsheet specific to our users ' needs based on commonly asked questions. Methods: The Research Ethics Committee deemed this study (which was approved by the Caldicott Guardian) a service evaluation, thus exempt from requiring approval. An investigator attended four antenatal classes over two months at which parturients ± partners were invited to ask questions in a group setting and individually. Commonly asked questions were collated into a fact sheet for future use. Results: Fifty-eight women plus 25 partners attended the classes during the study period. They were all nulliparous, with mean (range) age 32 (23-37) years and gestation 34 (33-36) weeks. Thirty-nine questions were asked, all of them regarding epidural analgesia in labour. The most common questions are listed in the Table. Data are number (proportion of questions) Discussion: Provision of information antenatally is preferred and generic information leaflets are often unread. Furthermore, women in different units may have very different requirements for information. Hence, units must supplement generic information sources e.g. leaflets/videos with locally -derived material, and we have attempted to do this, though we accept that attenders of our unit 's classes are a self-selected group who may differ from non-attenders. Further work is required to assess the impact of our factsheet. (Table Presented). EMTREE DRUG INDEX TERMS (MAJOR FOCUS) anesthetic agent EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) anesthesist female human prenatal period EMTREE MEDICAL INDEX TERMS analgesia epidural anesthesia pregnancy professional standard research ethics LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L72308390 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 61 TITLE Prenatal dexamethasone-induced programmed hypertension and renal programming AUTHOR NAMES Sheen J.-M. Yu H.-R. Tiao M.-M. Chen C.-C. Huang L.-T. Chang H.-Y. Tain Y.-L. AUTHOR ADDRESSES (Sheen J.-M.; Yu H.-R.; Tiao M.-M.; Chen C.-C.; Huang L.-T.; Chang H.-Y.; Tain Y.-L., tainyl@hotmail.com) Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University, 123 Dabi Rd., Niausung, Kaohsiung, Taiwan. (Huang L.-T.) Department of Traditional Chinese Medicine, Chang Gung University, Linkow, Taiwan. (Tain Y.-L., tainyl@hotmail.com) Center for Translational Research in Biomedical Sciences, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University, Kaohsiung, Taiwan. CORRESPONDENCE ADDRESS Y.-L. Tain, Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University, 123 Dabi Rd., Niausung, Kaohsiung, Taiwan. SOURCE Life Sciences (2015) 132 (41-48). Date of Publication: 25 Apr 2015 ISSN 1879-0631 (electronic) 0024-3205 BOOK PUBLISHER Elsevier Inc., usjcs@elsevier.com ABSTRACT Aims: Antenatal glucocorticoids can induce long-term effects on offspring health, including hypertension. Programmed hypertension has been observed in a prenatal dexamethasone (DEX) exposure model. However, how renal programming responds to prenatal DEX at different stages of development and the impact of DEX on programmed hypertension remain unclear. Therefore, we utilized RNA next-generation sequencing (NGS) to analyze the renal transcriptome in the offspring to examine whether key genes and pathways are responsible for DEX-induced renal programming and hypertension. Main methods Pregnant rats received intraperitoneal dexamethasone from gestational day 16 to 22. Prenatal DEX-induced programmed hypertension was examined in male offspring at 16 weeks of age. Key findings Prenatal DEX modified 431 renal transcripts from the nephrogenesis stage to adulthood in a constant manner. At the pre-hypertensive and established hypertension stages, we identified 11 and 13 differentially expressed genes related to blood pressure regulation, respectively. Among these genes, Npr3, Ptgs2, Agt, Edn3, Ephx2, Agtr1b, and Gucy1a3 are associated with endothelium-derived hyperpolarizing and contractile factors (EDHF and EDCF). Genes in the arachidonic acid metabolism pathway may potentially be key genes contributing to programmed hypertension. In addition, DEX induced soluble epoxide hydrolase expression (Ephx2 gene encoding protein). Significance Prenatal DEX elicits an imbalance between EDHFs and EDCFs that might lead to renal programming and hypertension. The arachidonic acid metabolism pathway is a common pathway contributing to programmed hypertension. Our results highlight candidate genes and pathways involved in renal programming as targets for therapeutic approaches to prevent programmed hypertension in children exposed to antenatal corticosteroids. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) dexamethasone EMTREE DRUG INDEX TERMS Agt protein (endogenous compound) Agtr1b protein (endogenous compound) bone morphogenetic protein 2 (endogenous compound) Cdh6 protein (endogenous compound) chromodomain helicase DNA binding protein 2 (endogenous compound) Edn3 protein (endogenous compound) Ephx2 protein (endogenous compound) epoxide hydrolase (endogenous compound) ETS translocation variant 4 (endogenous compound) eyes absent 1 homolog (endogenous compound) fibroblast growth factor 10 (endogenous compound) frizzled 4 protein (endogenous compound) Gfra1 protein (endogenous compound) Gucy1a3 protein (endogenous compound) histone deacetylase 4 (endogenous compound) histone deacetylase 7 (endogenous compound) Kin of IRRE like protein 1 (endogenous compound) leukemia inhibitory factor (endogenous compound) Lhx1 protein (endogenous compound) Notch2 receptor (endogenous compound) Notch4 receptor (endogenous compound) Npr3 protein (endogenous compound) protein (endogenous compound) protein odd skipped related 1 (endogenous compound) Ptgs2 protein (endogenous compound) transcription factor 21 (endogenous compound) transcription factor GATA 3 (endogenous compound) unclassified drug Wnt9b protein (endogenous compound) WT1 protein (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) hypertension kidney disease renal programming EMTREE MEDICAL INDEX TERMS animal experiment animal model arachidonic acid metabolism article blood pressure regulation controlled study creatinine clearance epigenetics female gene expression heart weight kidney development kidney mass litter size nonhuman progeny rat systolic blood pressure upregulation CAS REGISTRY NUMBERS dexamethasone (50-02-2) epoxide hydrolase (51004-26-3, 9048-63-9) fibroblast growth factor 10 (171758-70-6) protein (67254-75-5) transcription factor GATA 3 (137878-55-8) EMBASE CLASSIFICATIONS Cardiovascular Diseases and Cardiovascular Surgery (18) Urology and Nephrology (28) Clinical and Experimental Biochemistry (29) General Pathology and Pathological Anatomy (5) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2015024653 MEDLINE PMID 25921765 (http://www.ncbi.nlm.nih.gov/pubmed/25921765) PUI L604214857 DOI 10.1016/j.lfs.2015.04.005 FULL TEXT LINK http://dx.doi.org/10.1016/j.lfs.2015.04.005 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 62 TITLE Welcome to the world: Family links' exciting new antenatal programme that promotes parent-infant interactions, attachment and couple-relationships AUTHOR NAMES Mountford A. Links F. AUTHOR ADDRESSES (Mountford A.; Links F.) CORRESPONDENCE ADDRESS A. Mountford, SOURCE Archives of Women's Mental Health (2015) 18:2 (325). Date of Publication: April 2015 CONFERENCE NAME International Marce Society for Perinatal Mental Health Biennial Scientific Conference 2014 CONFERENCE LOCATION Swansea, United Kingdom CONFERENCE DATE 2014-09-10 to 2014-09-12 ISSN 1434-1816 BOOK PUBLISHER Springer-Verlag Wien ABSTRACT Explain the objective and expected outcomes of the workshop. The workshop will explore the three vital ingredients that help parents in their transition to parenthood: 1. The content of a well-designed 8-week antenatal programme; 2. The underpinning commitment to enhancing emotional wellbeing and mental health in baby, parent and couples 3. The importance of having well-trained group facilitators. The participants will discover how the programme contributes to: • Increased empathic attunement, secure attachment and reflectivefunction • Reduced risk of child abuse and neglect • Improved couple relationships • Reduced stress and perinatal depression • Increased understanding of child development • Improved perinatal health and resilience for mother and baby Topics include empathy and loving attentiveness, infant brain development, healthy choices, managing stress and promoting self-esteem and confidence, and effective communication. Parents reflect on their own values and their hopes and fears for the future. Practical information about pregnancy, birth, breastfeeding, and healthy eating is included in the 8 weeks. We know that early intervention and primary prevention will reduce the cost to individuals and society, and early findings suggest that the 'Welcome to the World' programme improves antenatal attachment and parental wellbeing-which are strong preventative measures against future problems including domestic violence and mental health issues, and helping to keep children safe and well. Parent quotes: “The course helped me know how to soothe may baby”; “I really enjoyed the videos about the new baby's brain and interaction they showed at such a young age. I was unaware this was possible. Learning about my baby's cues and various cries has helped me understand what he wants/needs”. Research highlights effective features in successful delivery of programmes: • Manualised programmes • Delivery by appropriately trained and skilled staff • Empathic facilitators. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) infant mental health parent society EMTREE MEDICAL INDEX TERMS attention baby brain brain development child child abuse child development domestic violence early intervention eating empathy fear female health hope human interpersonal communication learning mother parenthood perinatal depression pregnancy primary prevention risk self esteem videorecording wellbeing workshop LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71915576 DOI 10.1007/s00737-014-0488-6 FULL TEXT LINK http://dx.doi.org/10.1007/s00737-014-0488-6 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 63 TITLE Fathers' presence at caesarean section with general anaesthetic: evidence and debate AUTHOR NAMES Hugill K. Kemp I. Kingdon C. AUTHOR ADDRESSES (Hugill K.; Kemp I.; Kingdon C.) SOURCE The practising midwife (2015) 18:4 (19-22). Date of Publication: 1 Apr 2015 ISSN 1461-3123 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) paternal behavior psychology EMTREE MEDICAL INDEX TERMS cesarean section childbirth education decision making elective surgery father female general anesthesia human male newborn pregnancy procedures United Kingdom LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 26328461 (http://www.ncbi.nlm.nih.gov/pubmed/26328461) PUI L606797180 COPYRIGHT Copyright 2015 Medline is the source for the citation and abstract of this record. RECORD 64 TITLE Mothers and others: Designing a randomized trial to prevent obesity among infants and toddlers AUTHOR NAMES Wasser H. Bentley M. AUTHOR ADDRESSES (Wasser H.; Bentley M.) CORRESPONDENCE ADDRESS H. Wasser, SOURCE FASEB Journal (2015) 29:1 Meeting Abstracts. Date of Publication: April 2015 CONFERENCE NAME Experimental Biology 2015, EB CONFERENCE LOCATION Boston, MA, United States CONFERENCE DATE 2015-03-28 to 2015-04-01 ISSN 0892-6638 BOOK PUBLISHER FASEB ABSTRACT Background: Despite increases in obesity among children under 2 years, few interventions have targeted this age group. Mothers and Others (M&O) will close this gap by testing the efficacy of a multi-component obesity prevention intervention versus an attention control (child safety) in promoting healthy weight gain patterns among African-American (AA) infants. The current study describes the design process and formative research findings. Methods: Formative data came from 3 sources: existing literature; preliminary longitudinal cohort of 217 AA mother-infant dyads; and, 20 semi-structured interviews with AA moms, dads and grandmothers. Results: The trial will be conducted among 468 AA mothers recruited through antenatal clinics. Intervention mothers will identify a study partner to participate with her. Delivery channels include face-to-face peer counseling through 6 home visits, support from a lactation consultant, 6 newsletters, and twice weekly text messages. Outcomes include differences in weight-for-length z-scores at 18 months (main outcome) and breastfeeding, healthy complementary feeding, age-appropriate sleep duration and lower levels of television and electronic media exposure (secondary outcomes). Formative feedback was generally positive, with target participants also requesting information on postpartum weight loss, depression, maternal sleep, father-infant bonding and maintaining intimate relationships. Discussion. M&O contains several innovations, including beginning during a 'teachable' moment, pregnancy; active engagement of multiple caregivers; and use of text messaging. If successful, M&O will have high public health relevance for future obesity-prevention efforts aimed at children less than 2 years. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) female human infant mother obesity toddler EMTREE MEDICAL INDEX TERMS African American caregiver child child safety exposure father feedback system feeding groups by age hospital lactation consultant male peer counseling pregnancy prevention professional practice public health publication semi structured interview sleep sleep time television text messaging weight weight gain weight reduction LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71863227 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 65 TITLE Specific genetic influences on nighttime blood pressure AUTHOR NAMES Xu X. Su S. Treiber F.A. Vlietinck R. Fagard R. Derom C. Gielen M. Loos R.J.F. Snieder H. Wang X. AUTHOR ADDRESSES (Xu X.; Su S.; Wang X., xwang@gru.edu) Georgia Prevention Center, Institute of Prevention and Public Health, Georgia Regents University, Augustae, Georgia. (Treiber F.A.) College of Nursing, Medical University of South Carolina, Charleston, United States. (Vlietinck R.; Derom C.) Department for Human Genetics, University Hospital Gasthuisberg, KU Leuven, Leuven, Belgium. (Fagard R.) Hypertension and Cardiovascular Rehabilitation Unit, Department of Cardiovascular Diseases, KU Leuven, Leuven, Belgium. (Gielen M.) Research School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Centre, Maastricht, Netherlands. (Gielen M.) Cluster of Genetics and Cell Biology, Department of Complex Genetics, Maastricht University Medical Centre, Maastricht, Netherlands. (Loos R.J.F.) Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Addenbrooke's Hospital, Cambridge, United Kingdom. (Loos R.J.F.) Department of Biomedical Kinesiology, Faculty of Kinesiology and Rehabilitation Sciences, University Hospital Gasthuisberg, Leuven, Belgium. (Loos R.J.F.) Genetics of Obesity and Related Metabolic Traits Program, Institute for Personalized Medicine, Child Health and Development Institute, Belgium. (Snieder H.) Unit of Genetic Epidemiology and Bioinformatics, Department of Epidemiology, University of Groningen, University Medical Center Groningen, Netherlands. CORRESPONDENCE ADDRESS X. Wang, Georgia Prevention Center, Institute of Prevention and Public Health, Georgia Regents University, Augustae, Georgia. Email: xwang@gru.edu SOURCE American Journal of Hypertension (2015) 28:4 (440-443). Date of Publication: 1 Apr 2015 ISSN 1941-7225 (electronic) 0895-7061 BOOK PUBLISHER Oxford University Press, jnl.info@oup.co.uk ABSTRACT OBJECTIVES: Nighttime blood pressure (BP) has been shown to be superior to daytime BP in predicting hypertension related target organ damage and cardiac mortality. In our Georgia Cardiovascular Twin Study, we showed that apart from the genes that also influence daytime BP, specific genetic determinants explained 44% and 67% of the nighttime systolic BP (SBP) and diastolic BP (DBP) heritabilities, respectively. Here, we determined whether these results could be confirmed in a much larger twin cohort of young adults with 24-hour ambulatory BP measurements. METHODS: Ambulatory BP was available in 703 white twins (308 pairs and 87 singletons, aged 18-34 years, 50% males) from the Prenatal Programming Twin Study. A bivariate quantitative genetic twin model was used to analyze daytime and nighttime BP. We conducted a meta-analysis to compare and integrate results from the 2 twin cohorts. RESULTS: Model fitting showed no sex differences for any of the measures. Heritabilities were 0.60 and 0.51 for SBP and 0.54 and 0.46 for DBP at daytime and nighttime. The specific heritability due to novel genetic effects emerging during the nighttime was 0.21 for SBP and 0.26 for DBP, which comprised 41% and 57% of the total nighttime heritability for SBP and DBP, respectively. Meta-analysis confirmed absence of cohort differences with very similar combined results. CONCLUSIONS In addition to genes that influence both daytime and nighttime BP, a large part of the heritability is explained by genes that specifically influence BP at night. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) diastolic blood pressure nighttime blood pressure systolic blood pressure EMTREE MEDICAL INDEX TERMS article blood pressure measurement female genetic correlation heritability human priority journal sex difference twins EMBASE CLASSIFICATIONS Cardiovascular Diseases and Cardiovascular Surgery (18) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2015911961 MEDLINE PMID 25205800 (http://www.ncbi.nlm.nih.gov/pubmed/25205800) PUI L603688461 DOI 10.1093/ajh/hpu162 FULL TEXT LINK http://dx.doi.org/10.1093/ajh/hpu162 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 66 TITLE Early identification and support of perinatal mental health within flying start torfaen AUTHOR NAMES Wohlgemuth A. AUTHOR ADDRESSES (Wohlgemuth A.) CPN Flying Start Torfaen Aneurin Bevan University Health Board, United Kingdom. CORRESPONDENCE ADDRESS A. Wohlgemuth, CPN Flying Start Torfaen Aneurin Bevan University Health Board, United Kingdom. SOURCE Archives of Women's Mental Health (2015) 18:2 (360). Date of Publication: April 2015 CONFERENCE NAME International Marce Society for Perinatal Mental Health Biennial Scientific Conference 2014 CONFERENCE LOCATION Swansea, United Kingdom CONFERENCE DATE 2014-09-10 to 2014-09-12 ISSN 1434-1816 BOOK PUBLISHER Springer-Verlag Wien ABSTRACT Objective / Background To provide a partnership approach to early intervention of perinatal depression to improve maternal health and wellbeing and reduce adverse effects regarding the development of baby and the family. One in 10 women and up to 4 in 10 teen age mothers suffer from Postnatal Depression which is likely to occur in 2-8 weeks after child birth, but can happen up to the first year. The early years of a child's life is known to be a significant period in promoting future mental health and wellbeing, and early experiences and influences from carers, affects brain development. Postnatal Depression is known to be the most frequently reported barrier to warm care giving and secure attachment, which can interfere with the social and emotional bonding process essential for an infant's developmental needs. Early identification of needs and working in partnership with families using a model based on strengths and empowerment can reduce the adverse affects on the child, mother and the family. In Flying Start the model/pathway relies on the Health Visitors techniques in building trusting relationships to assist early identification, and working in partnership to develop problem solving abilities within the family using promotional, motivational interviewing. It incorporates listening visits centred around active listening, reflection and provision of empathic responses, cognitive behavioural approaches, and dyadic interventions such as infant massage and postnatal interaction groups both of which focus on mother child interaction. This approach is supported by a CPN ie Flying Start Mental Health Nurse who is responsible for the pathway, trains, supervises and supports Health visiting colleagues in cognitive behavioural approaches and also takes on a small caseload of those mothers with more complex issues where a short programme is undertaken. The Flying Start Mental Health nurse also has embedded a cognitive behavioural approach in the 8 week post natal depression groups called Sunshine seekers. Methods Intensive health visiting takes place in first 6 weeks. NICE guideline questions are used at 6 week assessment. If required clinical interview with EPDS is used and plan of care in partnership with mother put in place. ie Health Visitor Visits /joint CPN and HV visits/ CPN visits/ Sunshine Seekers group approach/ parenting/baby groups. Becks Anxiety and depression scales are used pre and post intervention. EPDS and Questionnaire is used to evaluate the Sunshine Seekers groups. Results Interventions are undertaken quickly, support is readily available, an empowerment and partnership approach used. Results using recognised tools (as above) pre and post intervention show the positive differences made. The expertise of the Flying Start Mental Health Nurse ensures that skills and approaches are updated through training and supervision and that the more complex cases if not responding early are referred appropriately. Conclusion / Discussion The approach used is known to identify many mothers with postnatal depression earlier. It relies on a partnership approach with mother/family, skill mix within the Flying start team and external partners. The results identify the positive difference made and the approach is being adopted and further developed throughout ABUHB. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) flying mental health society EMTREE MEDICAL INDEX TERMS adverse drug reaction anxiety baby brain development caregiver child childbirth early intervention empowerment experience female health service health visitor human infant interview massage maternal welfare model mother mother child relation motivational interviewing nurse perinatal depression problem solving puerperal depression questionnaire skill skill mix wellbeing LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71915664 DOI 10.1007/s00737-014-0488-6 FULL TEXT LINK http://dx.doi.org/10.1007/s00737-014-0488-6 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 67 TITLE Including men in prenatal health: the potential of e-health to improve birth outcomes AUTHOR NAMES Mackert M. Guadagno M. Donovan E. Whitten P. AUTHOR ADDRESSES (Mackert M.) 1 Department of Advertising and Public Relations, The University of Texas at Austin , Austin, Texas (Guadagno M.; Donovan E.; Whitten P.) SOURCE Telemedicine journal and e-health : the official journal of the American Telemedicine Association (2015) 21:3 (207-212). Date of Publication: 1 Mar 2015 ISSN 1556-3669 (electronic) ABSTRACT BACKGROUND: The U.S. infant mortality rate is the highest in the developed world, and disparity impacts underserved populations. Traditional maternal health focuses on women, excluding men from information affecting family health. Scholars advocate including men in prenatal health to reduce infant mortality, a proven strategy in developing nations. This study explored the role of U.S. men in prenatal health, barriers to involvement, and the use of e-health. Special attention was given to health literacy; research indicates e-health is effective in educating low health-literate audiences.MATERIALS AND METHODS: This study interviewed men with an average age of 33 years (n=32). The sample was 38% Hispanic, 28% African American, 28% white, and 6% multiracial. Participants were asked about pregnancy health and used a pregnancy-related e-health application on a tablet computer. Participants provided opinions on content, ease of use of the tablet, and willingness to use similar applications.RESULTS: Men believe it is important to be involved in pregnancy to help ensure healthy births. Most use mobile devices and computers for health information and found the application to be useful and interesting. Most concluded they would use a similar application to learn about pregnancy. Health literacy had minimal impact on participants' use of the tablet and information.CONCLUSIONS: This study explored the role men play in prenatal health, a promising avenue toward better birth outcomes. Using e-health is an opportune approach-it can reach men unavailable to attend prenatal programs because of work or feeling unwelcome at programs deemed "only for women." EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) organization and management pregnancy outcome procedures trends EMTREE MEDICAL INDEX TERMS adult African American cross-sectional study female gender identity health literacy Hispanic human infant infant mortality interview male maternal welfare pregnancy prenatal care risk assessment socioeconomics statistics and numerical data telemedicine United States LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 25489723 (http://www.ncbi.nlm.nih.gov/pubmed/25489723) PUI L615130043 DOI 10.1089/tmj.2014.0048 FULL TEXT LINK http://dx.doi.org/10.1089/tmj.2014.0048 COPYRIGHT Copyright 2017 Medline is the source for the citation and abstract of this record. RECORD 68 TITLE Pregnant adolescents' family formation and perceived partner supportiveness in early pregnancy and postpartum AUTHOR NAMES Smith P.B. Buzi R.S. Kozinetz C.A. Peskin M.F. Wiemann C.M. AUTHOR ADDRESSES (Smith P.B.; Buzi R.S.; Wiemann C.M.) Baylor College of Medicine, United States. (Kozinetz C.A.) College of Public Health, East Tennessee State University, United States. (Peskin M.F.) University of Texas, School of Public Health, United States. CORRESPONDENCE ADDRESS P.B. Smith, Baylor College of Medicine, United States. SOURCE Journal of Adolescent Health (2015) 56:2 SUPPL. 1 (S109). Date of Publication: February 2015 CONFERENCE NAME 2015 Annual Meeting of the Society for Adolescent Health and Medicine, SAHM 2015 CONFERENCE LOCATION Los Angeles, CA, United States CONFERENCE DATE 2015-03-18 to 2015-03-21 ISSN 1054-139X BOOK PUBLISHER Elsevier USA ABSTRACT Purpose: Lack of partner support during adolescent pregnancy and postpartum are associated with negative maternal health behaviors, adverse emotional health, and low birth weight. Engaging young expectant fathers in prenatal pregnancy programs can improve birth outcomes; however, interventions designed to involve male partners are largely lacking. This study examined the impact of a prenatal program on pregnant adolescents' family formation and perceptions of partner support. Methods: A total of 249 predominantly minority pregnant adolescents ages 15 to 18 were enrolled in a prenatal program and followed one month postpartum. Pregnant adolescents were assigned to either an intervention group utilizing Centering Pregnancy (CP) prenatal care and case management, or to a comparison group receiving case management only. At program entry and at one-month following delivery, subjects completed audio computer- assisted self-administered surveys that elicited information about their education, marital status, socioeconomic level, and sources of material and financial support. Family formation included living and relationship arrangements. Perceived partner support included emotional and financial support. Chi-square and t-tests were used to measure changes in family formation and perceived partner support over time. As there were no significant differences between intervention and comparison groups in family formation and perceived partner support from baseline to the postpartum period, data from intervention and comparison groups were combined for the analyses. Results: A total of 173 female adolescents completed both baseline and follow-up surveys and were included in the analysis. Several statistically significant changes within family formation between program entry and one month postpartum emerged. There was a decrease in the percent of participants who were single, living with their family, or engaged (97.1% vs. 86.6%, respectively) and a corresponding increase in the percent of participants who were married (2.3% versus 10.5%; p= 0.001). The number of participants living with their husband, partner, or baby's father also increased from prenatal (23.1%) to postpartum (42.8%, p< 0.001) assessments. A set of stratified analyses were conducted within the intervention group to examine whether observed changes in support over time were greater for pregnant adolescents whose partners attended at least one (n=52, 57%) versus no (n=40, 43%) CP sessions. There were no significant differences in perceived partner support for participants whose partners did and did not attend sessions. However, participants reported significantly more perceived support from their partners at both baseline and postpartum when their partners attended at least one session than partners who did not attend any sessions. Conclusions: This study contributes to the sparse information available about pregnant adolescents and their perceived partner support over time. As a significant number of male partners are present at the beginning of pregnancy, working with couples prenatally to enhance relationships can be promising. Given the enormous social costs associated with teen pregnancy, it is important to identify, and then invest in, innovative strategies to improve the health and welfare of young mothers, their partners, and their children. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adolescent adolescent health first trimester pregnancy human society EMTREE MEDICAL INDEX TERMS adolescent pregnancy baby case management child computer education emotional stability expectant father father female financial management follow up health health behavior low birth weight male marriage married person maternal welfare mother pregnancy pregnancy outcome prenatal care puerperium single (marital status) Student t test welfare LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71770883 DOI 10.1016/j.jadohealth.2014.10.218 FULL TEXT LINK http://dx.doi.org/10.1016/j.jadohealth.2014.10.218 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 69 TITLE First-time fathers’ experiences of parenting during the first year AUTHOR NAMES Kowlessar O. Fox J.R. Wittkowski A. AUTHOR ADDRESSES (Kowlessar O.; Fox J.R.; Wittkowski A., anja.wittkowski@manchester.ac.uk) School of Psychological Sciences, University of Manchester, United Kingdom. CORRESPONDENCE ADDRESS A. Wittkowski, School of Psychological Sciences, University of Manchester, United Kingdom. SOURCE Journal of Reproductive and Infant Psychology (2015) 33:1 (4-14). Date of Publication: 1 Jan 2015 ISSN 1469-672X (electronic) 0264-6838 BOOK PUBLISHER Routledge, info@tandf.co.uk ABSTRACT Objective: The objective of this study was to explore the experiences of fathers during their first year as parents to fully capture their experiences and transition to parenthood. Background: Becoming a parent for the first time has a life-changing impact for both the mother and the father, yet the factors implicated in the transition to fatherhood have been under-researched. Methods: In this qualitative study using an interpretative phenomenological approach (IPA), 10 first-time fathers were interviewed 7–12 months after the birth of their baby. Results: Two super-ordinate themes were uncovered: experiences during pregnancy and fatherhood – the early days, which are supported by six sub-ordinate themes. Fathers’ narratives can be understood within the theoretical framework of Draper’s Transition Theory; early fatherhood represents the continuation of a man’s transitory journey, which starts during pregnancy. Conclusion: Despite increasing public awareness and socio-political changes affecting paternal parenting culture, fathers still seem to feel undervalued and unsupported when it comes to antenatal support. The antenatal period is a critical time in which to engage with and support motivated expectant fathers; antenatal psycho-education classes can be adapted to accommodate the needs of men. The mental health of the man has an impact on the woman in the antenatal and post-natal periods; addressing the needs of men during pregnancy can function as an early intervention for his family system and could reduce the financial cost to health services in the long term. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father child relation EMTREE MEDICAL INDEX TERMS adult article child domestic partnership family decision making father helplessness human infant male parent counseling parenthood parenting education paternal behavior prenatal care semi structured interview support group EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2014861570 PUI L600298452 DOI 10.1080/02646838.2014.971404 FULL TEXT LINK http://dx.doi.org/10.1080/02646838.2014.971404 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 70 TITLE The Family Startup Program: study protocol for a randomized controlled trial of a universal group-based parenting support program AUTHOR NAMES Trillingsgaard T. Maimburg R.D. Simonsen M. AUTHOR ADDRESSES (Trillingsgaard T.) Department of Psychology and Behavioural Sciences, Aarhus University, Bartholins Allé 9, 8000, Aarhus C, Denmark. teatri@psy.au.dk (Maimburg R.D.) Department of Clinical Medicine & Department of Obstetrics and Gynaecology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, Skejby, 8200, Aarhus N, Denmark. rmai@clin.au.dk (Simonsen M.) Department of Economics and Business, Aarhus University, Fuglesangs Allé 4, 8210, Aarhus V, Denmark. msimonsen@econ.au.dk SOURCE BMC public health (2015) 15 (409). Date of Publication: 2015 ISSN 1471-2458 (electronic) ABSTRACT BACKGROUND: Inadequate parenting is an important public health problem with possible severe and long-term consequences related to child development. We have solid theoretical and political arguments in favor of efforts enhancing the quality of the early family environment in the population at large. However, little is known about effect of universal approaches to parenting support during the transition to parenthood. This protocol describes an experimental evaluation of group based parenting support, the Family Startup Program (FSP), currently implemented large scale in Denmark.METHODS/DESIGN: Participants will be approximately 2500 pregnant women and partners. Inclusion criteria are parental age above 18 and the mother expecting first child. Families are recruited when attending routine pregnancy scans provided as a part of the publicly available prenatal care program at Aarhus University Hospital, Skejby. Families are randomized within four geographically defined strata to one of two conditions a) participation in FSP or b) Treatment As Usual (TAU). FSP aims to prepare new families for their roles as parents and enhance parental access to informal sources of support, i.e. social network and community resources. The program consists of twelve group sessions, with nine families in each group, continuing from pregnancy until the child is 15 months old. TAU is the publicly available pre- and postnatal care available to families in both conditions. Analyses will employ survey data, administrative data from health visitors, and administrative register based data from Statistics Denmark. All data sources will be linked via the unique Danish Civil Registration Register (CPR) identifier. Data will be obtained at four time points, during pregnancy, when the child is nine months, 18 months and seven years. The primary study outcome is measured by the Parenting Sense of Competence scale (PSOC) J Clin Child Psychol 18:167-75, 1989. Other outcomes include parenting and couple relationship quality, utility of primary sector service and child physical health, socio-emotional and cognitive development.DISCUSSION: The protocol describes an ambitious experimental evaluation of a universal group-based parenting support program; an evaluation that has not yet been made either in Denmark or internationally.TRIAL REGISTRATION: ClinicalTrials.gov ID: NCT02294968. Registered November 14 2014. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation education self help EMTREE MEDICAL INDEX TERMS adolescent adult child child health controlled study Denmark family size female health service human male methodology mother pregnancy prenatal care program evaluation psychology randomized controlled trial CLINICAL TRIAL NUMBERS LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 25895494 (http://www.ncbi.nlm.nih.gov/pubmed/25895494) PUI L609486945 DOI 10.1186/s12889-015-1732-3 FULL TEXT LINK http://dx.doi.org/10.1186/s12889-015-1732-3 COPYRIGHT Copyright 2016 Medline is the source for the citation and abstract of this record. RECORD 71 TITLE Effects of a psychosocial couple-based prevention program on adverse birth outcomes AUTHOR NAMES Feinberg M.E. Roettger M.E. Jones D.E. Paul I.M. Kan M.L. AUTHOR ADDRESSES (Feinberg M.E.; Roettger M.E.; Jones D.E.; Paul I.M.; Kan M.L.) Prevention Research Center, Penn State University, 314 Biobehavioral Health, University Park, PA, 16802, USA, mef11@psu.edu SOURCE Maternal and child health journal (2015) 19:1 (102-111). Date of Publication: 1 Jan 2015 ISSN 1573-6628 (electronic) ABSTRACT Although maternal stress and depression have been linked to adverse birth outcomes (ABOs), few studies have investigated preventive interventions targeting maternal mental health as a means of reducing ABOs. This randomized controlled study examines the impact of Family Foundations (FF)-a transition to parenthood program for couples focused on promoting coparenting quality, with previously documented impact on maternal stress and depression-on ABOs. We also examine whether intervention buffers birth outcomes from the negative effect of elevated salivary cortisol levels. We use intent-to-treat analyses to assess the main effects of the FF intervention on ABOs (prematurity, birth weight, pregnancy complications, Cesarean section, and days in hospital for mothers and infants) among 148 expectant mothers. We also test the interaction of cortisol with intervention condition status in predicting ABOs. FF participation was associated with reduced risk of C-section (OR .357, p < 0.05, 95 % CI 0.149, 0.862), but did not have main effects on other ABOs. FF significantly buffered (p < 0.05) the negative impact of maternal cortisol on birth weight, gestational age, and days in hospital for infants; that is, among women with relatively higher levels of prenatal cortisol, the intervention reduced ABOs. These results demonstrate that a psycho-educational program for couples reduces incidence of ABOs among higher risk women. Future work should test whether reduced maternal stress and depression mediate these intervention effects. EMTREE DRUG INDEX TERMS hydrocortisone (drug analysis) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) pregnancy outcome prevention and control procedures psychology EMTREE MEDICAL INDEX TERMS adult birth weight cesarean section child parent relation complication controlled study depression epidemiology female gestational age health promotion hospitalization human intention to treat analysis interview male mental stress metabolism mother pregnancy randomized controlled trial saliva statistics and numerical data young adult CAS REGISTRY NUMBERS hydrocortisone (50-23-7) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 24969352 (http://www.ncbi.nlm.nih.gov/pubmed/24969352) PUI L613655991 DOI 10.1007/s10995-014-1500-5 FULL TEXT LINK http://dx.doi.org/10.1007/s10995-014-1500-5 COPYRIGHT Copyright 2016 Medline is the source for the citation and abstract of this record. RECORD 72 TITLE Developing a home-based couples HIV counseling and testing intervention: Perspectives of HIV-negative pregnant women and their male partners AUTHOR NAMES Rogers A. Hatcher A.M. Musoke P.L. Achiro L. Weke E. Kwena Z. Turan J.M. AUTHOR ADDRESSES (Rogers A.) University of Alabama at Birmingham, Birmingham, United States. (Hatcher A.M.) University of the Witwatersrand, School of Public Health, Johannesburg, South Africa. (Musoke P.L.; Turan J.M.) University of Alabama at Birmingham, School of Public Health, Birmingham, United States. (Achiro L.; Weke E.; Kwena Z.) Kenya Medical Research Institute, Kisumu, Kenya. CORRESPONDENCE ADDRESS A. Rogers, University of Alabama at Birmingham, Birmingham, United States. SOURCE Annals of Global Health (2015) 81:1 (117). Date of Publication: January-February 2015 CONFERENCE NAME 6th Annual CUGH Conference, Consortium of Universities for Global Health: Mobilizing Resesarch for Global Health CONFERENCE LOCATION Boston, MA, United States CONFERENCE DATE 2015-03-26 to 2015-03-28 ISSN 2214-9996 BOOK PUBLISHER Elsevier USA ABSTRACT Program/Project Purpose: Across sub-Saharan Africa, pregnant women's fears of HIV-related stigma from male partners is associated with reduced utilization of HIV testing, maternity care, and PMTCT services. From July to September of 2014, as a part of a study aiming to adapt an existing evidence-based intervention for couples HIV counseling and testing (CHCT) into a home environment, qualitative interviews were conducted in order to explore the acceptability of a home-based couples HIV counseling and testing intervention among HIV-negative pregnant women and their male partners. Structure/Method/Design: Ten HIV-negative pregnant women and ten male partners of such women were recruited for in-depth qualitative interviews at two sites in the Nyanza region of Kenya, an area of high HIV prevalence. Drawing from the Interdependence Model of Health Behavior Change, we assessed the barriers to male involvement in perinatal care, facilitators to couple HIV disclosure, and preferences for home visit counseling, testing, and service delivery. Preliminary analyses of these data were presented at a stakeholder meeting with health facility, community, and governmental representatives in order to refine a home-based CHCT intervention. Outcomes & Evaluation: We found that home-based CHCT is acceptable and may reduce barriers to male supportiveness for pregnancy and postnatal care, as well as assist in safe HIV status disclosure between couples. Male partners cite time and financial cost of traveling to clinics and lack of other men at antenatal clinics as barriers to accompanying their pregnant wives. Fear of discordant results, stigma, and violence or break up of the relationship were discussed as hindrances for couple HIV testing, along with cultural factors such as the role of other family members or polygamous relationships that complicate health-seeking and treatment decisions. Most participants felt that they would welcome trained health workers who visit them at home to educate them about pregnancy and offer CHCT. Recommendations for successful home visits included visiting all pregnant women regardless of HIV status, making prior public announcements, providing perinatal education to both partners, and training the health care workers in assisted disclosure, how to handle discordant results, and strict confidentiality. Going Forward: In collaboration with key stakeholders, the study investigators are designing a culturally relevant and feasible home-based CHCT intervention to minimize barriers for pregnant women and their male partners who want to utilize couple HIV counseling and testing and antenatal services. Existing evidence-based CHCT protocols will be modified accordingly and a randomized pilot study of the intervention will be conducted. The results of this qualitative study suggest that a home-based CHCT intervention will be acceptable and welcomed by HIV-negative pregnant women and their male partners, providing that the health care workers are well trained and ensure confidentiality. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) counseling female health human Human immunodeficiency virus male pregnant woman university EMTREE MEDICAL INDEX TERMS Africa south of the Sahara behavior change community confidentiality cultural factor education evidence based practice fear health behavior health care delivery health care facility health care personnel HIV test home environment hospital Human immunodeficiency virus prevalence interview Kenya maternal care model perinatal care pilot study postnatal care pregnancy professional practice qualitative research travel violence LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L72073708 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 73 TITLE Indomethacin dose-interruption and maternal chorioamnionitis are risk factors for indomethacin treatment failure in preterm infants with patent ductus arteriosus AUTHOR NAMES Mitra S. Wahab M.G.A. AUTHOR ADDRESSES (Mitra S.; Wahab M.G.A., abdulwmg@mcmaster.ca) Department of Pediatrics, Division of Neonatology, McMaster University, 1280 Main Street West, Hamilton, Canada. CORRESPONDENCE ADDRESS M.G.A. Wahab, Department of Pediatrics, Division of Neonatology, McMaster University, 1280 Main Street West, Hamilton, Canada. SOURCE Journal of Clinical Neonatology (2015) 4:4 (250-255). Date of Publication: 1 Oct 2015 ISSN 2249-4847 BOOK PUBLISHER Medknow Publications, B9, Kanara Business Centre, off Link Road, Ghatkopar (E), Mumbai, India. ABSTRACT Background: Indomethacin has been used as the primary pharmacotherapeutic agent for the closure of patent ductus arteriosus (PDA) in preterm infants. However, it is commonly observed that infants often respond differently to indomethacin treatment with some requiring multiple courses of the drug and subsequently surgical ligation. Objectives: To explore common variables that could be associated with failure of a primary course of indomethacin for PDA in preterm infants.Methods: We examined 83 preterm infants who received intravenous indomethacin for PDA treatment from 2010 to 2013. We identified those who failed primary pharmacotherapy and required subsequent courses or surgical ligation. A number of perinatal/neonatal variables in the infants with and without primary indomethacin failure were compared initially for univariate analysis. Following the univariate analysis, those variables which had a significant difference between the two groups were selected to carry out logistic regression analysis to find out independent risk factors for indomethacin failure. Results: Of 77 infants analyzed, 36 (46.7%) had a primary indomethacin failure and nine infants (11.7%) underwent surgical ligation. Univariate analysis revealed that infants with primary indomethacin failure were significantly more preterm, were more likely to be males, did not receive a complete course of antenatal corticosteroids, their mothers had clinical chorioamnionitis and indomethacin dose interruption was documented during clinical care. The multivariate logistic regression analysis showed that dose interruption (odds ratio [OR]: 27.14; 95% confidence interval [CI]: 5.94, 124.07) and clinical chorioamnionitis (OR: 7.80; 95% CI: 1.73, 35.00) were independent risk factors for indomethacin failure. Conclusion: Indomethacin dose interruption and clinical chorioamnionitis appear to be independent risk factors for primary indomethacin failure in preterm infants. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) indometacin (drug dose, drug therapy, intravenous drug administration) EMTREE DRUG INDEX TERMS caffeine corticosteroid surfactant EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) chorioamnionitis drug treatment failure patent ductus arteriosus (drug therapy, drug therapy, surgery) prematurity risk factor EMTREE MEDICAL INDEX TERMS article birth weight corticosteroid therapy female gestational age human infant major clinical study male phototherapy priority journal respiratory distress syndrome retrospective study risk assessment thrombocyte count CAS REGISTRY NUMBERS caffeine (58-08-2) indometacin (53-86-1, 74252-25-8, 7681-54-1) EMBASE CLASSIFICATIONS Cardiovascular Diseases and Cardiovascular Surgery (18) Drug Literature Index (37) Pediatrics and Pediatric Surgery (7) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2015476240 PUI L606641087 DOI 10.4103/2249-4847.165688 FULL TEXT LINK http://dx.doi.org/10.4103/2249-4847.165688 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 74 TITLE Maternal melatonin therapy rescues prenatal dexamethasone and postnatal high-fat diet induced programmed hypertension in male rat offspring AUTHOR NAMES Tain Y.-L. Sheen J.-M. Yu H.-R. Chen C.-C. Tiao M.-M. Hsu C.-N. Lin Y.-J. Kuo K.-C. Huang L.-T. AUTHOR ADDRESSES (Tain Y.-L.; Sheen J.-M.; Yu H.-R.; Chen C.-C.; Tiao M.-M.; Kuo K.-C.; Huang L.-T., litung.huang@gmail.com) Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. (Tain Y.-L.) Center for Translational Research in Biomedical Sciences, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. (Hsu C.-N.) Department of Pharmacy, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan. (Hsu C.-N.) School of Pharmacy, Kaohsiung Medical University, Kaohsiung, Taiwan. (Lin Y.-J.) Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. (Huang L.-T., litung.huang@gmail.com) Department of Traditional Chinese Medicine, Chang Gung University, Linkou, Taiwan. CORRESPONDENCE ADDRESS L.-T. Huang, Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan. Email: litung.huang@gmail.com SOURCE Frontiers in Physiology (2015) 6:DEC Article Number: 377. Date of Publication: 2015 ISSN 1664-042X (electronic) BOOK PUBLISHER Frontiers Research Foundation, info@frontiersin.org ABSTRACT 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. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) melatonin (drug therapy, pharmacology) EMTREE DRUG INDEX TERMS melatonin receptor (endogenous compound) peroxisome proliferator activated receptor (endogenous compound) transcriptome (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) hormonal therapy hypertension (drug therapy, drug therapy, prevention) maternal treatment progeny EMTREE MEDICAL INDEX TERMS adult Agtr1b gene animal experiment animal model animal tissue article blood pressure regulation controlled study down regulation drug effect drug mechanism female gene gene expression regulation gene function gene identification gestation period lactation lipid diet male Mas1 gene next generation sequencing nonhuman perinatal period prenatal drug exposure rat renin angiotensin aldosterone system upregulation CAS REGISTRY NUMBERS melatonin (73-31-4) EMBASE CLASSIFICATIONS Cardiovascular Diseases and Cardiovascular Surgery (18) Developmental Biology and Teratology (21) Clinical and Experimental Biochemistry (29) Endocrinology (3) Clinical and Experimental Pharmacology (30) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 20160022909 PUI L607496426 DOI 10.3389/fphys.2015.00377 FULL TEXT LINK http://dx.doi.org/10.3389/fphys.2015.00377 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 75 TITLE Are we getting the whole picture? Measuring outcomes using routinely collected data in long term follow-up: An example from BB:2-6 AUTHOR NAMES Cannings-John R. Lugg F. Robling M. Moody G. AUTHOR ADDRESSES (Cannings-John R.; Lugg F.; Robling M.; Moody G.) Cardiff University, Cardiff, United Kingdom. CORRESPONDENCE ADDRESS R. Cannings-John, Cardiff University, Cardiff, United Kingdom. SOURCE Trials (2015) 16 Supplement 2. Date of Publication: 2015 CONFERENCE NAME 3rd International Clinical Trials Methodology Conference CONFERENCE LOCATION Glasgow, United Kingdom CONFERENCE DATE 2015-11-16 to 2015-11-17 ISSN 1745-6215 BOOK PUBLISHER BioMed Central Ltd. ABSTRACT The Family Nurse Partnership is an intensive programme of antenatal/ postnatal visiting by specially trained nurses to support young pregnant women. The Building Blocks (BB) trial assessed the short-term impact for 1600 teenage mothers and their children from a programme that has existing evidence of longer term benefits. This follow-on study, BB:2-6, will follow-up participants for an additional four years, until their child is six, to determine the longer-term impact of the intervention upon objective indicators of child maltreatment when compared to usually provided health and social care services alone. Follow up will be by linked anonymous data abstraction from the HSCIC and Department for Education, National Pupil Database (NPD). Whilst this model of linkage offers the possibility for long term evaluation and at a lower cost, what are the associated problems in measuring the proposed study outcomes? This presentation will examine the data sources utilised in the study, and how linkage is carried out by each organisation. An initial assessment of linkage rates and its quality will be reported. As child maltreatment data may also be sourced from LA departments of social services, we will discuss what might be gained and lost for the study in moving from utilising data from this source (i.e. collecting direct from LAs) to the NPD. We will also discuss the consequences for certain analyses such as the Markov Chain Modelling which requires detail about stages of progression through a process and how the quality of the NPD could be validated by sampling local authorities. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) follow up EMTREE MEDICAL INDEX TERMS anonymised data child data base education human human experiment Markov chain sampling social work LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L614954016 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 76 TITLE Predictors of positive and negative parenting behaviours: Evidence from the ALSPAC cohort AUTHOR NAMES Thomson R.M. Allely C.S. Purves D. Puckering C. McConnachie A. Johnson P.C.D. Golding J. Gillberg C. Wilson P. AUTHOR ADDRESSES (Thomson R.M., rachel.thomson8@nhs.net; Puckering C., christine.puckering@glasgow.ac.uk; Gillberg C., christopher.gillberg@pediat.gu.se) Institute of Health and Wellbeing, University of Glasgow, RHSC Yorkhill, Glasgow, Scotland, United Kingdom. (Allely C.S., c.s.allely@salford.ac.uk) School of Health Sciences, University of Salford, Allerton Building, Frederick Road, Salford, England, United Kingdom. (Purves D., david.purves@glasgow.ac.uk; McConnachie A., alex.mcconnachie@glasgow.ac.uk; Johnson P.C.D., paul.johnson@glasgow.ac.uk) Robertson Centre for Biostatistics, University of Glasgow, Boyd Orr Building, Glasgow, Scotland, United Kingdom. (Golding J., jean.golding@bristol.ac.uk) Centre for Child and Adolescent Health, School of Social and Community Medicine, University of Bristol, Bristol, England, United Kingdom. (Wilson P., p.wilson@abdn.ac.uk) Centre for Rural Health, The Centre for Health Science, University of Aberdeen, Old Perth Road, Inverness, Scotland, United Kingdom. CORRESPONDENCE ADDRESS P. Wilson, Centre for Rural Health, The Centre for Health Science, University of Aberdeen, Old Perth Road, Inverness, Scotland, United Kingdom. SOURCE BMC Pediatrics (2014) 14:1 Article Number: 247. Date of Publication: 3 Oct 2014 ISSN 1471-2431 (electronic) BOOK PUBLISHER BioMed Central Ltd., info@biomedcentral.com ABSTRACT This study aimed to establish the predictors of positive and negative parenting behaviours in a United Kingdom population. The majority of previous research has focused on specific risk factors and has used a variety of outcome measures. This study used a single assessment of parenting behaviours and started with a wide range of potential pre- and post-natal variables; such an approach might be used to identify families who might benefit from parenting interventions.Methods: Using a case-control subsample of 160 subjects from the Avon Longitudinal Study of Parents and Children (ALSPAC), regression analysis was undertaken to model parenting behaviours at 12 months as measured by the Mellow Parenting Observational System.Results: Positive parenting increased with maternal age at delivery, levels of education and with prenatal anxiety. More negative interactions were observed among younger mothers, mothers with male infants, with prenatal non-smokers and among mothers who perceived they had a poor support structure.Conclusions: This study indicates two factors which may be important in identifying families most at risk of negative parenting: younger maternal age at delivery and lack of social support during pregnancy. Such factors could be taken into account when planning provision of services such as parenting interventions. We also established that male children were significantly more likely to be negatively parented, a novel finding which may suggest an area for future research. However the findings have to be accepted cautiously and have to be replicated, as the measures used do not have established psychometric validity and reliability data. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation parental behavior EMTREE MEDICAL INDEX TERMS adult anxiety article cohort analysis controlled study depression female financial management first trimester pregnancy human infant longitudinal study major clinical study male maternal age pregnancy social support third trimester pregnancy EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2014844233 MEDLINE PMID 25280577 (http://www.ncbi.nlm.nih.gov/pubmed/25280577) PUI L600154303 DOI 10.1186/1471-2431-14-247 FULL TEXT LINK http://dx.doi.org/10.1186/1471-2431-14-247 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 77 TITLE Evaluating prenatal education programs: A new measure and outcomes AUTHOR NAMES Benzies K. Barker L. Churchill J. Horn S. Smith J. AUTHOR ADDRESSES (Benzies K.; Horn S.; Smith J.) Faculty of Nursing, University of Calgary, Calgary, Canada. (Barker L.) Early Childhood Team, Alberta Health Services, Calgary, Canada. (Churchill J.) Antenatal and Perinatal Education, Alberta Health Services, Calgary, Canada. CORRESPONDENCE ADDRESS K. Benzies, Faculty of Nursing, University of Calgary, Calgary, Canada. SOURCE Archives of Disease in Childhood (2014) 99 SUPPL. 2 (A78). Date of Publication: October 2014 CONFERENCE NAME 5th Congress of the European Academy of Paediatric Societies, EAPS 2014 CONFERENCE LOCATION Barcelona, Spain CONFERENCE DATE 2014-10-17 to 2014-10-21 ISSN 0003-9888 BOOK PUBLISHER BMJ Publishing Group ABSTRACT There is limited evidence of the effectiveness of prenatal education programs, due to the lack of reliable and valid measurement evaluation tools. The UpStart Parent Survey - Prenatal Version was developed as a brief retrospective-pretest/posttest evaluation tool designed to be administered electronically or on paper. The objectives of this study were to (1) conduct preliminary psychometric analysis of the UpStart Parent Survey - Prenatal Version, (2) determine outcomes of a prenatal education program, and (3) examine differences in scores between data collection methods, and mothers versus fathers. We recruited 277 expectant parents registered in a 6-week prenatal education program. Parents completed the survey at the end of the program using electronic tablets or paper copies. We uploaded electronic data to FluidSurveys, and imported into SPSS; data from paper copies were entered manually. Both the paper and electronic versions of the survey took a similar amount of time to enter/download, clean and analyse. Parents had mixed preference for electronic or paper versions of the survey, indicating provision of both options as desirable. The UpStart Parent Survey - Prenatal Version is internally consistent with Cronbach's alphas of >0.89 for each scale. Parents demonstrated significantly increased knowledge and parenting experiences, ps <0.001; satisfaction with the program was high. There were no significant differences in pre- or post-test scores for knowledge or experience scales whether paper or electronic surveys were used, or mothers or fathers completed the survey. The UpStart Parent Survey - Prenatal Version shows promise as a tool to capture outcomes of prenatal education programs. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education education program organization EMTREE MEDICAL INDEX TERMS child parent relation Cronbach alpha coefficient data analysis software data collection method expectant parent father female human male mother parent satisfaction tablet LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71666454 DOI 10.1136/archdischild-2014-307384.208 FULL TEXT LINK http://dx.doi.org/10.1136/archdischild-2014-307384.208 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 78 TITLE Parent perspectives on child sleep practices in a large community sample AUTHOR NAMES Etherton H. Blunden S. Rainbird S. Hauck Y. AUTHOR ADDRESSES (Etherton H.; Blunden S.; Rainbird S.) CQ University, Adelaide, Australia. (Hauck Y.) Curtin University, Perth, Australia. CORRESPONDENCE ADDRESS H. Etherton, CQ University, Adelaide, Australia. SOURCE Sleep and Biological Rhythms (2014) 12 SUPPL. 1 (35). Date of Publication: October 2014 CONFERENCE NAME 26th ASM of Australasian Sleep Association and Australasian Sleep Technologists Association: Sleep Frontiers, Sleep DownUnder 2014 CONFERENCE LOCATION Perth, WA, Australia CONFERENCE DATE 2014-10-09 to 2014-10-11 ISSN 1446-9235 BOOK PUBLISHER Blackwell Publishing ABSTRACT Introduction: Sleep problems in young children are reported in up to 40% of families. Much of the research on sleep in young children has focused on aetiology, disorders and developing treatments. However, little is known about the typical sleep practices and beliefs of families in the Australian community, which can impact on help seeking and treatment uptake. Uptake of sleep interventions is important to understand due to the significant negative impact of poor parental and infant sleep described in the literature. Multiple paediatric sleep researchers have commented on the importance of understanding and engaging with the needs of families in order to provide acceptable, feasible, appropriate and sustainable information and interventions to lead to improved behaviour and health. Yet, no comprehensive assessments of community perspectives on sleep in young children exist in order to meet these needs. Method: An online survey of parents with children aged 6-18 months living in Australia (N = 1,828) asked about a range of sleep, child and parent variables, including child sleep behaviours, sleep information sources and use of common sleep intervention methods. Participants were recruited primarily via online social media and community organisations. Results: Descriptive data indicated low-uptake of some commonly recommended child sleep practices, such as supine sleep position (29%) and use of behavioural interventions for sleep problems, such as cry-itout (9%), controlled crying (40%) and camping out (14%). Prevalence rates of parent-reported sleep problems aligned with current literature (40%). Of 698 parents who considered sleep a problem for their child, 61% had spoken to a Child Health Nurse, 40% to a GP and significantly less to other health practitioners. Parents rated paediatric sleep information presented in postnatal classes more highly than antenatal classes. Discussion: This exploratory study reveals community perspectives and practices in relation to the sleep of young children in Australia. Some findings suggest that health information is not being sourced by parents. This may be due to a lack of education or information provision, or a misalignment with family beliefs or needs. Findings will be used, alongside other project data, to develop recommendations for improvements in information, services and interventions for families with young children experiencing sleep issues. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child community sample human parent sleep EMTREE MEDICAL INDEX TERMS Australia Australian camping child health community crying diseases education etiology health health practitioner implantable cardiac monitor infant information service medical information nurse prevalence scientist social media LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71748025 DOI 10.1111/sbr.12082 FULL TEXT LINK http://dx.doi.org/10.1111/sbr.12082 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 79 TITLE Fathers' experiences of supporting breastfeeding: Challenges for breastfeeding promotion and education AUTHOR NAMES Brown A. Davies R. AUTHOR ADDRESSES (Brown A., a.e.brown@swansea.ac.uk) Department of Public Health and Policy Studies, Swansea University, Swansea, United Kingdom. (Davies R.) Department of Nursing, Swansea University, Swansea, United Kingdom. CORRESPONDENCE ADDRESS A. Brown, Department of Public Health and Policy Studies, Swansea University, Swansea, United Kingdom. SOURCE Maternal and Child Nutrition (2014) 10:4 (510-526). Date of Publication: 1 Oct 2014 ISSN 1740-8709 (electronic) 1740-8695 BOOK PUBLISHER Blackwell Publishing Ltd, customerservices@oxonblackwellpublishing.com ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to breast feeding breast feeding education father health promotion personal experience EMTREE MEDICAL INDEX TERMS adult age article breast milk controlled study evidence based practice health care policy health practitioner human male open-ended questionnaire priority journal problem solving young adult EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2014708468 MEDLINE PMID 24720518 (http://www.ncbi.nlm.nih.gov/pubmed/24720518) PUI L53114780 DOI 10.1111/mcn.12129 FULL TEXT LINK http://dx.doi.org/10.1111/mcn.12129 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 80 TITLE Health school for parents AUTHOR NAMES Llagostera Benedico J. Díaz Conradi A. Jou Benito A. Rodriguez Alessi P. Sánchez García J. Béjar Béjar N. Talló Catarineu G. AUTHOR ADDRESSES (Llagostera Benedico J.; Díaz Conradi A.; Jou Benito A.; Rodriguez Alessi P.; Sánchez García J.; Béjar Béjar N.; Talló Catarineu G.) Pediatria, Fundacion Hospital de Nens de Barcelona, Barcelona, Spain. CORRESPONDENCE ADDRESS J. Llagostera Benedico, Pediatria, Fundacion Hospital de Nens de Barcelona, Barcelona, Spain. SOURCE Archives of Disease in Childhood (2014) 99 SUPPL. 2 (A99). Date of Publication: October 2014 CONFERENCE NAME 5th Congress of the European Academy of Paediatric Societies, EAPS 2014 CONFERENCE LOCATION Barcelona, Spain CONFERENCE DATE 2014-10-17 to 2014-10-21 ISSN 0003-9888 BOOK PUBLISHER BMJ Publishing Group ABSTRACT Background In addition to looking after the physical and mental health of our patients, paediatricians have an educational role towards the population we attend. Objective Health education towards adults who are usually in charge of children: parents, grandparents and childminders. Material and methods - Antenatal and postnatal talks ABOUT childcare topics. - Paediatric Hospital Talks: sleep, feeding, teething, Internet and health. - Paediatric Cardiopulmonary Resuscitation (CPR) Workshop. - Breastfeeding Group: - Talks in Schools: Accident Prevention and First Aid, Infant Feeding. - Paediatric files: available at Hospital de Nens de Barcelona's web: an easy reference about childcare, feeding, common infections. Results Attendance during these 6 years has increased: 42 people attended our activities during the first year (2008-09), compared to 900 during the last academic year (2012-13). Participants actively proposed new subjects. We detected a positive appreciation in surveys after workshops and lectures. 99.3% of respondents (year 2012/13) rated as high or very high their degree of satisfaction after the activities. 86.9% of the participants answered the survey. All those who attended the CPR workshop believed that it should be extended to all citizens in contact with children because it had helped them acquire important new skills. Conclusions Active and increasing participation rate. We believe that the paediatric team has the duty, in these days where access to information is easy but not always truthful, of counselling families about common health problems and helping to improve the quality of life of their patients. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health organization parent school EMTREE MEDICAL INDEX TERMS access to information accident prevention adult child child care counseling feeding first aid grandparent health education hospital human infant feeding infection Internet mental health patient pediatrician population quality of life resuscitation satisfaction skill sleep tooth eruption workshop LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71666511 DOI 10.1136/archdischild-2014-307384.265 FULL TEXT LINK http://dx.doi.org/10.1136/archdischild-2014-307384.265 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 81 TITLE The involvement of men in maternal health care: Cross-sectional, pilot case studies from Maligita and Kibibi, Uganda AUTHOR NAMES Singh D. Lample M. Earnest J. AUTHOR ADDRESSES (Singh D., ahderom@gmail.com; Lample M., may.mag9@gmail.com) Kimanya-Ngeyo Foundation for Science and Education, Jinja, Uganda. (Earnest J., J.Earnest@curtin.edu.au) International Health Programme, School of Nursing and Midwifery, Curtin University, Bentley, Australia. CORRESPONDENCE ADDRESS D. Singh, Kimanya-Ngeyo Foundation for Science and Education, Jinja, Uganda. SOURCE Reproductive Health (2014) 11:1 Article Number: 68. Date of Publication: 5 Sep 2014 ISSN 1742-4755 (electronic) BOOK PUBLISHER BioMed Central Ltd., info@biomedcentral.com ABSTRACT Background: The International Conference on Population Development held in Cairo in 1994 identified the importance of male involvement in reproductive health programs. Since then, there has been an increase in reproductive health initiatives that target both men and women in an attempt to fulfill the 5(th)Millenium Development Goal. Yet, while the benefits of male involvement have been acknowledged, there continues to be a challenge in creating a space for and engaging men in maternal health. This is problematic due to the role of men as the head of the household in many countries, especially developing countries, which suffer from higher rates of maternal mortality. Furthermore, men are important as partners, fathers and health care professionals and as such it is important to involve and engage with men in maternal health education, and antenatal care.Methods: The purpose of this study undertaken in two rural villages in southeastern Uganda, was twofold: firstly to understand men's current participation in antenatal, pregnancy care and childbirth and secondly to gain insight into both men and women's attitudes toward increased male involvement. Focus group discussions and semi-structured questionnaires were used to collect information from 35 men and women. The women were either pregnant or had been involved in a birth experience in the past 3 years and the men had wives who were pregnant or had given birth recently.Results: Men interviewed in the two villages believed that issues related to pregnancy and childbirth were the domain of women. Involvement tended to be confined (to removed) strictly to traditional gender roles, with men's main responsibility being provision of funds. The women, on the other hand, were interested in receiving more support from their husband through planning, attendance to antenatal care and physical presence in the vicinity of where the birth was taking place.Conclusion: This cross-sectional study has highlighted the space for increased male involvement and participation in maternal health, proposed recommendations and the need for community health education directed at men that engages them in this important area. © 2014 Singh et al.; licensee BioMed Central Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health maternal care EMTREE MEDICAL INDEX TERMS adult article case study childbirth cross-sectional study experience family planning female health care planning human male normal human personal experience pilot study pregnancy prenatal care responsibility semi structured interview sex role Uganda EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2014797204 MEDLINE PMID 25192714 (http://www.ncbi.nlm.nih.gov/pubmed/25192714) PUI L600027993 DOI 10.1186/1742-4755-11-68 FULL TEXT LINK http://dx.doi.org/10.1186/1742-4755-11-68 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 82 TITLE Risk Knowledge and Psychological Distress During Pregnancy Among Primiparous Women of Advanced Age and Their Partners AUTHOR NAMES Guedes M. Canavarro M.C. AUTHOR ADDRESSES (Guedes M., maryseguedes@gmail.com; Canavarro M.C.) Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal. (Canavarro M.C.) Unit of Psychological Intervention of the Maternity Dr.Daniel deMatos, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal. CORRESPONDENCE ADDRESS M. Guedes, Faculty of Psychology and Educational Sciences of the University of Coimbra, Rua do Colégio Novo, Apartado 6153, Coimbra, Portugal. SOURCE Journal of Midwifery and Women's Health (2014) 59:5 (483-493). Date of Publication: 1 Sep 2014 ISSN 1542-2011 (electronic) 1526-9523 BOOK PUBLISHER John Wiley and Sons Inc., P.O.Box 18667, Newark, United States. ABSTRACT Introduction: First childbirth at advanced maternal age has become a growing public health concern due to its increased risks for maternal-fetal health. The present study aimed to characterize the risk knowledge of primiparous women of advanced age and their partners and to examine interindividual variability on risk knowledge depending on sociodemographic and reproductive characteristics. The study also examined the influence of one partner's risk knowledge on both partners' psychological distress. Methods: The present study is part of an ongoing longitudinal project focusing on 2 timings of assessment: the prenatal diagnosis visit (time 1) and the third trimester of pregnancy (time 2). A total of 95 primiparous women of advanced age and their partners were consecutively recruited in a Portuguese referral urban hospital. Participants completed a questionnaire on knowledge of maternal age-related risks of childbearing at time 1 as well as the Brief Symptom Inventory-18 at time 2. Results: Both partners showed incomplete risk knowledge, with the exception of the impact of maternal age on fertility, the probability to request medical help to conceive, and increased risk of Down syndrome. Women's risk knowledge did not vary depending on sociodemographic and reproductive characteristics. Male partners with prior infertility and medically assisted reproduction treatments reported higher risk knowledge. Higher risk knowledge in male partners increased psychological distress during pregnancy in both members of the couples. Discussion: The findings indicated that first childbirth at advanced maternal age is rarely an informed reproductive decision, emphasizing the need to develop preventive interventions that may enhance couples' knowledge of maternal age-related risks. Given the influence of the risk knowledge of male partners on women's psychological distress, antenatal interventions should be couple-focused. Interventions should inform couples about maternal age-related risks, enhance their perceived control, and promote effective dyadic communication and coping strategies to address risk. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) distress syndrome knowledge maternal age pregnancy primipara EMTREE MEDICAL INDEX TERMS article birth rate Brief Symptom Inventory cesarean section childbirth cohabitation cross-sectional study demography Down syndrome education educational status fertility human infertility infertility therapy longitudinal study low birth weight marriage multiple pregnancy parenthood pregnancy diabetes mellitus pregnancy outcome premature labor priority journal questionnaire reproductive health retrospective study risk factor social status stillbirth urban area EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2014871449 MEDLINE PMID 25196229 (http://www.ncbi.nlm.nih.gov/pubmed/25196229) PUI L600329159 DOI 10.1111/jmwh.12205 FULL TEXT LINK http://dx.doi.org/10.1111/jmwh.12205 COPYRIGHT Copyright 2016 Elsevier B.V., All rights reserved. RECORD 83 TITLE Observed coparenting and triadic dynamics in african american fragile families at 3 months' postpartum AUTHOR NAMES Mchale J.P. Coates E.E. AUTHOR ADDRESSES (Mchale J.P., jmchale@mail.usf.edu) University of South Florida St. Petersburg (Coates E.E.) University of South Florida Tampa CORRESPONDENCE ADDRESS J.P. Mchale, Department of Psychology, University of South Florida St. Petersburg, 140 Seventh Avenue South, St., . Email: jmchale@mail.usf.edu SOURCE Infant Mental Health Journal (2014). Date of Publication: 2014 ISSN 0163-9641 1097-0355 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd ABSTRACT This report examines coparenting and triadic interactions in 19 unmarried, first-time African American families as fathers, mothers, and 3-month-old infants navigated the Lausanne Trilogue Play (LTP; E. Fivaz-Depeursinge and A. Corboz-Warnery,). Parents in 10 of the 19 families reported coresidence at the time of the 3-month assessment, and the other 9 sets of coparents lived apart. All participating families had taken part in a prenatal intervention emphasizing the importance of father engagement in children's lives, and in all families, parents reported episodic to regular father contact with the children at 3 months. Analyses of LTP sessions revealed that 9 of the 19 families exhibited high levels of coparenting solidarity-cooperation and family warmth accompanied by low levels of coparenting competition and disengagement. Among the remaining 10 families, competitiveness (verbal sparring, interference) and/or disengagement (repeated, episodic absenting by one or both parents from the ongoing interaction) signaled strain and challenges to solidarity. Differences between the higher and lower solidarity groups were found in father-reported relationship rapport. However, coresidentiality versus noncoresidentiality of the parents did not distinguish high- from low-solidarity groups. A case analysis of one family's triadic session is presented to elucidate the rich potential for clinical intervention in triadic work with fragile family systems. Implications of the study and its findings for theory, research, and clinical work with unmarried fathers and families, along with limits of the study design and generalizability of findings, are discussed. © 2014 Michigan Association for Infant Mental Health. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) African American dynamics EMTREE MEDICAL INDEX TERMS child competition father female human infant male mental health mother parent study design United States LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L53307932 DOI 10.1002/imhj.21473 FULL TEXT LINK http://dx.doi.org/10.1002/imhj.21473 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 84 TITLE Maternal parental self-efficacy in newborn care and social support needs in Singapore: a correlational study AUTHOR NAMES Shorey S. Chan S.W.-C. Chong Y.S. He H.-G. AUTHOR ADDRESSES (Shorey S.; Chan S.W.-C.; Chong Y.S.; He H.-G.) Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore SOURCE Journal of clinical nursing (2014) 23:15-16 (2272-2282). Date of Publication: 1 Aug 2014 ISSN 1365-2702 (electronic) ABSTRACT AIM AND OBJECTIVE: To examine the correlation between maternal parental self-efficacy and social support as well as predictors of self-efficacy in the early postpartum period.BACKGROUND: Maternal parental self-efficacy is important for mothers' adaptation to motherhood. Lack of support could result in decreased maternal parental self-efficacy in newborn care. Limited studies have focused on maternal parental self-efficacy in the postpartum period in Asia and none in Singapore.STUDY DESIGN: A correlational study design was adopted.METHODS: Data were collected from both primiparas and multiparas during the first to third days postpartum in a public hospital, using the Perceived Maternal Parental Self-efficacy and Perinatal Infant Care Social Support Scales. The data were analysed using descriptive and inferential statistics.RESULTS: Maternal parental self-efficacy in newborn care and the level of social support that mothers received were moderate. In terms of the social support subscales, informational and instrumental support was lower than emotional and appraisal support. Informal support from husbands, parents and parents-in-law was the main source of support. A significant correlation was found between maternal parental self-efficacy and total social support in addition to the informational, instrumental and appraisal subscales of functional support. The predictors of maternal parental self-efficacy were parity, social support and maternal age.CONCLUSION: The findings highlight the predictors and correlates of maternal parental self-efficacy in newborn care and the social support needs of mothers in the early postpartum period. Healthcare professionals could provide more information and instrumental support and involve family members to enhance maternal parental self-efficacy.RELEVANCE TO CLINICAL PRACTICE: Because maternal parental self-efficacy and social support in the early postpartum period are interrelated components, they could be assessed to identify at-risk mothers. There is a need to develop perinatal educational programmes to provide culturally competent individualised support to mothers in need. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) psychology self concept social support EMTREE MEDICAL INDEX TERMS adaptive behavior adult cross-sectional study female health service human infant middle aged mother newborn parity pregnancy puerperium Singapore young adult LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 24372630 (http://www.ncbi.nlm.nih.gov/pubmed/24372630) PUI L606711736 DOI 10.1111/jocn.12507 FULL TEXT LINK http://dx.doi.org/10.1111/jocn.12507 COPYRIGHT Copyright 2015 Medline is the source for the citation and abstract of this record. RECORD 85 TITLE Associations between prenatal coparenting behavior and observed coparenting behavior at 9-months postpartum AUTHOR NAMES Altenburger L.E. Schoppe-Sullivan S.J. Lang S.N. Bower D.J. Kamp Dush C.M. AUTHOR ADDRESSES (Altenburger L.E.) Department of Human Sciences, Ohio State University (Schoppe-Sullivan S.J.) Department of Human Sciences, Ohio State University (Lang S.N.) Department of Human Sciences, Ohio State University (Bower D.J.) Department of Human Sciences, Ohio State University (Kamp Dush C.M.) Department of Human Sciences, Ohio State University SOURCE Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) (2014) 28:4 (495-504). Date of Publication: 1 Aug 2014 ISSN 1939-1293 (electronic) ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) psychology EMTREE MEDICAL INDEX TERMS adult child parent relation childbirth education education female human information processing male middle aged parent pregnancy procedures puerperium United States young adult LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 25000135 (http://www.ncbi.nlm.nih.gov/pubmed/25000135) PUI L612851549 DOI 10.1037/fam0000012 FULL TEXT LINK http://dx.doi.org/10.1037/fam0000012 COPYRIGHT Copyright 2016 Medline is the source for the citation and abstract of this record. RECORD 86 TITLE Alcohol use and intimate partner violence during the transition to parenthood AUTHOR NAMES Woodin E.M. Caldeira V. Sotskova A. Galaugher T. Lu M. AUTHOR ADDRESSES (Woodin E.M.; Caldeira V.; Sotskova A.; Galaugher T.; Lu M.) University of Victoria, Victoria, Canada. CORRESPONDENCE ADDRESS E.M. Woodin, University of Victoria, Victoria, Canada. SOURCE Alcoholism: Clinical and Experimental Research (2014) 38 SUPPL. 1 (305A). Date of Publication: June 2014 CONFERENCE NAME 37th Annual Scientific Meeting of the Research Society on Alcoholism, RSA 2014 CONFERENCE LOCATION Bellevue, WA, United States CONFERENCE DATE 2014-06-21 to 2014-06-25 ISSN 0145-6008 BOOK PUBLISHER Blackwell Publishing Ltd ABSTRACT The heavy use of alcohol is known to increase the risk of intimate partner violence (IPV), however very little is known about the role of alcohol use during the prenatal and postpartum periods. The current study was designed to examine alcohol use as a dyadic and interactive risk factor for psychological and physical IPV across the transition to parenthood. The sample consisted of 98 couples assessed in the third trimester of pregnancy with their first biological child, with follow up assessments at one and two years postpartum. Using hierarchical linearmodeling, longitudinal actor-partner interdependence models demonstrated that changes in alcohol use during this time were related to changes in psychological IPV for both men and women and to physical IPV formen only. Partners' use of alcohol also explained additional variance in psychological IPV for bothmen and women and in physical IPV for women only. Interactions between actors' and partners' substance use was additionally predictive of greater psychological and physical IPV perpetration. Findings fromthis study indicate that alcohol use by both men and women interact in an interdependent manner to place couples at risk for escalations in IPV during the transition to parenthood. Further, even as women tend to abstain from alcohol use during the pregnancy and postpartum periods, their partners' alcohol use patterns continue to influence violence perpetration during this period. Prenatal interventionsmay benefit from strategies to reduce the use of alcohol by bothmen and women during the pregnancy and postpartum periods. EMTREE DRUG INDEX TERMS alcohol EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) alcohol consumption alcoholism parenthood partner violence society EMTREE MEDICAL INDEX TERMS child female follow up human implantable cardioverter defibrillator male model pregnancy puerperium risk risk factor substance use third trimester pregnancy violence LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71504302 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 87 TITLE Noninvasive prenatal diagnosis of fetal and neonatal thrombocytopenia early in the pregnancy AUTHOR NAMES Le Toriellec E. Chenet C. Denis A. Casale C. Kaplan C. Petermann R. AUTHOR ADDRESSES (Le Toriellec E.; Chenet C.; Denis A.; Casale C.; Kaplan C.; Petermann R.) Institut National de la Transfusion Sanguine (INTS), Département d'Immunologie Plaquettaire, Paris, France. CORRESPONDENCE ADDRESS E. Le Toriellec, Institut National de la Transfusion Sanguine (INTS), Département d'Immunologie Plaquettaire, Paris, France. SOURCE Journal of Maternal-Fetal and Neonatal Medicine (2014) 27 SUPPL. 1 (139). Date of Publication: June 2014 CONFERENCE NAME 24th European Congress of Perinatal Medicine CONFERENCE LOCATION Florence, Italy CONFERENCE DATE 2014-06-04 to 2014-06-07 ISSN 1476-7058 BOOK PUBLISHER Informa Healthcare ABSTRACT Brief Introduction: Fetal and neonatal alloimmune thrombocytopenia is due to maternal immunization against fetal platelet antigens inherited from the father and that the mother lacks. Antenatal therapy at 20-22 weeks of gestation or before this term according to risk strategies evaluation has been developed to avoid intracranial haemorrhage, the most deleterious consequence of severe thrombocytopenia. Before therapy, fetal platelet genotyping is a prerequisite in case of paternal heterozygosity for the implicated antigen or when the paternity is unknown. To avoid invasive strategies for this determination, we developed assays based on circulating fetal DNA in the maternal blood. Our study focused on human platelet antigen (HPA)-1 and -5, the most frequently implicated antigens in this condition in Caucasians. Materials & Methods: Cell-free fetal DNA was extracted from maternal blood samples. Two different real-time polymerase chain reactions (QPCR) were developed for each antigen: an allele-specific QPCR (AS-QPCR) targeting the polymorphic sequence for HPA-1 or HPA-5, and variations studies in the high-resolution melting curve of amplicons containing the polymorphic region (PCR-HRM), with a modifying program promoting the formation of heteroduplexes and the amplification of the fetal allele. Clinical Cases or Summary Results: During validation, the results for HPA-1 fetal genotyping from the 49 samples were consistent with expectation: six women (3 HPA-1bb and 3 HPA-1aa) were compatible with their fetuses, 41 HPA-1bb women were incompatible with their fetuses, as 2 HPA-1aa (Le Toriellec et al, Transfusion, 2013). Since this report, 56 other samples were studied. With both techniques, testing were obtained with 95% sensitivity and 100% specificity. PCR-HRM for HPA-1 was then improved with cold-PCR. Till now, the specific allele of the fetus was detected from 5%. With cold-PCR, the detection is from 1 to 2% of the specific fetal allele. For HPA-5, the use of cold-PCR combined to PCR-HRM, and the AS-QPCR, discriminate 1 to 2% of the specific fetal allele. Conclusions: Two fetal platelet genotyping assays on maternal blood samples were developed for HPA-1 and HPA-5, and are proved to be reliable as early as 13 weeks of gestation. It allows to avoid invasive techniques such as amniocentesis allowing decision for antenatal therapy in due time. However a number of testing is still necessary for HPA-5 to evaluate the sensitivity and specificity of the assays. Similar techniques are also under study for HPA-3 and give encouraging results. EMTREE DRUG INDEX TERMS antigen DNA thrombocyte antigen EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) neonatal thrombocytopenia perinatal care pregnancy prenatal diagnosis EMTREE MEDICAL INDEX TERMS allele amniocentesis assay blood sampling brain hemorrhage father female fetus genotype heterozygosity high resolution melting analysis human immunization male maternal blood mother neonatal alloimmune thrombocytopenia paternity real time polymerase chain reaction risk sensitivity and specificity therapy thrombocyte thrombocytopenia transfusion LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71504820 DOI 10.3109/14767058.2014.924236 FULL TEXT LINK http://dx.doi.org/10.3109/14767058.2014.924236 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 88 TITLE Excess prenatal corticosterone exposure programs hypotension, vascular remodelling and alters the response to restraint stress in adult male mice AUTHOR NAMES O'Sullivan L. Cuffe J.S.M. Koning A. Singh R.R. Moritz K.M. Paravicini T.M. AUTHOR ADDRESSES (O'Sullivan L.; Cuffe J.S.M.; Koning A.; Singh R.R.; Moritz K.M.; Paravicini T.M.) School of Biomedical Sciences, University of Queensland, Brisbane, Australia. CORRESPONDENCE ADDRESS L. O'Sullivan, School of Biomedical Sciences, University of Queensland, Brisbane, Australia. SOURCE Hypertension (2014) 63:6 (e141). Date of Publication: June 2014 CONFERENCE NAME 35th Annual Scientific Meeting of the High Blood Pressure Research Council of Australia and the 39th Annual Scientific Meeting of the Australian Atherosclerosis Society CONFERENCE LOCATION Melbourne, VIC, Australia CONFERENCE DATE 2013-12-05 to 2013-12-07 ISSN 0194-911X BOOK PUBLISHER Lippincott Williams and Wilkins ABSTRACT Background: Exposure to excess glucocorticoids in utero is known to program susceptibility to cardiovascular disease in later life. Endogenous levels of glucocorticoids are increased during periods of stressThe long-term cardiovascular implications for the offspring of women who suffer from stress during pregnancy are, however, poorly understood. Aim: To examine the direct effects of prenatal corticosterone (CORT) exposure on cardiovascular and renal outcomes in adult offspring. Methods: Pregnant C57Bl6 mice received CORT (33 g/kg/h) for 60 h from embryonic day 12.5 and allowed to litter naturally. Nephron number was determined in the offspring at postnatal day 30, and radiotelemetry was used to measure blood pressure and heart rate (both basal and during restraint stress) at 12 months. Pressurized myography was used to assess vascular function, structure and mechanics. Results: Excess prenatal CORT reduced nephron endowment by 33% and 20% in male and female offspring (respectively) compared to untreated controls (n=6-7; P<0.05). At 12 months, CORT-exposed male offspring were hypotensive: MAP 104.311.0 vs 115.65.5 mmHg in untreated controls (n=8-9; P<0.05). These mice also showed a blunted tachycardiac response to restraint stress. Power spectral density analysis of heart rate suggested that this may be due to an altered vagal/sympathetic balance. Prenatal CORT reduced activity levels of female offspring at night, but did not alter any cardiovascular parameters. In male offspring (but not females), prenatal CORT caused inward remodeling of mesenteric arteries (luminal diameter = 2027 m vs 2499 m in controls) without affecting vascular reactivity or the elasticity of vascular wall components. Conclusion: Prenatal CORT exposure programs hypotension in male offspring, despite the reduced nephron number and inward vascular remodeling in these animals. In contrast, CORT-exposed female offspring have reduced nocturnal activity levels (possibly indicating anxiety-like behaviour) and fewer nephrons, with no other cardiovascular alterations. Together, these data demonstrate that excess prenatal CORT causes long-term alterations to the renal and cardiovascular systems, as well as central control mechanisms. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) corticosterone EMTREE DRUG INDEX TERMS antihypertensive agent glucocorticoid EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adult atherosclerosis Australia exposure hypertension hypotension immobilization stress male mouse society EMTREE MEDICAL INDEX TERMS anxiety blood pressure blood vessel reactivity blood vessel wall cardiovascular disease cardiovascular parameters cardiovascular system elasticity female heart rate human mechanics mesenteric artery myography nephron night pregnancy progeny spectrometry telemetry LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71534778 DOI 10.1161/HYP.0000000000000010 FULL TEXT LINK http://dx.doi.org/10.1161/HYP.0000000000000010 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 89 TITLE The advantages of midwife-led obstetric units AUTHOR NAMES Verdenik I. Prelec A. AUTHOR ADDRESSES (Verdenik I.; Prelec A.) University Medical Centre Ljubljana, Division of Gynaecology, Ljubljana, Slovenia. CORRESPONDENCE ADDRESS I. Verdenik, University Medical Centre Ljubljana, Division of Gynaecology, Ljubljana, Slovenia. SOURCE Journal of Maternal-Fetal and Neonatal Medicine (2014) 27 SUPPL. 1 (79-80). Date of Publication: June 2014 CONFERENCE NAME 24th European Congress of Perinatal Medicine CONFERENCE LOCATION Florence, Italy CONFERENCE DATE 2014-06-04 to 2014-06-07 ISSN 1476-7058 BOOK PUBLISHER Informa Healthcare ABSTRACT Brief Introduction: The increase of medicalization of childbearing and delivery has been publicly uttered worldwide. Different models of care for childbearing women were introduced: home births, the development of midwife-led services and the development of birth centres, either inside or outside the hospital. However, too many healthy pregnant women were still giving birth in obstetric settings. A case control study was carried out to compare the frequency of medical interventions and perinatal outcome between the midwivesled unit and ordinary labour ward. Materials & Methods: In a prospective case-control study 154 women were allocated to a midwife-led unit, whereas 343 women gave birth in an ordinary labour ward and served as controls. The inclusion criteria were: low risk primiparous women, singleton term pregnancy, normal foetal heartbeat; cephalic presentation, spontaneous onset of labour and active phase of labour. The 1 to 2 case-control ratio was chosen due to limited resources in the midwife-led unit. The power analysis was used to determine the total number needed. As a primary outcome we chose caesarean section rate as a most important and frequent intervention. Furthermore, we also compared secondary outcomes: interventions during the labour, use of pharmacological pain relief, perineal lacerations of various degrees, episiotomy, postpartum haemorrhage, Apgar score less than 6 at one and five minutes and admission to the Neonatal Intensive Care Unit. The study was approved by the Ethics Committee of the University Medical Centre Ljubljana. All women signed an informed consent before entering the study. Clinical Cases or Summary Results: Base demographic characteristics were similar in both groups (table 1). We found no statistically significant difference in marital status, age, level of education, attending prenatal classes or the presence of a partner in the delivery room. In addition, the onset of labour with spontaneous rupture was almost equal (45% in study vs. 49% in control group). The similarity points to the fact that the study and control group were, to a large degree, comparable and that the differences in outcomes could not be attributed to baseline differences. Table 2 holds the description of interventions. There was a statistically significant difference in the caesarean section rate (1.9% vs. 13.4%), augmentation (31.2% vs. 84%), analgesia (92.2% vs. 98.3%) and vacuum delivery (0.6% vs. 4.7%). The episiotomy rate (in those delivering vaginally) was also significantly lower in the study group (33% vs. 52%). We found no statistically significant differences between the two groups in regard to maternal complications (lacerations, postpartum haemorrhage and blood transfusion) (table 3). We also presented the result of the assessment of the newborns, which can be found in table 4. There was no statistically significant difference regarding resuscitation, admission to NICU or low Apgar score. However, we found statistically significant higher proportion of exclusively breastfed children in the study group (80.5% vs. 69.1%). Conclusions: Midwife-led units represent a clear advantage over the current obstetric practice for healthy primiparous women with unproblematic pregnancies in terms of much lower intervention rates (caesarean sections, augmentation, need of analgesia, vacuum, episiotomy) with comparable or even better results (breastfeeding) (Table Presented). EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) human midwife perinatal care EMTREE MEDICAL INDEX TERMS analgesia Apgar score blood transfusion case control study cesarean section child control group delivery room demography education episiotomy female home delivery hospital implantable cardioverter defibrillator informed consent intensive care unit labor onset laceration marriage medicalization model newborn newborn intensive care postpartum hemorrhage power analysis pregnancy pregnant woman primipara professional standard resuscitation risk rupture university vacuum ward LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71504695 DOI 10.3109/14767058.2014.924236 FULL TEXT LINK http://dx.doi.org/10.3109/14767058.2014.924236 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 90 TITLE Social support and parenting self-efficacy among Chinese women in the perinatal period AUTHOR NAMES Gao L.-L. Sun K. Chan S.W.-C. AUTHOR ADDRESSES (Gao L.-L.) School of Nursing, Sun Yat-sen University, 74#, Zhongshan Road II, Guangzhou 510089, China. Electronic address: gaoll@mail.sysu.edu.cn (Sun K.) The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. Electronic address: skeko@163.com (Chan S.W.-C.) Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: nurcwcs@nus.edu.sg SOURCE Midwifery (2014) 30:5 (532-538). Date of Publication: 1 May 2014 ISSN 1532-3099 (electronic) ABSTRACT OBJECTIVE: to examine the changes in and relationship between perceived social support and parenting self-efficacy in the perinatal period among pregnant women in mainland China.DESIGN AND SETTING: this was a secondary analysis with data from part of an experimental study of the effects of an interpersonal-psychotherapy-oriented childbirth psychoeducation programme on maternal adaptation. A longitudinal design was employed in the present study. The study was carried out from July 2008 to May 2009 in one general hospital in Guangzhou, China.PARTICIPANTS: a convenience sample of 68 first-time mothers in mainland China completed measurement of social support and parenting self-efficacy during pregnancy and at six weeks and three months post partum.FINDINGS: perceived social support and parenting self-efficacy declined during early motherhood. Parenting self-efficacy increased from six weeks post partum to three months post partum. Perceived social support positively correlated with parenting self-efficacy.CONCLUSION: culturally competent health-care intervention should be developed during early motherhood to promote perceived social support and parenting self-efficacy for the new mothers. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) psychology self concept social support EMTREE MEDICAL INDEX TERMS adult child parent relation China female human mother pregnancy prospective study questionnaire LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 23859826 (http://www.ncbi.nlm.nih.gov/pubmed/23859826) PUI L612106530 DOI 10.1016/j.midw.2013.06.007 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2013.06.007 COPYRIGHT Copyright 2016 Medline is the source for the citation and abstract of this record. RECORD 91 TITLE Mexico City's HIV/AIDS program: A community-based approach to control of an epidemic AUTHOR NAMES Steven D. Andrea G. Nathalie G. AUTHOR ADDRESSES (Steven D.; Nathalie G.) HIV/AIDS Program, Condesa Clinic, Mexico City, Mexico. (Andrea G.) HIV/AIDS Program, Clinica Especializada Condesa, Mexico City, Mexico. CORRESPONDENCE ADDRESS D. Steven, HIV/AIDS Program, Condesa Clinic, Mexico City, Mexico. SOURCE Journal of the International AIDS Society (2014) 17 SUPPL. 1 (17-18). Date of Publication: May 2014 CONFERENCE NAME HIV Drug Therapy in the Americas 2014 CONFERENCE LOCATION Rio de Janeiro, Brazil CONFERENCE DATE 2014-05-08 to 2014-05-10 ISSN 1758-2652 BOOK PUBLISHER International AIDS Society ABSTRACT Introduction: Mexico has a concentrated HIV epidemic among the following groups: men who have sex with men, male sex workers, transgender women, injection drug users and female partners of men with HIV [1]. Mexico City has the oldest and largest epidemic in the country with a prevalence of 0.78% [2] vs. 0.38% [3] for the country. At the end of 2013, 9114 patients were receiving care at the Condesa Specialized Clinic (CEC), the largest single HIV clinic in Latin America. Method: In order to respond to a challenging epidemic concentrated in several risk groups requires a multi-institutional approach. The CEC was a response to the community pressure to act on a growing epidemic in the city. Since its inception, CEC has had a symbiotic relationship with academia and civil society. Prior to HIV treatment universal access in Mexico, civil society and research institutes helped provide treatment to people with HIV. With HIV universal treatment access in the country, the HIV/Aids Program created linkages with key players from other sectors for the creation of programs to address the needs of specific population groups. Results: The collaboration with civil society and academia has produced several effective programs linked to HIV detection, HIV retention, treatment adherence and prevention promotion. Specific programs such as the HIV Program in prison settings have helped reduce the mortality rate of HIV in prisons from 11% to less than 1%. The Women's program provides specific care to women with HIV, including prenatal care. The Program for Male Sex Workers is a collaboration with academia and started as a research project. This group has an HIV prevalence of 35% with high levels of drug use. Treatment desertion was reduced from 2012 to 2013 by more than 30% at CEC thanks to a collaboration with civil society. The change of access to services and the expediency of in-house lab services increased HIV+ detection 45% in 2013 to 3171 new cases. The installation of the ''Test and Treat'' modality as part of a cascade process of care (Figure 1) achieved a reduction of time of four and a half months to reach undetectable viral load in patients. Conclusions: The control of the HIV pandemic can only be achieved with a multisectorial approach. Each sector has tools and competencies that can contribute towards the reduction of HIV incidence and improve the quality of life of people with HIV. (Table Presented). EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) city community drug therapy epidemic Human immunodeficiency virus Mexico Western Hemisphere EMTREE MEDICAL INDEX TERMS dental floss drug use female high risk population hospital human Human immunodeficiency virus prevalence injection male men who have sex with men mortality pandemic patient patient compliance polymer constrained wrist prosthesis population group prenatal care prevalence prevention prison prostitution quality of life society South and Central America transgenderism virus load LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71668378 DOI 10.7448/IAS.17.2.19122 FULL TEXT LINK http://dx.doi.org/10.7448/IAS.17.2.19122 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 92 TITLE Influence of partner support on an employed mother's intention to breastfeed after returning to work AUTHOR NAMES Tsai S.-Y. AUTHOR ADDRESSES (Tsai S.-Y., sytsai@isu.edu.tw) Department of Health Management, I-Shou University, No. 8, Yida Road, Yanchao Township Kaohsiung County 824, Taiwan. CORRESPONDENCE ADDRESS S.-Y. Tsai, Department of Health Management, I-Shou University, No. 8, Yida Road, Yanchao Township Kaohsiung County 824, Taiwan. Email: sytsai@isu.edu.tw SOURCE Breastfeeding Medicine (2014) 9:4 (222-230). Date of Publication: 1 May 2014 ISSN 1556-8342 (electronic) 1556-8253 BOOK PUBLISHER Mary Ann Liebert Inc., info@liebertpub.com ABSTRACT Background: Despite the increasing number of large companies complying with the demands for a breastfeeding-friendly workplace, providing on-site lactation support, some mothers still find continuing to breastfeed a challenge. We postulated that greater support and encouragement from the partner would be independently predictive of whether the mother would take advantage of workplace milk expression breaks and lactation rooms and continue to breastfeed after returning to work. To evaluate this hypothesis, we conducted a survey at a female labor-intensive electronics manufacturer in Taiwan. Subjects and Methods: Six hundred eight working mothers in an electronics manufacturing plant in Tainan Science Park in Southern Taiwan who had access to dedicated lactation rooms at the workplace were interviewed. Questionnaire content included female employee demographics, employment characteristics, partner-related characteristics, and breastfeeding behavior after returning to work following the birth of their most recently born child. Results: The partner's initial support of the choice to breastfeed and encouragement to use the lactation room and milk expression breaks and the mother's perception of the partner's support for baby care were significant predictors of the intention to continue to breastfeed after returning to work, after adjusting for the employed mother's demographics and employment characteristics, supporting our hypothesis. Conclusions: These findings suggest that antenatal education or activities provided by the workplace should include the partner, which may improve workplace breastfeeding rates. © Copyright 2014, Mary Ann Liebert, Inc. 2014. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) lactation partner support spouse working mother workplace EMTREE MEDICAL INDEX TERMS adult article attitude to breast feeding breast feeding education electronics employment female human occupational health nursing priority journal return to work Taiwan EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Occupational Health and Industrial Medicine (35) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2014336485 MEDLINE PMID 24650363 (http://www.ncbi.nlm.nih.gov/pubmed/24650363) PUI L373092238 DOI 10.1089/bfm.2013.0127 FULL TEXT LINK http://dx.doi.org/10.1089/bfm.2013.0127 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 93 TITLE Brazilian teenager pregnancy situation in the last decade: The need of a more effective family planning program AUTHOR NAMES Sampaio F.S.C.P. Brito M.B. AUTHOR ADDRESSES (Sampaio F.S.C.P.; Brito M.B.) Bahiana School of Medicine and Public Health, Salvador, Bahia, Brazil. CORRESPONDENCE ADDRESS F.S.C.P. Sampaio, Bahiana School of Medicine and Public Health, Salvador, Bahia, Brazil. SOURCE European Journal of Contraception and Reproductive Health Care (2014) 19 SUPPL. 1 (S81-S82). Date of Publication: May 2014 CONFERENCE NAME 13th Congress of the European Society of Contraception and Reproductive Health CONFERENCE LOCATION Lisbon, Portugal CONFERENCE DATE 2014-05-28 to 2014-05-31 ISSN 1362-5187 BOOK PUBLISHER Informa Healthcare ABSTRACT Objectives: Assess the relation between maternal age (10-19 years-old versus 20-34 years-old) and low birth weight (LBW), preterm delivery, cesarean rates, prenatal care adherence, education level and partner absence between years 2001 and 2011. And to compare if there were changes in these rates during the last decade. Methods: A descriptive and comparative study based on secondary data on live births, during the years 2001 and 2011, provided by the database from Brazil Health System: SINASC/DATASUS: (http://tabnet. datasus.gov.br/cgi/deftohtm.exe?sinasc/cnv/nvuf.def). We compared maternal age (10-19 years-old versus 20-34 years-old) and marital Status; maternal schooling; vaginal and cesarean delivery; pregnancy duration (< 37 weeks or ≥ 37 weeks); birthweight (< 2500g, between 2500 to 3999g and ≥ 4000g); number of prenatal visits. Results: Teenage pregnancy rate in Brazil was 23.6% in 2001 and 19.3% in 2011. The adolescent mothers often was single, had lower education level, lower prenatal care assistance, higher rates of prematurity and LBW compared to adult women in 2001. These correlations between teenagers and adults remained in 2011 (70% vs. 46% without partner; 45% vs. 28% had less than seven study-years; 49% vs. 34% had < 6 prenatal consult; 12% vs. 9% of prematurity incidence; 9% vs. 8% of LBW). In the last decade there was an increase in cesareans delivery in all age groups [adult: 41% (2001) vs. 56.4% (2011) and adolescents: 27% (2001) vs. 39% (2011)] and in pregnant women without a partner. However, there were an increase (> 10%) in the number of ideal prenatal consultations (> 6), and in education level, since the rates of women with more than 8 years of schooling ranged from 21.5% to 72.2% in 2011, while in 2001, the rate ranged from 2.6% to 43.5%. Conclusion: Adolescent pregnancy is still a public health and social problem in Brazil. Teenager pregnant Brazilian women had higher rates of lower education level, lower prenatal care assistance, prematurity and LBW compared with adults Brazilian pregnant women. This study showed that pregnant adolescents have more natural vaginal deliveries than adults, but still have high indices of cesarean, surpassing the recommended by World Health Organization (15%). In the last decade, we observed a greater adhesion of teens to prenatal care program and increasing of their education level (although it is still lower), which did not correlate with reduction of neonatal complications (prematurity and LBW). Thus, Brazil needs improvements in prenatal and postnatal care programs, including more effectives family planning programs to teenagers. EMTREE DRUG INDEX TERMS phosphorotrithioic acid tributyl ester EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adolescent contraception family planning human pregnancy reproductive health society EMTREE MEDICAL INDEX TERMS adhesion adolescent mother adolescent pregnancy adult birth weight Brazil cesarean section comparative study consultation data base education female groups by age health care live birth low birth weight marriage maternal age postnatal care pregnancy rate pregnant woman premature labor prematurity prenatal care public health school single (marital status) social problem vaginal delivery world health organization LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71462267 DOI 10.3109/13625187.2014.894779.10 FULL TEXT LINK http://dx.doi.org/10.3109/13625187.2014.894779.10 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 94 TITLE Investigation and demand analysis of prenatal education for 94 spouses of pregnant women in rural areas of Wenzhou, China AUTHOR NAMES Fu Y. Zhao H. AUTHOR ADDRESSES (Fu Y.; Zhao H.) School of Nursing, Peking Union Medical College, Beijing, China. CORRESPONDENCE ADDRESS Y. Fu, School of Nursing, Peking Union Medical College, Beijing, China. SOURCE Journal of Women's Health (2014) 23:4 (26). Date of Publication: April 2014 CONFERENCE NAME 22nd Annual Congress on Women's Health 2014 CONFERENCE LOCATION Washington, DC, United States CONFERENCE DATE 2014-04-04 to 2014-04-06 ISSN 1540-9996 BOOK PUBLISHER Mary Ann Liebert Inc. ABSTRACT Background: The important role of husband in perinatal health care is recognized increasingly. Their involvement in pregnancy, childbirth and fatherhood has been found to be related to their own health and wellbeing, and also to their partner's and children's health. Due to the social economic condition and education level, the spouses of pregnant women in rural areas rarely access to prenatal education, and might lead to the adverse pregnancy outcomes. And few studies focus on spouses' education in this area. So, it is import to explore husband's situation of prenatal education, and their needs. Objective(s): To investigate the status and demands of prenatal education among spouses of pregnant women in Wenzhou, China. Material/Methods: A total of 100 spouses of pregnant women were recruited by convenience sampling method from rural areas of Wenzhou and were investigated by a self-designed questionnaire, including: spouses' demographic data, knowledge of prenatal care, current situation and demand of prenatal education. Results: 94 effective questionnaires were collected. Spouses' knowledge level of prenatal health was low. 64.89% of the spouses didn't take even one prenatal class. 88.29% of the people said that it is necessary to attend prenatal education. They most preferred to take classes through health care institutions. The most preferred knowledge was maternal health care. Conclusions: The prenatal education for spouses should be strengthened. It is suggested that expense deduction and innovative approach of education should be conducted to attract more spouses. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education China female health human pregnant woman rural area spouse EMTREE MEDICAL INDEX TERMS child childbirth convenience sample education father health care male maternal care pregnancy pregnancy outcome prenatal care questionnaire sampling wellbeing LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71438371 DOI 10.1089/jwh.2014.Ab01.abstracts FULL TEXT LINK http://dx.doi.org/10.1089/jwh.2014.Ab01.abstracts COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 95 TITLE Transition to parenthood innovative resources to support families in the first 1001 critical days AUTHOR NAMES Baum A. Watson J. Daly H. AUTHOR ADDRESSES (Baum A.; Watson J.; Daly H.) Best Beginnings, London, United Kingdom. CORRESPONDENCE ADDRESS A. Baum, Best Beginnings, London, United Kingdom. SOURCE Archives of Disease in Childhood (2014) 99 SUPPL. 1 (A113). Date of Publication: April 2014 CONFERENCE NAME Annual Conference of the Royal College of Paediatrics and Child Health, RCPCH 2014 CONFERENCE LOCATION Birmingham, United Kingdom CONFERENCE DATE 2014-04-08 to 2014-04-10 ISSN 0003-9888 BOOK PUBLISHER BMJ Publishing Group ABSTRACT Aims There here is strong evidence of the benefits of supporting families in the first 1001 critical days not only because of impact on child outcomes but because parents are especially receptive to offers of advice and support during this “window of opportunity”. Bump Buddy, Baby Express and a series of Perinatal Mental Health films have and will continue to be developed as complimentary tools to ease parents transition to parenthood, providing pertinent information in a highly-accessible and usable formatto educate and empower parents as well as improve their confidence and knowledge. Methods The charity who have created this series of interventions are committed to working with the evidence base to create a usable, easily accessed tools to educate and empower parents as well as improve their confidence and knowledge. Expert groups have led the development of Bump Buddy, Baby Express and the Perinatal Mental Health films have. Appreciative enquiry is used at every opportunity to engage parents and professionals to embed these resources into services. Results These interventions will be evaluated from launch. Conclusion Transition to Parenthood interventions have the potential to support the physical, social, emotional and language development of young children as well as provide support to parents during a this distinctive period of change. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child health college parenthood pediatrics EMTREE MEDICAL INDEX TERMS baby child human language development mental health parent social welfare LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71566256 DOI 10.1136/archdischild-2014-306237.258 FULL TEXT LINK http://dx.doi.org/10.1136/archdischild-2014-306237.258 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 96 TITLE Repetitive exposure of mice to strong static magnetic fields in utero does not impair fertility in adulthood but may affect placental weight of offspring AUTHOR NAMES Zaun G. Zahedi Y. Maderwald S. Orzada S. Pütter C. Scherag A. Winterhager E. Ladd M.E. Grümmer R. AUTHOR ADDRESSES (Zaun G.; Zahedi Y.; Winterhager E.; Grümmer R., ruth.gruemmer@uk-essen.de) Institute of Molecular Biology, University Hospital, University Duisburg-Essen, Hufelandstrasse 55, D-45122 Essen, Germany. (Maderwald S.; Orzada S.; Ladd M.E.) Erwin L. Hahn Institute for Magnetic Resonance Imaging, University Duisburg-Essen, Germany. (Orzada S.; Ladd M.E.) Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital, University Duisburg-Essen, Germany. (Pütter C.; Scherag A.) Institute for Medical Informatics, Biometry and Epidemiology, University Hospital, University of Duisburg-Essen, Germany. (Grümmer R., ruth.gruemmer@uk-essen.de) Institute for Anatomy, University Hospital, University Duisburg-Essen, Germany. CORRESPONDENCE ADDRESS R. Grümmer, Institute of Molecular Biology, University Hospital, University Duisburg-Essen, Hufelandstrasse 55, D-45122 Essen, Germany. Email: ruth.gruemmer@uk-essen.de SOURCE Journal of Magnetic Resonance Imaging (2014) 39:3 (683-690). Date of Publication: March 2014 ISSN 1053-1807 1522-2586 (electronic) BOOK PUBLISHER John Wiley and Sons Inc., P.O.Box 18667, Newark, United States. ABSTRACT Purpose To investigate the effect of daily exposure in utero to static magnetic fields during prenatal development on germ cell development and fertility of exposed offspring in adulthood. Materials and Methods Mice were exposed daily in utero to different static magnetic field strengths at the bore entrance or in the isocenter of 1.5 T and 7 T MRI systems during the entire course of prenatal development. Results In utero-exposed male mice revealed no effect of magnetic field strength on weight of testes and epididymis or on sperm count, sperm morphology, or fertility. Exposed pregnant female mice showed no reduced fertility in terms of pregnancy rates and litter size, pointing to a normal ovarian function. However, a reduced placental weight of offspring of intrauterine exposed female mice was observed that correlated with a decrease in embryonic weight in those animals exposed at the strongest magnetic field. This effect seemed to be parent-dependent, since it was not observed in those embryos fathered by in utero-exposed male mice. Conclusion Repetitive in utero exposure to strong static magnetic fields does not impair fertility but may have a parental-dependent effect on fetal programming with regard to placental development and fetal growth. J. Magn. Reson. Imaging 2014;39:683-690. © 2013 Wiley Periodicals, Inc. Copyright © 2013 Wiley Periodicals, Inc. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) fertility magnetic field nuclear magnetic resonance imaging placenta weight prenatal development EMTREE MEDICAL INDEX TERMS adulthood animal experiment article controlled study female germ cell litter size male mouse nonhuman ovary function pregnancy pregnancy rate prenatal exposure priority journal progeny semen analysis spermatozoon count EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Radiology (14) Urology and Nephrology (28) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2014125425 MEDLINE PMID 24123570 (http://www.ncbi.nlm.nih.gov/pubmed/24123570) PUI L52822829 DOI 10.1002/jmri.24208 FULL TEXT LINK http://dx.doi.org/10.1002/jmri.24208 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 97 TITLE Childbirth fear in Swedish fathers is associated with parental stress as well as poor physical and mental health AUTHOR NAMES Hildingsson I. Haines H. Johansson M. Rubertsson C. Fenwick J. AUTHOR ADDRESSES (Hildingsson I.) Mid Sweden University, Department of Nursing, Holmgatan 10, SE-85170 Sundsvall, Sweden; Uppsala University, Department of Women's and Children's Health, Uppsala, Sweden; Karolinska Institutet, Department of Women's and Children's Health, Sweden. Electronic address: ingeegerd.hildingsson@miun.se (Haines H.) Uppsala University, Department of Women's and Children's Health, Uppsala, Sweden; Melbourne Medical School, Rural Health Academic Centre, The University of Melbourne, Australia; Northeast Health Wangaratta, Education and Research Unit, Australia (Johansson M.) Södersjukhuset, Stockholm, Sweden (Rubertsson C.) Uppsala University, Department of Women's and Children's Health, Uppsala, Sweden (Fenwick J.) School of Nursing and Midwifery, Maternity and Family, Centre for Health Practice Innovation (HPI), Griffith Health Institute, Griffith University, Australia SOURCE Midwifery (2014) 30:2 (248-254). Date of Publication: 1 Feb 2014 ISSN 1532-3099 (electronic) ABSTRACT OBJECTIVE: to compare self-rated health and perceived difficulties during pregnancy as well as antenatal attendance, birth experience and parental stress in fathers with and without childbirth related fear.DESIGN: a longitudinal regional survey. Data were collected by three questionnaires.SETTING: three hospitals in the middle-north part of Sweden.PARTICIPANTS: 1047 expectant fathers recruited in mid-pregnancy and followed up at two months and one year after birth.MEASUREMENTS: childbirth fear was assessed using the Fear of Birth Scale (FOBS). Self-rated physical and mental health and perceived difficulties were assessed in mid pregnancy. Two months after birth antenatal attendance, mode of birth and the birth experience were investigated. Parental stress was measured using the Swedish Parental Stress Questionnaire (SPSQ). Crude and adjusted odds ratios were calculated between expectant fathers who scored 50 and above (childbirth fear) and those that did not (no fear).FINDINGS: expectant fathers with childbirth related fear (13.6%) reported poorer physical (OR 1.8; 95% CI 1.2-2.8) and mental (OR 3.0; 1.8-5.1) health than their non-fearful counterparts. The fearful fathers were more likely to perceive difficulties in pregnancy (OR 2.1; 1.4-3.0), and the forthcoming birth (OR 4.3; 2.9-6.3) compared to fathers without childbirth fear. First-time fathers with fear attended fewer antenatal classes. Fathers with high fear reported higher mean scores in four of the five subscales of the SPSQ. Childbirth related fear was not associated with mode of birth or fathers' birth experience.KEY CONCLUSIONS: expectant fathers with childbirth related fear had poorer health, viewed the pregnancy, birth and the forthcoming parenthood with more difficulties. They were less often present during antenatal classes and had higher parental stress.IMPLICATIONS FOR PRACTICE: this study provides insight into the health of expectant fathers during pregnancy and highlights the importance of understanding how childbirth fear may affect expectant fathers in both the short and longer term. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father fear mental stress psychology EMTREE MEDICAL INDEX TERMS adolescent adult birth clinical trial comparative study female human longitudinal study male mental disease middle aged midwife multicenter study perinatal care pregnancy questionnaire Sweden young adult LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 24445076 (http://www.ncbi.nlm.nih.gov/pubmed/24445076) PUI L606830662 DOI 10.1016/j.midw.2013.12.012 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2013.12.012 COPYRIGHT Copyright 2015 Medline is the source for the citation and abstract of this record. RECORD 98 TITLE The prenatal experience: Perspectives of adolescent/ young adult couples AUTHOR NAMES Wiemann C.M. Smith P.B. Peskin M.F. Kozinetz C.A. Buzi R.S. AUTHOR ADDRESSES (Wiemann C.M.) Adolescent Medicine/Sports Medicine, Baylor College of Medicine, United States. (Smith P.B.; Kozinetz C.A.) Baylor College of Medicine, United States. (Peskin M.F.) University of Texas, School of Public Health - Houston, United States. (Buzi R.S.) Population Program, Baylor College of Medicine, United States. CORRESPONDENCE ADDRESS C.M. Wiemann, Adolescent Medicine/Sports Medicine, Baylor College of Medicine, United States. SOURCE Journal of Adolescent Health (2014) 54:2 SUPPL. 1 (S34). Date of Publication: February 2014 CONFERENCE NAME 2014 Annual Meeting of the Society for Adolescent Health and Medicine, SAHM 2014 CONFERENCE LOCATION Austin, TX, United States CONFERENCE DATE 2014-03-23 to 2014-03-26 ISSN 1054-139X BOOK PUBLISHER Elsevier USA ABSTRACT Purpose: Prenatal care programs for low-income pregnant adolescents/young adults that engage male partners may increase long-term male involvement as a parent and partner, leading to improved mental health and economic outcomes for mother and child. This study sought to understand, from the perspective of pregnant adolescents/young adults and male partners, the perceived benefits of participating in a group-based prenatal care program, and obtain input about possible modifications that could strengthen engagement in community-based programs. Methods: Focus groups included English-speaking adolescents/ young adults and their partners who participated in a previous group-based prenatal program. Groups were held at a communitybased reproductive health clinic serving primarily low income, minority adolescents/young adults. Written parental consent was obtained for those < 18 years of age. Focus groups lasted 1.5-2.0 hours, a meal was provided and participants received a gift card worth $40. Groups were conducted by two investigators (CW, RB) using a question guide and tape-recorded. Audiotapes were transcribed and verified. Five investigators independently reviewed/ coded all transcripts, using an interpretative phenomenological approach. This involved four connected and overlapping steps: familiarization with the text, identification of preliminary themes, grouping themes as clusters, and tabulating final themes in a summary table. Results: 29 adolescent/young adults participated in 4 focus groups: 12 African-Americans, 15 Latinos and 2 Caucasians; 13 males and 16 females, averaging 23.1 (range 17-36) and 20.6 (range 17-23) years, respectively. Several broad themes, with distinct male and female perspectives, emerged: male involvement; couple communication; opportunities to share experiences and learn from others; and the importance of finances. Males were more likely to attend if told to do so by a male facilitator (repeatedly, if necessary, to demonstrate “that they care”) and if they knew they would be around other males. Providing additional resources, such as help with job placement or school completion, allowed male partners to connect to the program and feel like they could take responsibility as a parent/provider. Group sessions on birth control options, pregnancy mood swings and couple relationships helped many couples mature and strengthen their ability to communicate, skills that ultimately helped them through the more difficult times and provided a basis for informed birth control decisions. It was important to be in a group where they could learn from other pregnant teens and partners. Males wanted a chance to have their own group, where they could talk about their own stuff, learn how to handle things the “man” way. The receipt of gift cards to help pay for gas/food made a big difference in their ability to travel to group sessions. At times, the gift card was their only source of income and the group meal only source of food. Conclusions: Pregnant adolescents/young adults and their male partners perceived many important benefits of participating in a group-based prenatal care program. A combination of male role models, financial assistance and being around other couples greatly enhanced the male experience and increased engagement in providing support to females. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adolescent health society young adult EMTREE MEDICAL INDEX TERMS adult African American birth control child community female finance food health center Hispanic human income information processing interpersonal communication lowest income group male mental health model mood mother parent parental consent pregnancy prenatal care reproductive health responsibility school skill speech travel work LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71380903 DOI 10.1016/j.jadohealth.2013.10.081 FULL TEXT LINK http://dx.doi.org/10.1016/j.jadohealth.2013.10.081 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 99 TITLE Male involvement during pregnancy and childbirth: Men's perceptions, practices and experiences during the care for women who developed childbirth complications in Mulago Hospital, Uganda AUTHOR NAMES Kaye D.K. Kakaire O. Nakimuli A. Osinde M.O. Mbalinda S.N. Kakande N. AUTHOR ADDRESSES (Kaye D.K., dankkaye@yahoo.com; Kakaire O., othmankakaire@gmail.com; Nakimuli A., annettee.nakimuli@gmail.com) Department of Obstetrics and Gynecology, School of Medicine, College of Health Sciences, Makerere University, P.O. Box 7072, Kampala, Uganda. (Osinde M.O., omoggg@yahoo.com) Department of Obstetrics and Gynecology, Jinja Regional Hospital, Jinja, Uganda. (Mbalinda S.N., snmbalinda@gmail.com) Department of Nursing, School of Health Sciences, College of Health Sciences, Makerere University, P.O. Box 7072, Kampala, Uganda. (Kakande N., kakandeivan@yahoo.com) Clinical, Operations and Health Services Research Program, Joint Clinical Research Centre, P. O. Box 10005, Kampala, Uganda. CORRESPONDENCE ADDRESS D.K. Kaye, Department of Obstetrics and Gynecology, School of Medicine, College of Health Sciences, Makerere University, P.O. Box 7072, Kampala, Uganda. Email: dankkaye@yahoo.com SOURCE BMC Pregnancy and Childbirth (2014) 14:1 Article Number: 54. Date of Publication: 31 Jan 2014 ISSN 1471-2393 (electronic) BOOK PUBLISHER BioMed Central Ltd., Floor 6, 236 Gray's Inn Road, London, United Kingdom. ABSTRACT Background: Development of appropriate interventions to increase male involvement in pregnancy and childbirth is vital to strategies for improving health outcomes of women with obstetric complications. The objective was to gain a deeper understanding of their experiences of male involvement in their partners' healthcare during pregnancy and childbirth. The findings might inform interventions for increasing men's involvement in reproductive health issues.Methods: We conducted 16 in-depth interviews with men who came to the hospital to attend to their spouses/partners admitted to Mulago National Referral Hospital. All the spouses/partners had developed severe obstetric complications and were admitted in the high dependency unit. We sought to obtain detailed descriptions of men's experiences, their perception of an ideal " father" and the challenges in achieving this ideal status. We also assessed perceived strategies for increasing male participation in their partners' healthcare during pregnancy and childbirth. Data was analyzed by content analysis.Results: The identified themes were: Men have different descriptions of their relationships; responsibility was an obligation; ideal fathers provide support to mothers during childbirth; the health system limits male involvement in childbirth; men have no clear roles during childbirth, and exclusion and alienation in the hospital environment. The men described qualities of the ideal father as one who was available, easily reached, accessible and considerate. Most men were willing to learn about their expected roles during childbirth and were eager to support their partners/wives/spouses during this time. However, they identified personal, relationship, family and community factors as barriers to their involvement. They found the health system unwelcoming, intimidating and unsupportive. Suggestions to improve men's involvement include creating more awareness for fathers, male-targeted antenatal education and support, and changing provider attitudes.Conclusions: This study generates information on perceived roles, expectations, experiences and challenges faced by men who wish to be involved in maternal health issues, particularly during pregnancy and childbirth. There is discord between the policy and practice on male involvement in pregnancy and childbirth. Health system factors that are critical to promoting male involvement in women's health issues during pregnancy and childbirth need to be addressed. © 2014 Kaye et al.; licensee BioMed Central Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth comprehension maternal care paternal attitude personal experience pregnancy complication (complication) EMTREE MEDICAL INDEX TERMS alienation article awareness health care system hospital human interview male responsibility social interaction Uganda EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2014098294 MEDLINE PMID 24479421 (http://www.ncbi.nlm.nih.gov/pubmed/24479421) PUI L52990756 DOI 10.1186/1471-2393-14-54 FULL TEXT LINK http://dx.doi.org/10.1186/1471-2393-14-54 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 100 TITLE Integrating couple relationship education in antenatal education - A study of perceived relevance among expectant Danish parents AUTHOR NAMES Axelsen S.F. Brixval C.S. Due P. Koushede V. AUTHOR ADDRESSES (Axelsen S.F.; Brixval C.S.; Due P.; Koushede V., vibe@niph.dk) National Institute of Public Health, University of Southern Denmark, Denmark. CORRESPONDENCE ADDRESS V. Koushede, National Institute of Public Health, University of Southern Denmark, Denmark. SOURCE Sexual and Reproductive Healthcare (2014) 5:4 (174-175). Date of Publication: 2014 ISSN 1877-5764 (electronic) 1877-5756 BOOK PUBLISHER Elsevier ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) antenatal education couple relationship education expectant parent parenting education prenatal care EMTREE MEDICAL INDEX TERMS article breast feeding education child parent relation childbirth communication skill controlled study Denmark education program female gestational age happiness human learning male outcome assessment postnatal care pregnancy priority journal psychosocial care puerperium randomized controlled trial EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2014724512 MEDLINE PMID 25433826 (http://www.ncbi.nlm.nih.gov/pubmed/25433826) PUI L53222954 DOI 10.1016/j.srhc.2014.06.006 FULL TEXT LINK http://dx.doi.org/10.1016/j.srhc.2014.06.006 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 101 TITLE Harmful alcohol use as a predictor of intimate partner violence during the transition to parenthood: Interdependent and interactive effects AUTHOR NAMES Woodin E.M. Caldeira V. Sotskova A. Galaugher T. Lu M. AUTHOR ADDRESSES (Woodin E.M., ewoodin@uvic.ca; Caldeira V.; Sotskova A.; Galaugher T.; Lu M.) Department of Psychology, University of Victoria, Victoria, BC, Canada. (Woodin E.M., ewoodin@uvic.ca) Centre for Addictions Research of British Columbia, Victoria, BC, Canada. CORRESPONDENCE ADDRESS E.M. Woodin, Department of Psychology, University of Victoria, PO Box 3050, STN CSC, Victoria, BC V8W 3P5, Canada. Email: ewoodin@uvic.ca SOURCE Addictive Behaviors (2014) 39:12 (1890-1897). Date of Publication: December 2014 ISSN 1873-6327 (electronic) 0306-4603 ABSTRACT Harmful alcohol use is known to increase the risk of intimate partner violence (IPV), however very little is known about the role of alcohol use during the transition to parenthood. The current study was designed to examine harmful alcohol use as a dyadic and interactive time-varying risk factor for psychological and physical IPV across the transition to parenthood using a sample of 98 couples assessed prenatally and again at one and two years postpartum. Longitudinal actor-partner interdependence models demonstrated that changes in harmful alcohol use during the transition to parenthood were significantly related to changes in psychological IPV for both men and women and with physical IPV for men only, whereas harmful alcohol use was actually negatively related to variations in women's physical IPV. Partners' harmful use of alcohol during the transition to parenthood also explained additional variance in psychological IPV for men and physical IPV for women over time. Time-varying interactions between actors' and partners' harmful alcohol use were additionally predictive of greater psychological IPV for women and greater physical IPV for both men and women. Contrary to some past research, time-varying discrepancies in levels of harmful alcohol use between men and women were related to a lower risk of psychological IPV for women and physical IPV for both genders. Findings from this study indicate that harmful alcohol use by both men and women combines in a dyadic and interactive manner to place couples at risk for IPV during the transition to parenthood. Prenatal interventions may benefit from strategies to reduce the harmful use of alcohol by both men and women during the prenatal and postpartum periods. © 2014 Elsevier Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) alcohol consumption harmful alcohol use parenthood partner violence EMTREE MEDICAL INDEX TERMS adult article Canada controlled study female human human experiment male normal human outcome variable puerperium risk factor sex difference third trimester pregnancy time EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2014555832 MEDLINE PMID 25150656 (http://www.ncbi.nlm.nih.gov/pubmed/25150656) PUI L373792727 DOI 10.1016/j.addbeh.2014.07.033 FULL TEXT LINK http://dx.doi.org/10.1016/j.addbeh.2014.07.033 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 102 TITLE Psychosocial adjustment of couples to first-time parenthood at advanced maternal age: an exploratory longitudinal study AUTHOR NAMES Guedes M. Canavarro M.C. AUTHOR ADDRESSES (Guedes M., maryseguedes@gmail.com; Canavarro M.C.) University of Coimbra, Portugal. (Canavarro M.C.) Unit of Psychological Intervention, Maternity Dr. Daniel de Matos, Centro Hospitalar e Universitário de Coimbra, Portugal. CORRESPONDENCE ADDRESS M. Guedes, University of Coimbra, Portugal. SOURCE Journal of Reproductive and Infant Psychology (2014) 32:5 (425-440). Date of Publication: 30 Oct 2014 ISSN 1469-672X (electronic) 0264-6838 BOOK PUBLISHER Routledge, info@tandf.co.uk ABSTRACT Objective: This study aimed to describe the psychosocial adjustment of primiparous women of advanced age and their partners (AMA group) compared to their younger counterparts (comparison group) from the third trimester of pregnancy to six months postpartum and to explore the psychosocial adjustment of the AMA group, depending on infertility history. Background: First-time parenthood at advanced maternal age (AMA) is a growing reproductive trend; however, few longitudinal studies have explored the psychosocial adjustment of couples from pregnancy to the first postpartum months, considering the distinct trajectories that precede this reproductive behaviour. Methods: Fifty-eight couples in the AMA group (≥35 years at the time of delivery) and 41 couples in the comparison group (20–34 years) were consecutively recruited in a Portuguese urban referral hospital. Both partners responded to the Brief Symptom Inventory-18, the EUROHIS-QoL-8 and the Dyadic Adjustment Scale – Revised during the third trimester of pregnancy (T1), at one month (T2) and six months postpartum (T3). Couples also completed visual analogue scales to assess parenting difficulty, competence and gratification at T2 and T3. Results: The psychosocial adjustment of the AMA group and the comparison group over time was more similar than different. Within the AMA group, perceived parenting difficulty decreased over time for previously infertile couples but remained stable for previously fertile couples. Conclusion: Healthcare providers should avoid stereotypical views and normalise the psychosocial adjustment over the transition to first-time parenthood at AMA. Antenatal psychoeducational interventions should promote realistic expectations about the demands of early parenting, especially among previously infertile couples. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) maternal age parenthood social psychology EMTREE MEDICAL INDEX TERMS adult anxiety article Brief Symptom Inventory controlled study depression Dyadic Adjustment Scale european health interview survey quality of life female health care personnel human infertility Likert scale longitudinal study male marriage primipara puerperium quality of life questionnaire third trimester pregnancy visual analog scale EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2014861689 PUI L600298773 DOI 10.1080/02646838.2014.962015 FULL TEXT LINK http://dx.doi.org/10.1080/02646838.2014.962015 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 103 TITLE First-time fathers' expectations and experiences of childbirth in relation to age AUTHOR NAMES Schytt E. Bergström M. AUTHOR ADDRESSES (Schytt E., erica.schytt@ki.se; Bergström M.) Department of Women's and Children's Health, Division of Reproductive and Perinatal Health, Karolinska Institutet, Stockholm, Sweden; Centre for Clinical Research Dalarna, Falun, Sweden. Electronic address: SOURCE Midwifery (2014) 30:1 (82-88). Date of Publication: 1 Jan 2014 ISSN 1532-3099 (electronic) ABSTRACT OBJECTIVE: to investigate first-time fathers' expectations and experiences of childbirth and satisfaction with care in relation to paternal age.DESIGN: data from a randomised controlled trial of antenatal education were used for secondary analysis. Data were collected by questionnaires in mid-pregnancy and at three months after the birth. Comparisons by χ(2)-tests and Student's t-tests were made between men in three age groups: young men aged ≤27 years (n=188), men of average age 28-33 years (n=389) and men of advanced age ≥34 years (n=200).SETTING: the expectant fathers were recruited from 15 antenatal clinics spread over Sweden.PARTICIPANTS: 777 first-time fathers.FINDINGS: antenatal expectations and postnatal memory of the childbirth experience varied by paternal age. In mid-pregnancy, mixed or negative feelings about the upcoming birth were more prevalent in men of advanced age (29%) compared with men of average (26%) and young (18%) age (p<0.01), and they feared the event more than the youngest (mean on the Wijma Delivery Expectancy Questionnaire: advanced age 43.3; average age 42.9; young 38.7; p<0.01). The older men also assessed their partner's labour and birth as more difficult (advanced age 43%; average age 41%; young 32%; p=0.05) and had a less positive overall birth experience (advanced age 30%; average age 36%; young 43%; p<0.05). However, older fathers were more satisfied with care given during the intrapartum period: 52% were overall satisfied compared with 46% of the men of average age and 39% of young age (p=0.03).KEY CONCLUSIONS: men of advanced age had more fearful and negative expectations during their partner's pregnancies and postnatally assessed the births as less positive and more difficult than younger men did. Despite this, older men were more satisfied with intrapartum care.IMPLICATIONS FOR PRACTICE: knowledge about age-related differences in the expectations and experiences of first-time fathers may help midwives and doctors give more individualised information and support, with special attention to older men's expectations and experiences of the birth as such, and to younger men's perception of care. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health father paternal behavior psychology EMTREE MEDICAL INDEX TERMS adult age birth female human male middle aged midwife postnatal care pregnancy prenatal care questionnaire Sweden LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 23477742 (http://www.ncbi.nlm.nih.gov/pubmed/23477742) PUI L606899412 DOI 10.1016/j.midw.2013.01.015 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2013.01.015 COPYRIGHT Copyright 2015 Medline is the source for the citation and abstract of this record. RECORD 104 TITLE Improving prenatal education and support in gillette, wyoming AUTHOR NAMES Shickich M. AUTHOR ADDRESSES (Shickich M.) University of Washington, School of Medicine, Seattle, United States. CORRESPONDENCE ADDRESS M. Shickich, University of Washington, School of Medicine, Seattle, United States. SOURCE Journal of Investigative Medicine (2014) 62:1 (164). Date of Publication: January 2014 CONFERENCE NAME American Federation for Medical Research Western Regional Meeting, AFMR 2014 CONFERENCE LOCATION Carmel, CA, United States CONFERENCE DATE 2014-01-23 to 2014-01-25 ISSN 1081-5589 BOOK PUBLISHER Lippincott Williams and Wilkins ABSTRACT Purpose of Study: Gillette is coal-mining town in Northeast Wyoming. Home to many young individuals in their peak reproductive years, Gillette has a birth rate double the national average. With a large transient population due to the mines, many young, pregnant couples arrive with limited knowledge of local resources, limited social support, and little to no health insurance. Under-resourced pregnant women in the community face additional challenges including costly prenatal care, lack of sliding scale fee clinics, and complicated federal assistance applications. Local programs exist to help women navigate these obstacles, but are underutilized. This project sought to connect under-resourced pregnant women to basic prenatal education, local prenatal resources, and social support. Methods Used: Guided by the relevant literature, and in partnership with the Public Health Department, a community gathering was designed to educate under-resourced women about pregnancy basics and local support services, and assist in building social support. The event was advertised with fliers at locations frequented by the target population and was hosted at two times to decrease barriers to attendance. The semi-structured talk was modeled after the successful “Centering Pregnancy” concept that utilizes interactive group prenatal education and incorporated adult learning theory. Summary of Results: Hosted at the local Public Health Department in partnership with the Department's prenatal program, the talk included an educational handout and a presentation guiding an interactive session. The talk was facilitated with an emphasis on group discussion. The six attendees were primarily local nurses and public health staff who obtained information about prenatal care resources for their clients. To ensure that the information reached the target population, all presentation materials were made available for attendees to distribute to their clients. Conclusions: Gillette is home to many pregnant women with multiple barriers to prenatal care. Many of these barriers prevented the target population from attending an event designed for them. As such, the talk was redirected to the population in attendance. Local health providers engaged in a lively discussion surrounding prenatal care in the community. The target population was reached indirectly through the education and engagement of health providers. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education medical research United States EMTREE MEDICAL INDEX TERMS adult birth rate city coal mining community education female health health insurance hospital human learning theory nurse population pregnancy pregnant woman prenatal care public health public health service social support LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71391330 DOI 10.231/JIM.0000000000000033 FULL TEXT LINK http://dx.doi.org/10.231/JIM.0000000000000033 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 105 TITLE Pilot early intervention antenatal group program for pregnant women with anxiety and depression AUTHOR NAMES Thomas N. Komiti A. Judd F. AUTHOR ADDRESSES (Thomas N.; Komiti A.; Judd F., fionakj@unimelb.edu.au) Centre for Women’s Mental Health, Royal Women’s Hospital, Locked Bag 300, Parkville, Australia. (Komiti A.; Judd F., fionakj@unimelb.edu.au) Department of Psychiatry, University of Melbourne, Parkville, Australia. CORRESPONDENCE ADDRESS F. Judd, Centre for Women’s Mental Health, Royal Women’s Hospital, Locked Bag 300, Parkville, Australia. SOURCE Archives of Women's Mental Health (2014) 17:6 (503-509). Date of Publication: 20 Nov 2014 ISSN 1435-1102 (electronic) 1434-1816 BOOK PUBLISHER Springer-Verlag Wien, michaela.bolli@springer.at ABSTRACT 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. EMTREE DRUG INDEX TERMS psychotropic agent EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) anxiety depression early intervention EMTREE MEDICAL INDEX TERMS adult article assessment of humans awareness behavior therapy centre of epidemiological study depression scale clinical article condon maternal antenatal attachment scale disease severity Edinburgh Postnatal Depression Scale effect size family female gestational age health program human mental health care motivation pilot study pregnant woman psychiatric diagnosis psychoeducation questionnaire relapse satisfaction State Trait Anxiety Inventory EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2014710612 MEDLINE PMID 25074561 (http://www.ncbi.nlm.nih.gov/pubmed/25074561) PUI L53269305 DOI 10.1007/s00737-014-0447-2 FULL TEXT LINK http://dx.doi.org/10.1007/s00737-014-0447-2 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 106 TITLE Melatonin attenuates prenatal dexamethasone-induced blood pressure increase in a rat model AUTHOR NAMES Tain Y.-L. Chen C.-C. Sheen J.-M. Yu H.-R. Tiao M.-M. Kuo H.-C. Huang L.-T. AUTHOR ADDRESSES (Tain Y.-L.; Chen C.-C.; Sheen J.-M.; Yu H.-R.; Tiao M.-M.; Kuo H.-C.; Huang L.-T., litung.huang@gmail.com) Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital, 123 Dabi Rd, Niausung, Kaohsiung 833, Taiwan. (Tain Y.-L.) Center for Translational Research in Biomedical Sciences, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University, Kaohsiung, Taiwan. (Huang L.-T., litung.huang@gmail.com) Department of Traditional Chinese Medicine, Chang Gung University, Linkow, Taiwan. CORRESPONDENCE ADDRESS L.-T. Huang, Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital, 123 Dabi Rd, Niausung, Kaohsiung 833, Taiwan. Email: litung.huang@gmail.com SOURCE Journal of the American Society of Hypertension (2014) 8:4 (216-226). Date of Publication: April 2014 ISSN 1878-7436 (electronic) 1933-1711 BOOK PUBLISHER Elsevier Ireland Ltd ABSTRACT Although antenatal corticosteroid is recommended to accelerate fetal lung maturation, prenatal dexamethasone exposure results in hypertension in the adult offspring. Since melatonin is a potent antioxidant and has been known to regulate blood pressure, we examined the beneficial effects of melatonin therapy in preventing prenatal dexamethasone-induced programmed hypertension. Male offspring of Sprague-Dawley rats were assigned to four groups (n = 12/group): control, dexamethasone (DEX), control + melatonin, and DEX + melatonin. Pregnant rats received intraperitoneal dexamethasone (0.1 mg/kg) from gestational day 16 to 22. In the melatonin-treatment groups, rats received 0.01% melatonin in drinking water during their entire pregnancy and lactation. Blood pressure was measured by an indirect tail-cuff method. Gene expression and protein levels were analyzed by real-time quantitative polymerase chain reaction and Western blotting, respectively. At 16 weeks of age, the DEX group developed hypertension, which was partly reversed by maternal melatonin therapy. Reduced nephron numbers due to prenatal dexamethasone exposure were prevented by melatonin therapy. Renal superoxide and NO levels were similar in all groups. Prenatal dexamethasone exposure led to increased mRNA expression of renin and prorenin receptor and up-regulated histone deacetylase (HDAC)-1 expression in the kidneys of 4-month-old offspring. Maternal melatonin therapy augmented renal Mas protein levels in DEX + melatonin group, and increased renal mRNA expression of HDAC-1, HDAC-2, and HDAC-8 in control and DEX offspring. Melatonin attenuated prenatal DEX-induced hypertension by restoring nephron numbers, altering RAS components, and modulating HDACs. © 2014 American Society of Hypertension. All rights reserved. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) dexamethasone (drug toxicity, intraperitoneal drug administration) melatonin (drug therapy) EMTREE DRUG INDEX TERMS 6 n,n' dimethylarginine (endogenous compound) arginine (endogenous compound) citrulline (endogenous compound) drinking water histone deacetylase 1 (endogenous compound) histone deacetylase 2 (endogenous compound) histone deacetylase 8 (endogenous compound) n(g),n(g) dimethylarginine (endogenous compound) nitric oxide (endogenous compound) prorenin receptor (endogenous compound) renin (endogenous compound) superoxide (endogenous compound) unclassified drug EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) hypertension (drug therapy, drug therapy, prevention) EMTREE MEDICAL INDEX TERMS animal experiment animal model article blood level blood pressure measurement controlled study drug exposure female gene expression lactation male nephron nonhuman pregnancy prenatal exposure priority journal rat upregulation CAS REGISTRY NUMBERS arginine (1119-34-2, 15595-35-4, 7004-12-8, 74-79-3) citrulline (372-75-8) dexamethasone (50-02-2) melatonin (73-31-4) n(g),n(g) dimethylarginine (30315-93-6) nitric oxide (10102-43-9) renin (61506-93-2, 9015-94-5) superoxide (11062-77-4) EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Cardiovascular Diseases and Cardiovascular Surgery (18) Clinical and Experimental Biochemistry (29) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2014258782 MEDLINE PMID 24731552 (http://www.ncbi.nlm.nih.gov/pubmed/24731552) PUI L372835083 DOI 10.1016/j.jash.2014.01.009 FULL TEXT LINK http://dx.doi.org/10.1016/j.jash.2014.01.009 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 107 TITLE Observed coparenting and triadic dynamics in african american fragile families at 3 months' postpartum AUTHOR NAMES Mchale J.P. Coates E.E. AUTHOR ADDRESSES (Mchale J.P., jmchale@mail.usf.edu) University of South Florida, St. Petersburg, United States. (Coates E.E.) University of South Florida, Tampa, United States. CORRESPONDENCE ADDRESS J.P. Mchale, Department of Psychology, University of South Florida St. Petersburg, 140 Seventh Avenue South, St. Petersburg, United States. SOURCE Infant Mental Health Journal (2014) 35:5 (435-451). Date of Publication: 2014 ISSN 1097-0355 (electronic) 0163-9641 BOOK PUBLISHER John Wiley and Sons Inc., P.O.Box 18667, Newark, United States. ABSTRACT This report examines coparenting and triadic interactions in 19 unmarried, first-time African American families as fathers, mothers, and 3-month-old infants navigated the Lausanne Trilogue Play (LTP; E. Fivaz-Depeursinge & A. Corboz-Warnery, 1999). Parents in 10 of the 19 families reported coresidence at the time of the 3-month assessment, and the other 9 sets of coparents lived apart. All participating families had taken part in a prenatal intervention emphasizing the importance of father engagement in children's lives, and in all families, parents reported episodic to regular father contact with the children at 3 months. Analyses of LTP sessions revealed that 9 of the 19 families exhibited high levels of coparenting solidarity-cooperation and family warmth accompanied by low levels of coparenting competition and disengagement. Among the remaining 10 families, competitiveness (verbal sparring, interference) and/or disengagement (repeated, episodic absenting by one or both parents from the ongoing interaction) signaled strain and challenges to solidarity. Differences between the higher and lower solidarity groups were found in father-reported relationship rapport. However, coresidentiality versus noncoresidentiality of the parents did not distinguish high- from low-solidarity groups. A case analysis of one family's triadic session is presented to elucidate the rich potential for clinical intervention in triadic work with fragile family systems. Implications of the study and its findings for theory, research, and clinical work with unmarried fathers and families, along with limits of the study design and generalizability of findings, are discussed. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) family interaction parenthood puerperium EMTREE MEDICAL INDEX TERMS adolescent adult African American article child parent relation clinical assessment competition family family functioning father female human human experiment infant male mother parent prenatal period EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) Pediatrics and Pediatric Surgery (7) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English, French, German, Spanish EMBASE ACCESSION NUMBER 2014839067 MEDLINE PMID 25798494 (http://www.ncbi.nlm.nih.gov/pubmed/25798494) PUI L600211875 DOI 10.1002/imhj.21473 FULL TEXT LINK http://dx.doi.org/10.1002/imhj.21473 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 108 TITLE Impact of community-based surveillance and monitoring on maternal and neonatal health-seeking and utilization behaviors of women living in urban slums AUTHOR NAMES Dyalchand A. AUTHOR ADDRESSES (Dyalchand A.) Institute of Health Management Pachod, Aurangabad, Maharashtra, India. CORRESPONDENCE ADDRESS A. Dyalchand, Institute of Health Management Pachod, Aurangabad, Maharashtra, India. SOURCE Annals of Global Health (2014) 80:3 (226-227). Date of Publication: May-June 2014 CONFERENCE NAME 5th Annual CUGH Conference: Universities 2.0: Advancing Global Health in the Post-MDG Era CONFERENCE LOCATION Washington, DC, United States CONFERENCE DATE 2014-05-10 to 2014-05-12 ISSN 2214-9996 BOOK PUBLISHER Elsevier USA ABSTRACT Background: About 900,000 community health workers (ASHAs) have been recruited in India to assess the health needs of households and facilitate an effective response by the health system to address identified health needs of the community. However, they have not been provided with culturally appropriate systems or the requisite capacity to achieve this objective. Structure/Method/Design: Study Design and Methodology: Change in the clients' health-seeking behavior was assessed by: 1) Comparing health utilization behavior in the last pregnancy (occurring in the last 1 year after the surveillance and monitoring system was introduced) with the previous pregnancy (prior to introduction of the surveillance and monitoring system). 2) Comparing service utilization behavior across levels of exposure to surveillance and monitoring. The levels of exposure to surveillance and monitoring were categorized as high, low, and none. Sample size: The sample size for this study was 200 recently delivered mothers. Results (Scientific Abstract)/Collaborative Partners (Programmatic Abstract): Antenatal Care: There was a significant increase in early registration for antenatal care ( ≤12 weeks) and a significant association was observed between exposure to surveillance and early registration (P = 0.000). A significant increase was observed in the utilization of minimum, standard antenatal care services among women who received? ≤4 surveillance visits as compared to those who had received ≤3 surveillance visits (P = 0.000). Antenatal complications and treatment: There was a significant increase in the number of respondents reporting at least one antenatal complication in the last pregnancy as compared to the previous one (P = 0.000). Early detection and treatment of antenatal complications increased significantly among those who had a “high” level of exposure to surveillance (P = 0.048). Intranatal care: A significant reduction in home deliveries was observed in the last pregnancy as compared with the previous one, which was significantly associated with the number of surveillance visits. (P = 0.000). Neonatal care: An increase in early treatment for neonatal complications was observed in the last pregnancy as compared to the previous one. There was a significant increase in the proportion of women who sought treatment for neonatal complications within 24 hours of their onset (P = 0.000). Summary/Conclusion: Several developing countries employ community health workers to modify health-seeking behaviors, generate demand for health services, and link beneficiaries with the health system. If community health workers undertake monthly surveillance and monitoring it can result in a significant increase in the utilization of services, effective coverage of pregnant women with standard maternal and neonatal health services, and effective and timely referral for those who need specialist care. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) community female health human monitoring university EMTREE MEDICAL INDEX TERMS developing country exposure health auxiliary health care health service home delivery household India medical specialist methodology mother newborn care pregnancy pregnant woman prenatal care registration sample size study design LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71820513 COPYRIGHT Copyright 2015 Elsevier B.V., All rights reserved. RECORD 109 TITLE Using intervention mapping to develop a culturally appropriate intervention to prevent childhood obesity: The HAPPY (Healthy and Active Parenting Programme for Early Years) study AUTHOR NAMES Taylor N.J. Sahota P. Sargent J. Barber S. Loach J. Louch G. Wright J. AUTHOR ADDRESSES (Taylor N.J., natalie.taylor@unsw.edu.au; Sahota P., p.sahota@leedsmet.ac.uk; Sargent J., judith.sargent@barnardos.org.uk; Barber S., sally.barber@bthft.nhs.uk; Loach J., jackie.loach@bthft.nhs.uk; Louch G., ps06gl@leeds.ac.uk; Wright J., john.wright@bthft.nhs.uk) Bradford Institute of Health Research, Bradford Teaching Hospitals NHS Trust, Bradford BD9 6RJ, United Kingdom. (Taylor N.J., natalie.taylor@unsw.edu.au) Australian Institute of Health Innovation Faculty of Medicine, University of New South Wales, SYDNEY NSW 2052, United Kingdom. (Sahota P., p.sahota@leedsmet.ac.uk) Nutrition and Dietetics, Leeds Metropolitan University, Leeds LS1 3HE, United Kingdom. (Sahota P., p.sahota@leedsmet.ac.uk) School of Health and Wellbeing Faculty of Health and Social Sciences, Leeds Metropolitan University City Campus, Calverley Street, Leeds LS1 3HE, United Kingdom. CORRESPONDENCE ADDRESS N.J. Taylor, Bradford Institute of Health Research, Bradford Teaching Hospitals NHS Trust, Bradford BD9 6RJ, United Kingdom. Email: natalie.taylor@unsw.edu.au SOURCE International Journal of Behavioral Nutrition and Physical Activity (2013) 10 Article Number: 142. Date of Publication: 28 Dec 2013 ISSN 1479-5868 (electronic) BOOK PUBLISHER BioMed Central Ltd., Floor 6, 236 Gray's Inn Road, London, United Kingdom. ABSTRACT Introduction: Interventions that make extensive use of theory tend to have larger effects on behaviour. The Intervention Mapping (IM) framework incorporates theory into intervention design, implementation and evaluation, and was applied to the development of a community-based childhood obesity prevention intervention for a multi-ethnic population. Methods: IM was applied as follows: 1) Needs assessment of the community and culture; consideration of evidence-base, policy and practice; 2) Identification of desired outcomes and change objectives following identification of barriers to behaviour change mapped alongside psychological determinants (e.g. knowledge, self-efficacy, intention); 3) Selection of theory-based methods and practical applications to address barriers to behaviour change (e.g., strategies for responsive feeding); 4) Design of the intervention by developing evidence-based interactive activities and resources (e.g., visual aids to show babies stomach size). The activities were integrated into an existing parenting programme; 5) Adoption and implementation: parenting practitioners were trained by healthcare professionals to deliver the programme within Children Centres.Results: HAPPY (Healthy and Active Parenting Programme for Early Years) is aimed at overweight and obese pregnant women (BMI > 25); consists of 12 × 2.5 hr. sessions (6 ante-natal from 24 weeks; 6 postnatal up to 9 months); it addresses mother's diet and physical activity, breast or bottle feeding, infant diet and parental feeding practices, and infant physical activity.Conclusion: We have demonstrated that IM is a feasible and helpful method for providing an evidence based and theoretical structure to a complex health behaviour change intervention. The next stage will be to assess the impact of the intervention on behaviour change and clinical factors associated with childhood obesity. The HAPPY programme is currently being tested as part of a randomised controlled feasibility trial. © 2013 Taylor et al.; licensee BioMed Central Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childhood obesity (prevention) health program healthy and active parenting programme for early year study intervention mapping intervention study EMTREE MEDICAL INDEX TERMS adoption article behavior change bottle feeding breast feeding education child parent relation community assessment community care cultural anthropology diet therapy evidence based practice female health behavior health care personnel health care planning human knowledge maternal obesity needs assessment obesity outcome assessment physical activity pregnant woman public health self concept systematic review (topic) EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Clinical and Experimental Biochemistry (29) Health Policy, Economics and Management (36) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2014032934 MEDLINE PMID 24373301 (http://www.ncbi.nlm.nih.gov/pubmed/24373301) PUI L52938541 DOI 10.1186/1479-5868-10-142 FULL TEXT LINK http://dx.doi.org/10.1186/1479-5868-10-142 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 110 TITLE Parental concerns' prevalence and socio-demographic variables in general parenting AUTHOR NAMES Algarvio S. Isabel L. Maroco J. AUTHOR ADDRESSES (Algarvio S., susana.algarvio@ispa.pt; Isabel L.; Maroco J.) Instituto Superior de Psicologia Aplicada, Psychology and Health Research Unit, ISPA IU, Rua Jardim do Tabaco, 34, 1149-041 Lisboa, Portugal. CORRESPONDENCE ADDRESS S. Algarvio, Instituto Superior de Psicologia Aplicada, Psychology and Health Research Unit, ISPA IU, Rua Jardim do Tabaco, 34, 1149-041 Lisboa, Portugal. Email: susana.algarvio@ispa.pt SOURCE Journal of Child Health Care (2013) 17:2 (204-214). Date of Publication: 2013 ISSN 1367-4935 1741-2889 (electronic) BOOK PUBLISHER SAGE Publications Inc., 2455 Teller Road, Thousand Oaks, United States. ABSTRACT The aim of this study was to evaluate parental concerns in general parenting. The participants were 3842 parents of children between 3 and 10 years old, attending public preschools and primary schools, from a stratified random sample of Portuguese parents. Parents completed a parental concerns' scale that comprises five subscales: family and school problems; eating, sleep and physical complaints; preparation; fears; and negative behaviours. The results reported that 93.4 per cent of parents expressed some concern about the issues presented in the scale. Comparative analysis reported significant differences between mothers and fathers; child's gender; child's schooling level; mothers' and fathers' level of education, age at childbirth, marital status, and employment status. These results may indicate that parental concerns are an expected aspect of parenting, and that they should be addressed in family practice. Moreover, the reported differences between groups pointed to the need to develop specific intervention strategies. © The Author(s) 2013. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation father mother social class EMTREE MEDICAL INDEX TERMS adult article child childhood family female health promotion human male mental stress middle aged Portugal preschool child psychological aspect questionnaire young adult LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 23455874 (http://www.ncbi.nlm.nih.gov/pubmed/23455874) PUI L369367958 DOI 10.1177/1367493512456107 FULL TEXT LINK http://dx.doi.org/10.1177/1367493512456107 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 111 TITLE Prenatal maternal depression symptoms and nutrition, and child cognitive function AUTHOR NAMES Barker E.D. Kirkham N. Ng J. Jensen S.K.G. AUTHOR ADDRESSES (Barker E.D., ted.barker@kcl.ac.uk; Jensen S.K.G.) Department of Psychology, Institute of Psychiatry, King's College London, London SE5 8AF, United Kingdom. (Barker E.D., ted.barker@kcl.ac.uk; Kirkham N.; Jensen S.K.G.) Department of Psychological Science, University of London, Birkbeck, United Kingdom. (Ng J.) Department of Physiology, University of Alberta, Canada. CORRESPONDENCE ADDRESS E.D. Barker, Department of Psychology, Institute of Psychiatry, King's College London, London SE5 8AF, United Kingdom. Email: ted.barker@kcl.ac.uk SOURCE British Journal of Psychiatry (2013) 203:6 (417-421). Date of Publication: December 2013 ISSN 0007-1250 1472-1465 (electronic) BOOK PUBLISHER Royal College of Psychiatrists, 17 Belgrave Square, London, United Kingdom. ABSTRACT Background: Little is currently known about how maternal depression symptoms and unhealthy nutrition during pregnancy may developmentally interrelate to negatively affect child cognitive function. Aims: To test whether prenatal maternal depression symptoms predict poor prenatal nutrition, and whether this in turn prospectively associates with reduced postnatal child cognitive function. Method: In 6979 mother-offspring pairs participating in the Avon Longitudinal Study of Parents and Children (ALSPAC) in the UK, maternal depression symptoms were assessed five times between 18 weeks gestation and 33 months old. Maternal reports of the nutritional environment were assessed at 32 weeks gestation and 47 months old, and child cognitive function was assessed at age 8 years. Results: During gestation, higher depressive symptoms were related to lower levels of healthy nutrition and higher levels of unhealthy nutrition, each of which in turn was prospectively associated with reduced cognitive function. These results were robust to postnatal depression symptoms and nutrition, as well as a range of potential prenatal and postnatal confounds (i.e. poverty, teenage mother, low maternal education, parity, birth complications, substance use, criminal lifestyle, partner cruelty towards mother). Conclusions: Prenatal interventions aimed at the well-being of children of parents with depression should consider targeting the nutritional environment. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) cognition depression maternal nutrition prenatal maternal depression EMTREE MEDICAL INDEX TERMS article child controlled study education female gestation period human lifestyle male parity perinatal period poverty psychological well-being puerperal depression substance abuse EMBASE CLASSIFICATIONS Neurology and Neurosurgery (8) Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013790540 MEDLINE PMID 24115347 (http://www.ncbi.nlm.nih.gov/pubmed/24115347) PUI L370469359 DOI 10.1192/bjp.bp.113.129486 FULL TEXT LINK http://dx.doi.org/10.1192/bjp.bp.113.129486 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 112 TITLE Substance, structure and stigma: Parents in the UK accounting for opioid substitution therapy during the antenatal and postnatal periods AUTHOR NAMES Chandler A. Whittaker A. Cunningham-Burley S. Williams N. McGorm K. Mathews G. AUTHOR ADDRESSES (Chandler A., a.chandler@ed.ac.uk; Cunningham-Burley S.) University of Edinburgh, Centre for Research on Families and Relationships, 23 Buccleuch Place, Edinburgh EH8 9LN, United Kingdom. (Whittaker A.) Substance Misuse Directorate, NHS Lothian, 22 Spittal Street, Edinburgh EH3 9DU, United Kingdom. (Williams N.) NHS Lothian, Waverley Gate, Waterloo Place, Edinburgh EH1 3EG, United Kingdom. (McGorm K.) Australian Primary Health Care Research Institute, Level 1, Ian Potter House, Acton ACT 2601, Australia. (Mathews G.) Edinburgh Napier University, Room 2.B.46 Sighthill Court, Sighthill Campus, Edinburgh EH11 4BN, United Kingdom. CORRESPONDENCE ADDRESS A. Chandler, University of Edinburgh, Centre for Research on Families and Relationships, 23 Buccleuch Place, Edinburgh EH8 9LN, United Kingdom. Email: a.chandler@ed.ac.uk SOURCE International Journal of Drug Policy (2013) 24:6 (e35-e42). Date of Publication: November 2013 ISSN 0955-3959 1873-4758 (electronic) BOOK PUBLISHER Elsevier, P.O. Box 211, Amsterdam, Netherlands. ABSTRACT 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. © 2013 Elsevier B.V. EMTREE DRUG INDEX TERMS buprenorphine (drug therapy) methadone (drug therapy) opiate EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) opiate addiction (drug therapy, drug therapy) opiate substitution treatment parental behavior EMTREE MEDICAL INDEX TERMS abstinence adult article child parent relation clinical article expectant parent family life female heroin dependence (drug therapy) human longitudinal study male methadone treatment parental attitude perinatal period pregnancy outcome prenatal period priority journal psychological aspect semi structured interview stigma United Kingdom young adult CAS REGISTRY NUMBERS buprenorphine (52485-79-7, 53152-21-9) methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3) opiate (53663-61-9, 8002-76-4, 8008-60-4) EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Drug Literature Index (37) Drug Dependence, Alcohol Abuse and Alcoholism (40) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013796358 MEDLINE PMID 23688832 (http://www.ncbi.nlm.nih.gov/pubmed/23688832) PUI L52589320 DOI 10.1016/j.drugpo.2013.04.004 FULL TEXT LINK http://dx.doi.org/10.1016/j.drugpo.2013.04.004 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 113 TITLE Response to Chandler et al., Substance, structure and stigma: Parents in the UK accounting for opioid substitution therapy during the antenatal and postnatal periods AUTHOR NAMES Valentine K. Treloar C. AUTHOR ADDRESSES (Valentine K., k.valentine@unsw.edu.au) Social Policy Research Centre, University of New South Wales, Australia. (Treloar C.) Centre for Social Research in Health, University of New South Wales, Australia. CORRESPONDENCE ADDRESS K. Valentine, Social Policy Research Centre, University of New South Wales, Australia. Email: k.valentine@unsw.edu.au SOURCE International Journal of Drug Policy (2013) 24:6 (e87-e88). Date of Publication: November 2013 ISSN 0955-3959 1873-4758 (electronic) BOOK PUBLISHER Elsevier, P.O. Box 211, Amsterdam, Netherlands. EMTREE DRUG INDEX TERMS illicit drug EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) opiate substitution treatment parental behavior social stigma social structure substance use EMTREE MEDICAL INDEX TERMS alcoholism child care child parent relation child safety child welfare drug abuse drug cost drug dose regimen drug intoxication drug use economic aspect financial stress health care cost health care delivery health program health status hepatitis C human human needs mental health note parental deprivation perinatal period prenatal period priority journal risk assessment risk benefit analysis social support United Kingdom withdrawal syndrome EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Drug Dependence, Alcohol Abuse and Alcoholism (40) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 2013796366 MEDLINE PMID 23931956 (http://www.ncbi.nlm.nih.gov/pubmed/23931956) PUI L52719411 DOI 10.1016/j.drugpo.2013.07.006 FULL TEXT LINK http://dx.doi.org/10.1016/j.drugpo.2013.07.006 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 114 TITLE Education and support for fathers improves breastfeeding rates: a randomized controlled trial AUTHOR NAMES Maycock B. Binns C.W. Dhaliwal S. Tohotoa J. Hauck Y. Burns S. Howat P. AUTHOR ADDRESSES (Maycock B.; Binns C.W.; Dhaliwal S.; Tohotoa J.; Hauck Y.; Burns S.; Howat P.) 1School of Public Health and Curtin Health Innovation Research Institute, Curtin University, Perth, Australia SOURCE Journal of human lactation : official journal of International Lactation Consultant Association (2013) 29:4 (484-490). Date of Publication: 1 Nov 2013 ISSN 1552-5732 (electronic) ABSTRACT BACKGROUND: Studies have identified numerous factors affecting breastfeeding initiation and duration, including maternal education, mode of delivery, birth weight, socioeconomic status, and support of the infant's father.OBJECTIVE: The objective was to investigate the effects of an antenatal education session and postnatal support targeted to fathers.METHODS: The Fathers Infant Feeding Initiative (FIFI Study) is a randomized controlled trial to increase the initiation and duration of breastfeeding that was conducted in 8 public maternity hospitals in Perth, Western Australia. A total of 699 couples were randomized within hospitals to either intervention or control groups. The intervention consisted of a 2-hour antenatal education session and postnatal support provided to fathers.RESULTS: The any breastfeeding rate for the intervention group was significantly greater at 6 weeks: 81.6% in the intervention group compared to 75.2% in the control group, odds ratio 1.46 (95% CI, 1.01-2.13). After adjustment for age and hospital, the odds ratio for any breastfeeding in the intervention group was 1.58 (1.06-2.35) and for socioeconomic status (SES), 1.56 (1.06-2.30). The infants of older fathers were more likely to be breastfed at 6 weeks compared to infants of younger fathers (P < .01), and infants of fathers with high SES more likely than infants of fathers with low SES (P = .013).CONCLUSION: Even a small increase in breastfeeding rates brings public health benefits. In this study, a minimal intervention was found to significantly increase any breastfeeding at 6 weeks: 81.6% in the intervention group compared to 75.2% in the control group. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) education organization and management statistics and numerical data EMTREE MEDICAL INDEX TERMS adolescent adult age Australia breast feeding controlled study epidemiology father female health education human male middle aged randomized controlled trial social support socioeconomics young adult LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 23603573 (http://www.ncbi.nlm.nih.gov/pubmed/23603573) PUI L603677348 DOI 10.1177/0890334413484387 FULL TEXT LINK http://dx.doi.org/10.1177/0890334413484387 COPYRIGHT Copyright 2015 Medline is the source for the citation and abstract of this record. RECORD 115 TITLE Opportunities and obstacles to screening pregnant women for intimate partner violence during antenatal care in Zimbabwe. AUTHOR NAMES Shamu S. Abrahams N. Temmerman M. Zarowsky C. AUTHOR ADDRESSES (Shamu S.) School of Public Health, University of the Western Cape, Cape Town, South Africa. (Abrahams N.; Temmerman M.; Zarowsky C.) CORRESPONDENCE ADDRESS S. Shamu, School of Public Health, University of the Western Cape, Cape Town, South Africa. Email: shamuts@yahoo.com SOURCE Culture, health & sexuality (2013) 15:5 (511-524). Date of Publication: 2013 ISSN 1464-5351 (electronic) ABSTRACT Pregnancy offers an opportunity for midwives to recognise and respond to women experiencing intimate partner violence (IPV). However, most antenatal care interventions have been conducted in private specialist services in high-income countries and do not address the structural and cultural realities of developing country settings. We report on an exploratory qualitative study conducted in antenatal public health facilities in Harare, Zimbabwe, involving six in-depth interviews with midwives and seven FGDs with 64 pregnant and postpartum women. Recorded interviews were transcribed verbatim and analysed using thematic content analysis. We found that identifying and responding to IPV in antenatal care is hampered by inadequate human, financial and infrastructural resources as well as poor support of gender-based violence training for midwives. Midwives had divergent views of their role, with some perceiving IPV as a non-clinical, social and domestic problem that does not require their attention, while others who had been sensitised to the problem felt that it could easily overwhelm them. A comprehensive response to IPV by midwives would be difficult to achieve in this setting but sensitised midwives could respond to cues to violence and ultimately assist abused women in culturally sensitive and appropriate ways. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) domestic violence mass screening prenatal care EMTREE MEDICAL INDEX TERMS adult article confidentiality cultural factor female human information processing middle aged midwife poverty pregnancy qualitative research utilization review Zimbabwe LANGUAGE OF ARTICLE English MEDLINE PMID 23343085 (http://www.ncbi.nlm.nih.gov/pubmed/23343085) PUI L370137127 DOI 10.1080/13691058.2012.759393 FULL TEXT LINK http://dx.doi.org/10.1080/13691058.2012.759393 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 116 TITLE Group-based antenatal birth and parent preparation for improving birth outcomes and parenting resources: Study protocol for a randomised trial AUTHOR NAMES Koushede V. Brixval C.S. Axelsen S.F. Lindschou J. Winkel P. Maimburg R.D. Due P. AUTHOR ADDRESSES (Koushede V., vibe@niph.dk; Brixval C.S., cabr@niph.dk; Axelsen S.F., sfax@niph.dk; Due P., pdu@niph.dk) National Institute of Public Health, University of Southern Denmark, Denmark. (Lindschou J., JL@ctu.dk; Winkel P., pwinkel@ctu.dk) Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Denmark. (Maimburg R.D., rmai@soci.au.dk) School of Public Health, Section of Epidemiology, Aarhus University, Denmark. (Maimburg R.D., rmai@soci.au.dk) Aarhus University Hospital, Department of Obstetrics and Gynaecology, Skejby, Denmark. CORRESPONDENCE ADDRESS V. Koushede, National Institute of Public Health, University of Southern Denmark, Øster Farimagsgade 5A, 2nd Floor, 1353 Copenhagen, Denmark. Email: vibe@niph.dk SOURCE Sexual and Reproductive Healthcare (2013) 4:3 (121-126). Date of Publication: October 2013 ISSN 1877-5756 1877-5764 (electronic) BOOK PUBLISHER Elsevier, P.O. Box 211, Amsterdam, Netherlands. ABSTRACT Objectives: To examine the efficacy and cost-effectiveness of group based antenatal education for improving childbirth and parenting resources compared to auditorium based education. Methods: Participants: 2350 Danish pregnant women and their partners ≥18. years old, recruited before 20. +. 0 gestational weeks.Population-based individually randomised superiority trial with two parallel arms: Four sessions of birth and parent preparation in small groups (experimental group); two lectures in an auditorium (control group).Data is collected by (1) questionnaires at baseline (≈18. weeks of gestation), 37. weeks of gestation, 9. weeks-, 6. months-, and 1. year post-partum, (2) the hospital obstetric database, (3) national registers. Primary outcome: use of epidural analgesia. Secondary outcomes: stress, parenting alliance; explorative outcomes: depressive symptoms, use of health care services, self-efficacy, well-being, family break-ups.Analyses will be intention-to-treat as well as per protocol. Process evaluation will be conducted using questionnaires and qualitative interviews. The incremental societal cost of the intervention will be computed and compared to the measured outcomes in a cost-effectiveness analysis. Conclusion: To the best of our knowledge this is the largest well-designed randomised trial of its kind to date. The trial will bring much-needed evidence for decision makers of the content and form of antenatal education. © 2013 Elsevier B.V. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education parenting education EMTREE MEDICAL INDEX TERMS article clinical effectiveness cost effectiveness analysis depression epidural anesthesia family conflict gestation period health service human intention to treat analysis interview obstetric analgesia outcome assessment parallel design parental attitude parental stress pregnancy outcome priority journal questionnaire randomized controlled trial (topic) self concept study design wellbeing EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013573940 MEDLINE PMID 24041733 (http://www.ncbi.nlm.nih.gov/pubmed/24041733) PUI L52765288 DOI 10.1016/j.srhc.2013.08.003 FULL TEXT LINK http://dx.doi.org/10.1016/j.srhc.2013.08.003 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 117 TITLE Intrafamilial correlations of metabolic risk factors: Results from the Ulm Birth Cohort Study (UBCS) AUTHOR NAMES Brandt S. Moß A. Koenig W. Weck M. Logan C. Brenner H. Rothenbacher D. Wabitsch M. AUTHOR ADDRESSES (Brandt S.; Moß A.; Wabitsch M.) University Medical Center Ulm, Department of Pediatrics and Adolescent Medicine, Division of Pediatric Endocrinology and Diabetes, Ulm, Germany. (Koenig W.) University Medical Center Ulm, Department of Internal Medicine II, Ulm, Germany. (Weck M.; Brenner H.) German Cancer Research Center (DKFZ), Division of Clinical Epidemiology and Aging Research, Heidelberg, Germany. (Logan C.; Rothenbacher D.) Ulm University, Institute of Epidemiology and Medical Biometry, Ulm, Germany. CORRESPONDENCE ADDRESS S. Brandt, University Medical Center Ulm, Department of Pediatrics and Adolescent Medicine, Division of Pediatric Endocrinology and Diabetes, Ulm, Germany. SOURCE Hormone Research in Paediatrics (2013) 80 SUPPL. 1 (168). Date of Publication: October 2013 CONFERENCE NAME 9th Joint Meeting of Paediatric Endocrinology ESPE - PES - APEG - APPES - ASPAE - JSPE - SLEP CONFERENCE LOCATION Milan, Italy CONFERENCE DATE 2013-09-19 to 2013-09-22 ISSN 1663-2818 BOOK PUBLISHER S. Karger AG ABSTRACT Background: The metabolic syndrome (MetS) comprises glucose intolerance, central obesity, hypertension and dyslipidaemia. The role of additional metabolic factors like Apolipoprotein B (ApoB) and Retinol-Binding-Protein 4 (RBP4) is discussed in literature. There is familial aggregation of the factors of MetS, however parent dependent intrafamiliar associations of metabolic risk factors are poorly understood. Hypothesis: Correlation of insulin-regulated parameters like ApoB and RBP4 is stronger between mothers and offsprings than between fathers and offsprings. Methods: During the 8-year follow-up of the Ulm Birth Cohort Study (UBCS), 8 yrs old children and their parents underwent anthropometric measurements and fasting plasma sampling. Levels of insulin, glucose, ApoB, RBP4, leptin, and adiponectin were measured. Data of n=303 trios (child, mother, father) were examined for intrafamilial associations of metabolic risk factors (crude and partially adjusted correlation analyses; confounders: gender, BMI. Results: Correlation of fasting plasma levels of insulin, ApoB and RBP4 was stronger between mothers and children than between fathers and children. Correlations between maternal and offsprings fasting plasma insulin levels became stronger after partial adjustment for confounders (rcrude=0.23 vs. radj=0.29). The correlations between maternal and offsprings ApoB levels were not affected by partial adjustment for confounders (rcrude=0.37 vs. radj=0.36). Correlation of RBP4 remained stronger between mothers and children than between fathers and children after partial adjustment for confounders (radj=0.27 vs. radj=0.17). Correlation of leptin and adiponectin levels was comparable between children and their fathers or their mothers. Conclusion: Correlation of fasting insulin, ApoB and RBP4 was stronger between mothers and children than between fathers and children. Perinatal programming of children's metabolic system by maternal factors is suspected. EMTREE DRUG INDEX TERMS adiponectin apolipoprotein B glucose insulin leptin retinol binding protein 4 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) cohort analysis endocrinology risk factor EMTREE MEDICAL INDEX TERMS blood level child correlation analysis diet restriction father female follow up gender glucose intolerance human hypertension hypothesis insulin blood level male metabolic syndrome X mother obesity parameters parent plasma progeny sampling LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71246779 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 118 TITLE Fathers' birth experience and postnatal mental condition AUTHOR NAMES Dorsch V. Rohde A. AUTHOR ADDRESSES (Dorsch V.) University Clinic of the Martin-Luther, University Halle-Wittenberg, Department of Psychiatry,Psychotherapy and Psychosomatics, Halle, Germany. (Rohde A.) Psychosomatics in Gynecology, Women's University Hospital Bonn, Bonn, Germany. CORRESPONDENCE ADDRESS V. Dorsch, University Clinic of the Martin-Luther, University Halle-Wittenberg, Department of Psychiatry,Psychotherapy and Psychosomatics, Halle, Germany. SOURCE European Psychiatry (2013) 28 SUPPL. 1. Date of Publication: 2013 CONFERENCE NAME 21st European Congress of Psychiatry, EPA 2013 CONFERENCE LOCATION Nice, France CONFERENCE DATE 2013-04-06 to 2013-04-09 ISSN 0924-9338 BOOK PUBLISHER Elsevier Masson SAS ABSTRACT Research in labour and delivery from the new fathers' point of view is still in its infancy, with studies being rare and heterogeneous. Birth experience and postpartum mental condition were investigated in 174 fathers in the maternity ward of a University Hospital. Lacking a validated instrument for describing fathers' birth experience the German version of Salmońs Item List (SIL-Ger) which is validated for the birth experience of mothers was used as well as Edinburgh Postnatal Depression Scale (EPDS) to reveal associations of birth experience and the fathers' postnatal mental health. One in ten men (11.4 %, N=19) reported a stressful or frightening birth experience, nearly one third (28.1 %, N=49) did not rate attending the delivery as a positive or rewarding emotional experience. Fathers being present at a spontaneous delivery - from a number of men in free answers phrased as “natural birth” - reached a higher score in the postnatal dimension of “fulfilment” than any other mode of delivery. In over half of the men (52.1 %, N=75) birth experience did not meet the expectations, with childbirth education classes, number of previous children or previous attended births being of no significant impact. Unfulfilled expectations towards birth are a known risk factor for negative birth experience in women. We showed unfulfilled expectations to be associated with difficulties in coping, discomfort and anxiousness and a less rewarding birth experience in fathers. SIL-Ger could be shown to be an easy-to-use and reliable tool to assess birth experience in men. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father human male mental health psychiatry EMTREE MEDICAL INDEX TERMS child childbirth education coping behavior Edinburgh Postnatal Depression Scale female infancy maternity ward mother risk factor salmonine university hospital LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71173214 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 119 TITLE Repeat antenatal steroid exposure and later blood pressure, arterial stiffness, and metabolic profile AUTHOR NAMES Norberg H. Stålnacke J. Nordenström A. Norman M. AUTHOR ADDRESSES (Norberg H.; Nordenström A.; Norman M.) Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden. (Stålnacke J.) Department of Psychology, Stockholm University, Stockholm, Sweden. (Stålnacke J.) Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden. CORRESPONDENCE ADDRESS Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden. SOURCE Journal of Pediatrics (2013) 163:3 (711-716). Date of Publication: September 2013 ISSN 0022-3476 1097-6833 (electronic) BOOK PUBLISHER Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States. ABSTRACT Objective: To determine the relationship between repeat courses of antenatal corticosteroids (ACS) and risk factors for cardiovascular disease in adolescents and young adults. Study design: We assessed body mass index, blood pressure, arterial stiffness, blood lipids, and insulin resistance (IR) in a Swedish population-based cohort (n = 100) at a median age of 18 (range 14-26) years. Fifty-eight subjects (36 males) had been exposed to 2-9 weekly courses of antenatal betamethasone and 42 (23 males) were unexposed subjects matched for age, sex, and gestational age (GA). Results: There were no significant differences between the groups regarding body mass index, systolic or diastolic blood pressures, arterial stiffness measured by augmentation index, blood lipids, IR, or morning cortisol levels either in simple regression or in multivariable models. However, more subjects with elevated augmentation index had been exposed to repeat courses of ACS (n = 7) compared with unexposed subjects (n =1, P =.06), and glucose, insulin, and IR correlated inversely to GA at start of ACS (P <.01). Conclusions: Repeat courses of ACS did not correlate to adverse cardiovascular risk profile in adolescence and young adulthood, but long-standing effects on the arterial tree and glucose metabolism, the latter dependent on GA at ACS exposure, cannot be excluded. These observations have clinical implications for the ongoing discussion on short-term benefits and long-term safety of repeat ACS treatment. © 2013 Mosby Inc. All rights reserved. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) betamethasone EMTREE DRUG INDEX TERMS hydrocortisone (endogenous compound) insulin (endogenous compound) lipid (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) arterial stiffness diastolic blood pressure prenatal exposure systolic blood pressure EMTREE MEDICAL INDEX TERMS adolescent adult article augmentation index body mass cardiovascular disease cardiovascular risk cohort analysis controlled study female gestational age human hydrocortisone blood level insulin resistance lipid blood level major clinical study male priority journal CAS REGISTRY NUMBERS betamethasone (378-44-9) hydrocortisone (50-23-7) insulin (9004-10-8) lipid (66455-18-3) EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Cardiovascular Diseases and Cardiovascular Surgery (18) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013533375 MEDLINE PMID 23651768 (http://www.ncbi.nlm.nih.gov/pubmed/23651768) PUI L52566123 DOI 10.1016/j.jpeds.2013.03.074 FULL TEXT LINK http://dx.doi.org/10.1016/j.jpeds.2013.03.074 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 120 TITLE Determinants of complementary feeding practices among Nepalese children aged 6-23 months: Findings from demographic and health survey 2011 AUTHOR NAMES Khanal V. Sauer K. Zhao Y. AUTHOR ADDRESSES (Khanal V., khanal.vishnu@gmail.com; Sauer K., k.sauer@curtin.edu.au; Zhao Y., y.zhao@curtin.edu.au) School of Public Health, Curtin University, Perth, WA, Australia. (Sauer K., k.sauer@curtin.edu.au) Centre for Behavioural Research in Cancer Control, Curtin University, Perth, WA, Australia. CORRESPONDENCE ADDRESS V. Khanal, School of Public Health, Curtin University, Perth, WA, Australia. Email: khanal.vishnu@gmail.com SOURCE BMC Pediatrics (2013) 13:1 Article Number: 131. Date of Publication: 28 Aug 2013 ISSN 1471-2431 (electronic) BOOK PUBLISHER BioMed Central Ltd., Floor 6, 236 Gray's Inn Road, London, United Kingdom. ABSTRACT Background: The adoption of inappropriate feeding practices is one of the reasons for under nutrition in Nepal and elsewhere. The objective of this study was to describe the rate of and identify the factors associated with providing the World Health Organization (WHO) recommended infant feeding practices of minimum dietary diversity, minimum meal frequency and minimum acceptable diet in Nepal amongst young children between 6-23 months in 2011.Methods: Data from Nepal Demographic and Health Survey (NDHS) 2011 was used. Prevalence of minimum dietary diversity, minimum meal frequency and minimum acceptable diet was obtained by using descriptive statistics. A Chi-square test (χ(2)) followed by multiple logistic regression analyses were used to determine the adjusted effect of potential factors on the outcome variables. Results: Of the 698 children aged 6-23 months; while 535 (76.6%) received the minimum meal frequency, only 212 (30.4%) children received the minimum dietary diversity, and 185 (26.5%) received an acceptable diet. Children of older mothers (>35 years); educated mothers and fathers; and mothers from all the development regions except the Mid-western region were more likely to have been provided with the recommended dietary diversity. Children of mothers who had attended ≥4 antenatal visits and who lived in the Eastern region were more likely to provide their child with the recommended meal frequency. Children of mothers, who attended ≥ 4 antenatal visits, were educated and whose fathers had at least a secondary education were more likely to meet the recommended acceptable diet standards. Conclusion: Young children aged less than two years in Nepal are at risk for not meeting the WHO recommended infant feeding standards given that only about one in three children were provided with the recommended dietary diversity and acceptable diet. This finding suggests that the majority of children are at risk of under nutrition. An appropriate mix of health education and food supplements could be a feasible option for Nepal to improve the number of children who meet the recommended infant feeding guidelines, reduce under nutrition and improve the survival rates of young children. © 2013 Khanal et al.; licensee BioMed Central Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) demography health service health survey infant feeding EMTREE MEDICAL INDEX TERMS ambulatory care article chi square test child diet supplementation education female human infant major clinical study male multivariate logistic regression analysis Nepal outcome variable preschool child prevalence world health organization EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013561084 MEDLINE PMID 23981670 (http://www.ncbi.nlm.nih.gov/pubmed/23981670) PUI L52756957 DOI 10.1186/1471-2431-13-131 FULL TEXT LINK http://dx.doi.org/10.1186/1471-2431-13-131 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 121 TITLE HIV disclosure, sexual negotiation and male involvement in prevention-of-mother-to-child-transmission in South Africa. AUTHOR NAMES Villar-Loubet O.M. Bruscantini L. Shikwane M.E. Weiss S. Peltzer K. Jones D.L. AUTHOR ADDRESSES (Villar-Loubet O.M.) Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA. (Bruscantini L.; Shikwane M.E.; Weiss S.; Peltzer K.; Jones D.L.) CORRESPONDENCE ADDRESS O.M. Villar-Loubet, Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA. Email: OVillar2@med.miami.edu SOURCE Culture, health & sexuality (2013) 15:3 (253-268). Date of Publication: 2013 ISSN 1464-5351 (electronic) ABSTRACT HIV-seroconversion during pregnancy is a serious concern throughout South Africa, where an estimated 35 to 40% of pregnant women have HIV/AIDS and drop-out is high at all stages of the prevention-of-mother-to-child-transmission (PMTCT) process. The likelihood of PMTCT success may be linked to partner support, yet male involvement in antenatal care remains low. This qualitative study examined the influence of pregnant couples' expectations, experiences and perceptions on sexual communication and male involvement in PMTCT. A total of 119 couples participated in a comprehensive intervention in 12 antenatal clinics throughout South Africa. Data were collected between December 2010 to June 2011 and analysed using a grounded theory approach. Findings point to the importance of sexual communication as a factor influencing PMTCT male involvement. Analysis of themes lends support to improving communication between couples, encouraging dialogue among men and increasing male involvement in PMTCT to bridge the gap between knowledge and sexual behaviour change. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health education Human immunodeficiency virus infection interpersonal communication self disclosure sexual behavior vertical transmission (prevention) EMTREE MEDICAL INDEX TERMS adolescent adult article condom controlled clinical trial controlled study disease transmission female human male methodology middle aged pregnancy psychological aspect randomized controlled trial safe sex sexuality South Africa utilization review LANGUAGE OF ARTICLE English MEDLINE PMID 22974414 (http://www.ncbi.nlm.nih.gov/pubmed/22974414) PUI L369589930 DOI 10.1080/13691058.2012.716166 FULL TEXT LINK http://dx.doi.org/10.1080/13691058.2012.716166 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 122 TITLE Fear of childbirth in expectant fathers, subsequent childbirth experience and impact of antenatal education: Subanalysis of results from a randomized controlled trial AUTHOR NAMES Bergström M. Rudman A. Waldenström U. Kieler H. AUTHOR ADDRESSES (Bergström M., Malin.Bergstrom@ki.se; Waldenström U.) Department of Women's and Children's Health, Karolinska Institute, Retzius väg 13, SE-171 77 Stockholm, Sweden. (Rudman A.) Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden. (Kieler H.) Center for Pharmacoepidemiology (CPE), Department of Medicine, Karolinska Institute, Stockholm, Sweden. CORRESPONDENCE ADDRESS M. Bergström, Department of Women's and Children's Health, Karolinska Institute, Retzius väg 13, SE-171 77 Stockholm, Sweden. Email: Malin.Bergstrom@ki.se SOURCE Acta Obstetricia et Gynecologica Scandinavica (2013) 92:8 (967-973). Date of Publication: August 2013 ISSN 0001-6349 1600-0412 (electronic) BOOK PUBLISHER Wiley-Blackwell Publishing Ltd, 9600 Garsington Rd, Chiswell Green Ln, Oxford, United Kingdom. ABSTRACT 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. © 2013 Nordic Federation of Societies of Obstetrics and Gynecology. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education emotional disorder expectant father fear of childbirth prenatal period EMTREE MEDICAL INDEX TERMS adult article assessment of humans cesarean section controlled study emergency surgery epidural anesthesia high risk population human labor male multicenter study outcome assessment parenthood pregnancy priority journal randomization randomized controlled trial secondary analysis Sweden training vaginal delivery wijma delivery experience questionnaire EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013448076 MEDLINE PMID 23590647 (http://www.ncbi.nlm.nih.gov/pubmed/23590647) PUI L52583423 DOI 10.1111/aogs.12147 FULL TEXT LINK http://dx.doi.org/10.1111/aogs.12147 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 123 TITLE Developmental delays in children of international migrants: Family profiles AUTHOR NAMES Gagnon A. Bouris S. Merry L. AUTHOR ADDRESSES (Gagnon A.; Merry L.) McGill University, Canada. (Bouris S.) McGill University Health Centre, Canada. CORRESPONDENCE ADDRESS A. Gagnon, McGill University, Canada. SOURCE European Journal of Epidemiology (2013) 28:1 SUPPL. 1 (S166). Date of Publication: August 2013 CONFERENCE NAME EuroEpi 2013 and NordicEpi 2013: Non-Communicable Disease Epidemic: Epidemiology in Action CONFERENCE LOCATION Aarhus, Denmark CONFERENCE DATE 2013-08-11 to 2013-08-14 ISSN 0393-2990 BOOK PUBLISHER Springer Netherlands ABSTRACT Background and Objectives: This study aims to describe the families of children of migrant women new to Montreal, Quebec, Canada with developmental delays at 12-36 months post-birth. Methodology: 258 international migrant women were recruited postbirth from 6 Montreal-area hospitals and followed to 12-36 months. The Nipissing Developmental Screen was administered by project nurses at 12, 18, 24, 30, and/or 36 months of age, as part of a series of assessments of the health of migrant families. Family characteristics of children with> 2 signs of developmental delay were descriptively analyzed and compared to those without delays. Results: 26 % had> 2 signs of developmental delay during at least 1 project nurse visit. Few statistically significant differences between groups were found for individual factors although their overall profile suggests differences: mothers were more often: asylum-seekers, in Canada for<2 years, originated in Africa/Latin America, had either IFHP or no health insurance, began prenatal care late, did not attend prenatal education, had experienced physical abuse, and had symptoms of PPD at 2 weeks post-birth. Fathers were more often: unemployed, asylum-seekers, in Canada<2 years, and originated in Africa/Latin America. Families more often: had a low income and smoked in the home. The majority (65 %) of the combined sample did not speak English or French at home. Conclusions: Early childhood developmental delays are relatively common in international migrant families. Certain indicators may help to identify children at greatest risk. EMTREE DRUG INDEX TERMS tuberculin EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child epidemic epidemiology human non communicable disease EMTREE MEDICAL INDEX TERMS Canada childbirth education childhood family size father female health health insurance hospital lowest income group male methodology mother nurse physical abuse prenatal care risk Western Hemisphere LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71301117 DOI 10.1007/s10654-013-9820-0 FULL TEXT LINK http://dx.doi.org/10.1007/s10654-013-9820-0 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 124 TITLE Postpartum emotional support: A qualitative study of women's and men's anticipated needs and preferred sources AUTHOR NAMES Rowe H. Holton S. Fisher J. AUTHOR ADDRESSES (Rowe H., heather.rowe@monash.edu; Holton S.; Fisher J.) Jean Hailes Research, School of Public Health and Preventive Medicine, Monash University, Australia. CORRESPONDENCE ADDRESS H. Rowe, Jean Hailes Research, School of Public Health and Preventive Medicine, Monash University, Australia. Email: heather.rowe@monash.edu SOURCE Archives of Women's Mental Health (2013) 16 SUPPL. 1 (S23-S24). Date of Publication: July 2013 CONFERENCE NAME Marce International Society International Biennial General Scientific Meeting - "Acting Together Around Childbirth" 2012 CONFERENCE LOCATION Paris, France CONFERENCE DATE 2012-10-03 to 2012-10-05 ISSN 1434-1816 BOOK PUBLISHER Springer Wien ABSTRACT Aims: Australian national, state and territory policy emphasises measures to prevent, intervene early and improve pathways to treatment for perinatal mental disorders. Vital to achieving these aims are initiatives to increase the perinatal mental health capacity of primary health services and enhance public awareness of the emotional health needs of parents of infants. The aim of this study was to understand the perceived needs for support and information, and attitudes about the role of primary care for mental health, of men and women expecting their first child. Methods: Nulliparous English speaking expectant parents attending Childbirth Education programs in public and private hospitals in metropolitanMelbourne and regional Victoria participated in single sex focus groups in late pregnancy. Group discussions were audiorecorded, transcribed and subjected to thematic analysis, using the group as the unit of analysis. Results: 38 participants (22 women and 16 men) from diverse socioeconomic backgrounds attended one of 8 group discussions or individual interviews. Men and women identified a range of anticipated adjustments in the postnatal period including fatiguie, isolation, loss of leisure, independence and autonomy, and changes to the partner relationship. The internet, family, friends, printed materials and health professionals were regarded as important sources of information, but concerns were raised about the fragmented and inconsistent quality of available resources. There were diverse and gendered views about whether primary care health providers are appropriate sources of information and support for mental health, and in participants' willingness to complete screening questionnaires in health care settings about emotional needs and mental health symptoms. Differences in priorities amongst men and women were noted and will be discussed. Conclusion: Expectant parents readily identify their anticipated postnatal needs for information, skills and practical and emotional support. However, primary care health providers are not universally regarded as appropriate sources of mental health care. Comprehensive, consistent, reliable resources for mothers and fathers of first newborns, services sensitive to men's preferences and greater public awareness of the importance of mental health care in primary care services are required. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth female human male qualitative research society EMTREE MEDICAL INDEX TERMS child childbirth education education program emotional stability expectant parent father friend health health care health practitioner health service independence infant information processing Internet interview leisure mental disease mental health mental health care mother newborn parent perinatal period policy primary medical care private hospital questionnaire screening skill speech thematic analysis third trimester pregnancy LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71370636 DOI 10.1007/s00737-013-0355-x FULL TEXT LINK http://dx.doi.org/10.1007/s00737-013-0355-x COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 125 TITLE Towards parenthood. A public health intervention to prepare for the transition to parenthood AUTHOR NAMES Ericksen J. Milgrom J. Schembri C. Gemmill A. AUTHOR ADDRESSES (Ericksen J., jennifer.ericksen@austin.org.au; Milgrom J.; Schembri C.; Gemmill A.) Parent Infant Research Institute, Australia. (Milgrom J.) University of Melbourne, Australia. CORRESPONDENCE ADDRESS J. Ericksen, Parent Infant Research Institute, Australia. Email: jennifer.ericksen@austin.org.au SOURCE Archives of Women's Mental Health (2013) 16 SUPPL. 1 (S32). Date of Publication: July 2013 CONFERENCE NAME Marce International Society International Biennial General Scientific Meeting - "Acting Together Around Childbirth" 2012 CONFERENCE LOCATION Paris, France CONFERENCE DATE 2012-10-03 to 2012-10-05 ISSN 1434-1816 BOOK PUBLISHER Springer Wien ABSTRACT Aim: This antenatal intervention was designed to prevent early parenting difficulties and minimize the impact of mood disorders in women at low and high risk of depression. It was created to address the needs of a broad population of women serviced by public maternity hospitals as a self-directed guidebook supported by telephone calls. Methods: The intervention targets were selected on the basis of clinical wisdom and an exhaustive empirical review of risk factors impacting on parenting outcomes and perinatal depression. An extensive review of existing local and international parenting support programmes was also conducted. Focus groups and pilot studies were conducted to confirm acceptability. Expectant mothers and their partners received self-directed learning guidebook comprising of six units addressing the following issues:- Transition to parenthood - Partner difficulties - Coping with a life stress - Family of origin experiences - Antenatal attachment to foetus -Practical parenting skills. Fortnightly phone calls from a psychologist were provided to monitor compliance and engagement with content. The format included interactive exercises, partner involvement and cartoons. Results: Two randomised controlled trials were conducted to compare women at risk of antenatal depression receiving the intervention with those who did not, on a range of questionnaires including the Beck Depression Inventory and the Parenting Stress Index. Partners were also included. A similar comparison was made for nondepressed women. In the initial study, 200 women were randomised and effectiveness of the program was demonstrated despite low compliance with telephone sessions. Women from 32 weeks gestation and their partners were involved. Changes on the Beck Depression Inventory and Parenting Stress Index were found. Refinements of the intervention to increase compliance was followed by a second evaluation of n=150 and intervention benefits for both depressed and non-depressed women were found, with larger changes in BDI score the higher the score at entry. Parenting stress also decreased and partners self-rated as less depressed and stressed postnatally. Conclusions: Self directed minimal intervention antenatally is a useful health intervention. Towards Parenthood has been published (ACER) and will be translated into other languages this year. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth parenthood public health society EMTREE MEDICAL INDEX TERMS art Beck Depression Inventory child parent relation coping behavior exercise expectant mother family stress female fetus health hospital human information processing language life stress mood disorder parental stress pilot study population pregnancy psychologist questionnaire randomized controlled trial risk risk factor self-directed learning skill telephone LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71370660 DOI 10.1007/s00737-013-0355-x FULL TEXT LINK http://dx.doi.org/10.1007/s00737-013-0355-x COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 126 TITLE A focused prenatal parenting intervention for substance abusing women to be used at hospital maternity policlinics AUTHOR NAMES Pajulo H. AUTHOR ADDRESSES (Pajulo H.) University of Tampere, Medical School, Tampere, Finland. CORRESPONDENCE ADDRESS H. Pajulo, University of Tampere, Medical School, Tampere, Finland. SOURCE European Child and Adolescent Psychiatry (2013) 22:2 SUPPL. 1 (S197). Date of Publication: July 2013 CONFERENCE NAME 15th International Congress of European Society for Child and Adolescent Psychiatry, ESCAP 2013 CONFERENCE LOCATION Dublin, Ireland CONFERENCE DATE 2013-07-06 to 2013-07-10 ISSN 1018-8827 BOOK PUBLISHER D. Steinkopff-Verlag ABSTRACT Background: Mentalization (reflective functioning, RF) is a human ability to think about mind: Wishes, intentions and experience, both in self and in another person. It makes possible for an individual to consider own and another person's behaviour from alternative perspectives In early parenting, RF refers to parent's capacity to think of the baby as a separate person with own experiences and feelings already from pregnancy onwards; to wonder about the baby's experience, desires and intentions behind behaviour, and give value to this thinking. Higher parental RF has been found necessary for sensitive parental interaction, and to associate with child's secure attachment and better social, emotional and cognitive development (Slade et al 2005; Fonagy et al. 2002, 2008,2011; Allen et al. 2008). RF has been found to be on average especially weak in psychosocial high risk groups, such as substance abusing parents. However, as has been shown, this central parental capacity can be strengthened also in high risk parenting through carefully designed interventions Aims: to use multidisciplinary expertiese in developing a feasible but effective routine prenatal intervention for alcohol and drug dependent mothers at hospital maternity policlinics. The intervention uses 4D ultrasound imaging and a specific week-by-week pregnancy diary in RF focused work with the mother, to increase the mother's curiosity towards the child, to enhance prenatal attachment and improve maternal ability to recognize the baby's needs Hypothesis: the intervention group does better compared to the control group in terms of maternal mental and somatic health, substance abuse, pregnancy and delivery outcome, neonatal status, maternal attitude and attachment with the child, child development and child protection actions needed. The main mediating factor for the better outcome is hypothesized to be the improved maternal mentalizing capacity Materials and methods: The research sample consists of mothers referred to Turku University Hospital maternity policlinic due to severe substance abuse, before 22 weeks of gestation. The efficacy of the intervention is explored using randomized control group design (n = 40 + 40). Same assessments are used with both groups and at same time-points: Pre-and post the prenatal intervention i.e. twice during pregnancy, at delivery, in neonatal phase and in follow-up at 3 months and 1 year of child's age. Data collection is going on. The intervention content, research design, preliminary data (if/when possible) and a case example will be presented. EMTREE DRUG INDEX TERMS alcohol EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child child parent relation child psychiatry female hospital human mother outpatient department pregnancy outcome society substance abuse EMTREE MEDICAL INDEX TERMS baby child development cognitive development control group follow up health high risk population hypothesis imaging information processing maternal attitude methodology parent pregnancy protection risk ultrasound university hospital LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71240277 DOI 10.1007/s00787-013-0423-9 FULL TEXT LINK http://dx.doi.org/10.1007/s00787-013-0423-9 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 127 TITLE Implementing perinatal mental health telephone consultations to primary care providers in order to improve accessibility and help support parenthood AUTHOR NAMES Champagne M. Gandhi J. AUTHOR ADDRESSES (Champagne M., marilyn.champagne@mail.mcgill.ca; Gandhi J.) Ottawa Hospital, Canada. CORRESPONDENCE ADDRESS M. Champagne, Ottawa Hospital, Canada. Email: marilyn.champagne@mail.mcgill.ca SOURCE Archives of Women's Mental Health (2013) 16 SUPPL. 1 (S55). Date of Publication: July 2013 CONFERENCE NAME Marce International Society International Biennial General Scientific Meeting - "Acting Together Around Childbirth" 2012 CONFERENCE LOCATION Paris, France CONFERENCE DATE 2012-10-03 to 2012-10-05 ISSN 1434-1816 BOOK PUBLISHER Springer Wien ABSTRACT The Ottawa Regional Perinatal Mental Health program receives up to 700 referrals/year; sometimes mothers must wait 2-3 months before their initial assessment. This is unfortunate as interventions which treat mental illness earlier during the perinatal period could minimize and prevent potential adverse effects on maternal-infant attachment. Moreover, as demonstrated by program evaluation (Ballen, 2012), women from various at-risk groups (Francophones, Aboriginals, ethnic minorities, single and lesbian mothers, rural/low SES demographics) are highly unlikely to present at an academic hospital setting at all. In a recent needs assessment performed by the Royal Ottawa Hospital (Freeland, 2011), local community physicians and agencies identified access to perinatal mental health expertise as a priority. Until now, telephone advice to primary care providers occurs rarely and is limited only to those patients seen by the psychiatrist. We wonder if it is possible, safe, time-efficient and womanfriendly for perinatal psychiatrists to provide telephone consultations to primary care providers for patients who have not attended the clinic. Aims: 1. To provide timely advice to primary care providers in order to address patients' perinatal mental health needs faster. 2. To reach women who otherwise might not attend an academic hospital clinic setting. Method: We conducted a needs assessment for telephone consultations with a sample of midwives/family physicians/obstetricians and psychiatrists. Literature review and interviews with similar consulting services, medical protective bodies, and hospital administration clarified medico-legal issues and provided a template for consulting pathways. A telephone consult service is to ensue shortly; wait times and patients/primary care providers/consulting psychiatrists satisfaction will be documented. Results: Primary care providers expressed great interest in this model of care. Medico-legal issues regarding documentation and liability were clarified and template assessment forms were adapted from similar psychiatric services. Women involved in this new service will hopefully receive timely medical attention and feel greater ease (for practical and personal reasons) to remain under the care of their known provider. We expect that wait time for in-house consultations will be significantly reduced, and that both consultants and referring practitioners will express satisfaction with this method of health-care delivery. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth human mental health parenthood primary medical care society teleconsultation EMTREE MEDICAL INDEX TERMS adverse drug reaction community consultation documentation ethnic group female health care delivery health program high risk population homosexual female hospital hospital management indigenous people infant interview mental disease mental health service model mother needs assessment patient perinatal period physician program evaluation psychiatrist satisfaction telephone LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71370730 DOI 10.1007/s00737-013-0355-x FULL TEXT LINK http://dx.doi.org/10.1007/s00737-013-0355-x COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 128 TITLE I'm pregnant ! we're pregnant! AUTHOR NAMES Tafuri M.I. Do Rosário Varella M. Franc¸a J. AUTHOR ADDRESSES (Tafuri M.I., izabeltafuri@gmail.com) Universidade de Brasília (BRESIL), Brazil. (Do Rosário Varella M.) Universidade Paulista, Brazil. (Franc¸a J.) Universidade de Brasília, Brazil. CORRESPONDENCE ADDRESS M.I. Tafuri, Universidade de Brasília (BRESIL), Brazil. Email: izabeltafuri@gmail.com SOURCE Archives of Women's Mental Health (2013) 16 SUPPL. 1 (S77). Date of Publication: July 2013 CONFERENCE NAME Marce International Society International Biennial General Scientific Meeting - "Acting Together Around Childbirth" 2012 CONFERENCE LOCATION Paris, France CONFERENCE DATE 2012-10-03 to 2012-10-05 ISSN 1434-1816 BOOK PUBLISHER Springer Wien ABSTRACT Objectives: The statement “I'm pregnant,” announces the recognition that one baby is coming for both men and women, safeguarding cultural and gender differences. In our study, we found out some extremely sensitive issues that can serve as a basis for prevention programs. The changes experienced by the woman in the body require a psychic work related to unconscious contents. The expressions “I still can not believe that I will be a mother”,“I still do not feel anything different,” “I'm more worried about myself”, represent repressed demands unmet by healthcares and, often, by the family and the society. In relation to men, the expressions “she is always the main figure”, “All eyes are for pregnant women”, “I'm in the background” reveals anxieties that are not being met neither listened by the professionals. In Brazil as a healthcare is offered only to mothers and babies, men are not included in perinatal health programs. Results: Our research reveals this problem, men represented only10% of the sample. Brazilian's women complaints that men are absent, that they do not give enough attention, they do not help the way that women want, are very frequent, and can be understood in the context of a culture and a medical practice that do not include, a priori, the man in this process of becoming a father. In other words, from the moment men got the news, “I'll be a father,” he does not have attention from healthcares both in relation to physical health (psychosomatic illnesses, for example), and also to mental health, to be heard in his feelings and anxieties. Paradoxically, today, the social pressure of parents' involvement in pregnancy, childbirth and baby care can lead to the emergence of unconscious psychic conflicts. Conclusion: In conclusion, we stated that it is important to prevention programs to build a multidisciplinary care network and a receptive space, especially for men, to meet the repressed demands of process of “becoming a father” and “becoming a mother”. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth society EMTREE MEDICAL INDEX TERMS anxiety baby Brazil diseases ego development eye father female health health care health program human male medical practice mental health mother parent pregnancy pregnant woman prevention psychosomatics sex difference social problem LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71370796 DOI 10.1007/s00737-013-0355-x FULL TEXT LINK http://dx.doi.org/10.1007/s00737-013-0355-x COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 129 TITLE Antenatal education for childbirth: Meeting the maternity team can increase parent satisfaction AUTHOR NAMES Maraver V.M.P. Patiño V.M. Sanchez V. Grande A. Garcia J.A. Baz D. Muñoz E. AUTHOR ADDRESSES (Maraver V.M.P.; Patiño V.M.; Sanchez V.; Grande A.) Hospital Infanta Cristina, Gynecology and Obstetrics Department, Spain. (Garcia J.A.) Hospital Infanta Cristina, Anesthesiology Department, Spain. (Baz D.; Muñoz E.) Hospital Infanta Cristina, Neonatology Department, Spain. CORRESPONDENCE ADDRESS V.M.P. Maraver, Hospital Infanta Cristina, Gynecology and Obstetrics Department, Spain. SOURCE Journal of Perinatal Medicine (2013) 41 SUPPL. 1. Date of Publication: June 2013 CONFERENCE NAME 11th World Congress of Perinatal Medicine 2013 CONFERENCE LOCATION Moscow, Russian Federation CONFERENCE DATE 2013-06-19 to 2013-06-22 ISSN 0300-5577 BOOK PUBLISHER Walter de Gruyter GmbH and Co. KG ABSTRACT 1.- INTRODUCTION: Antenatal education for childbirth is a great chance to not only teach expectant parents all about the pregnancy and birth of their babies, but also to meet the Maternity Unit health professionas involved in their upcoming events. Humanized birth puts the woman in the center and in control, and Hospital Infanta Cristina in Parla (Spain) has developed a series of educational visits in order to increase parent satisfaction and also improve the antenatal education. 2: METHODS Our educational visits are set on a biweekly basis, distributed by Health Centers, so expectant parents in the same antenatal education for childbirth group, can go at the same time to mantain the established group dynamics. The expected number of pregnant women attendance is 25-35 per visit. Meetings are structured as follows: 1. TALK Colloquium led by different health professionals (anesthetists, midwives, obstetricians, nurses,). During this seminar we address different aspects: a. Maternity Working Philosophy: covering topics such as Low Intervention Childbirth, Breastfeeding, or Public Cord Blood Donation. b. Epidural Analgesia: discussing various aspects of this subject. c. Dystocia: Explaining induced labour, different kinds of instrumental vaginal delivery (vacuum, forceps, spatulas), and caesarean sections. d. Maternity Unit: covering everything related to hospitalization after birth: metabolic testing, vaccinations, subsequent check-ups and recommendations after discharge. 2. VISIT We give all attendees the chance to visit the following units: a. Delivery room. b. Maternity ward. 3: RESULTS: Since this program began in February 2009, we have performed more than 100 visits to Hospital Infanta Cristina, with a high rate of attendance: more than 2,500 women, representing about 33% of pregnants giving birth in our hospital. To evaluate satisfaction degree with these meetings, educational contents, and the usefulness of this activity in their childbirth, we designed a survey that was given to all new parents during 2009 and 2010, after they had given birth, by Primary Care midwives on their postpartum check-up. ?The survey polled 57 women, with a mean age of 29 years and a primiparity rate of 84%. - 96% of respondents reported that the visit had fully / fairly helped them. - 94% of respondents reported having their doubts resolved during the meeting. This is very importance because it decrease the anxiety levels of expecting parents facing the upcoming childbirth. 70% of respondents reported feeling very satisfied with the visit. Also, 70% indicated they would perform the meeting again in a next pregnancy. - 96% of respondents reported that they would recommend it to other pregnants. As positive aspects, expecting parents reported the visit helped them to reduce potential anxiety, allowing them to check maternity facilities and meeting the staff prior to delivery. As negative aspects to improve, they mentioned visit duration (33% of respondents reported they lasted too long). 4: CONCLUSIONS: After four years performing this educational project, it is fully implemented, and expectant parents are satisfied to meet all health professionals involved in their upcoming birth. They visit the maternity unit, and get to know what to expect when they go into labour. Also, Hospital staff get involved with an effective antenatal education. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education parent perinatal care satisfaction EMTREE MEDICAL INDEX TERMS anesthesist anxiety baby blood donor cesarean section delivery room dystocia epidural anesthesia expectant parent female forceps group dynamics health health center health practitioner hospital hospital personnel hospitalization human maternity ward midwife nurse philosophy pregnancy pregnant woman primary medical care primipara Spain umbilical cord blood vaccination vacuum vaginal delivery LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71115570 DOI 10.1515/jpm-2013-2003 FULL TEXT LINK http://dx.doi.org/10.1515/jpm-2013-2003 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 130 TITLE Denying disability the increase in disability directed terminations-a parent's perspective AUTHOR NAMES Belcher D. AUTHOR ADDRESSES (Belcher D.) Spina Bifida New Zealand, Hamilton, New Zealand. CORRESPONDENCE ADDRESS D. Belcher, Spina Bifida New Zealand, Hamilton, New Zealand. SOURCE Prenatal Diagnosis (2013) 33 SUPPL. 1 (100-101). Date of Publication: June 2013 CONFERENCE NAME 17th International Conference on Prenatal Diagnosis and Therapy, ISPD 2013 CONFERENCE LOCATION Lisbon, Portugal CONFERENCE DATE 2013-06-02 to 2013-06-05 ISSN 0197-3851 BOOK PUBLISHER John Wiley and Sons Ltd ABSTRACT OBJECTIVES: International statistics indicate that a prenatal diagnosis of Spina Bifida often results in a decision for selective termination, despite radical improvements in medical care, management and life expectancy for those living with Spina Bifida. This trend of increasing rates of disability directed pregnancy terminations and neonatal euthanasia has been noted by international specialists and those involved in disability advocacy and is occurring despite the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD), United Nations Convention on the Rights of a Child (UNCRC) and Government sponsored National Disability Strategies affirming the rights of people with disabilities to enjoy life on an equal basis with all others. Societal attitudes to unborn children with disabilities and early pregnancy termination of children with Spina Bifida have been researched by International Federation for Spina Bifida and Hydrocephalus with the adoption of the Toulouse resolution: quality of life should not be a reason for abortion or euthanasia. METHOD: Individual medical care no longer starts at birth but now begins early in prenatal life. The chance of having a baby with open Spina Bifida is approximately one in twenty and the risk of having a pregnancy affected by any Neural Tube Defect is approximately one in ten. Antenatal screening has become an important component of pregnancy care for expectant parents and women in particular. Prenatal diagnosis of Spina Bifida became available in 1975 but women taking part in screening are unprepared for the possibility that it may result in an unexpected pregnancy outcome. Medical diagnostics are usually used to reveal disease, to benefit the person undergoing testing. Except in the case where prenatal therapy is available or where changes to obstetric management are made as a result of undertaking screening it is difficult to conceive that it is beneficial to a foetus, so a clear sense of the goal of antenatal screening must be communicated to all expectant parents. RESULTS: The justification for introducing prenatal screening for Spina Bifida has been grounded historically on terms such as 'prevention', 'efficacy' and 'benefit'. An implicit link between diagnosis and prevention, abnormality and termination exists. Prenatal screening can be a vital aid in monitoring pregnancies for therapeutic reasons with a view to safe delivery, however, most screening is performed in order to prevent the birth (or conception) of disabled children. There are high detection and termination rates for NTD affected pregnancies. In Europe 72% of pregnancies affected by a Neural Tube Defect between 2004 and 2008 were terminated. This pattern of live-birth reduction has been demonstrated in many other countries where antenatal screening programs operate. These losses represent a small percentage in terms of total terminations but in terms of statistics vastly greater discrimination is clear. CONCLUSIONS: Technological change in medicine has been so rapid and so progressive that it is virtually impossible to give a completely accurate prognosis for a baby born with Spina Bifida. Unfortunately this pace of change has also meant that doctors are simply unequipped to assist parents. Parents diagnosed with neural tube defect affected pregnancy relate that their pregnancy after diagnosis was much more difficult than family life after the birth of their child. This was caused by the negative prognosis and judgement about disability received from their medical professional providing pregnancy care. Any preventive strategy involving disability should not include the denial of life. Spina Bifida does not prevent people from achieving their full and unique potential. It is not something terrible and wrong that must be prevented, fixed, or cured because its impact can only be negative. Policy makers and Clinicians must begin to communicate that it is acceptable to live with disabilities, affirming the United Nations Convention on the Rights of Persons with Disabilities and the United Nations Convention on the Rights of a Child as well as national disability strategies thus improving the lives of those who will inevitably be born with Spina Bifida or acquire other disabilities. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) disability parent prenatal diagnosis therapy EMTREE MEDICAL INDEX TERMS abortion baby child decision making diagnosis Europe euthanasia expectant parent family life female fetus first trimester pregnancy government handicapped child human hydrocephalus life expectancy live birth medical care medical specialist monitoring neural tube defect physician policy pregnancy pregnancy outcome pregnancy termination prenatal screening prevention prognosis quality of life risk screening spinal dysraphism statistics United Nations LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71166570 DOI 10.1002/pd.4148 FULL TEXT LINK http://dx.doi.org/10.1002/pd.4148 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 131 TITLE Preparing fathers for the transition to parenthood: Recommendations for the content of antenatal education AUTHOR NAMES May C. Fletcher R. AUTHOR ADDRESSES (May C., Chris.May@newcatle.edu.au; Fletcher R., Richard.Fletcher@newcastle.edu.au) Faculty of Health, Family Action Centre, University of Newcastle, Callaghan, NSW 2308, Australia. (May C., Chris.May@newcatle.edu.au) Fathers' Antenatal Education, Hunter New England Area Health, Newcastle, Australia. CORRESPONDENCE ADDRESS C. May, Faculty of Health, Family Action Centre, University of Newcastle, Callaghan, NSW 2308, Australia. Email: Chris.May@newcatle.edu.au SOURCE Midwifery (2013) 29:5 (474-478). Date of Publication: May 2013 ISSN 0266-6138 BOOK PUBLISHER Churchill Livingstone, 1-3 Baxter's Place, Leith Walk, Edinburgh, United Kingdom. ABSTRACT 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. © 2012 Elsevier Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation childbirth education EMTREE MEDICAL INDEX TERMS adaptive behavior article education family father father child relation female human human relation male methodology newborn paternal behavior pregnancy psychological aspect LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 23159162 (http://www.ncbi.nlm.nih.gov/pubmed/23159162) PUI L52306543 DOI 10.1016/j.midw.2012.03.005 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2012.03.005 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 132 TITLE Development of HAPPY (Healthy and Active Parenting Programme for the early Years) an intervention to prevent childhood obesity: A theory-based approach AUTHOR NAMES Taylor N. Sahota P. Sargent J. Barber S.E. Loach J. Wright J. AUTHOR ADDRESSES (Sahota P.) School of Health and Wellbeing, Leeds Metropolitan University, Leeds, United Kingdom. (Taylor N.; Barber S.E.; Wright J.) Bradford Institute for Health Research, Bradford Teaching Hospitals Foundation Trust, Bradford, United Kingdom. (Sargent J.) Bradford Parenting Centre; Barnardo's, Bradford, United Kingdom. (Loach J.) Bradford Teaching Hospitals, NHS Foundation Trust, Bradford, United Kingdom. CORRESPONDENCE ADDRESS N. Taylor, Bradford Institute for Health Research, Bradford Teaching Hospitals Foundation Trust, Bradford, United Kingdom. SOURCE Obesity Facts (2013) 6 SUPPL. 1 (159). Date of Publication: May 2013 CONFERENCE NAME 20th European Congress on Obesity, ECO 2013 CONFERENCE LOCATION Liverpool, United Kingdom CONFERENCE DATE 2013-05-12 to 2013-05-15 ISSN 1662-4025 BOOK PUBLISHER S. Karger AG ABSTRACT Introduction: Interventions that make extensive use of theory tend to have larger effects on behaviour. The Intervention Mapping (IM) framework (Bartholomew, 2001) incorporates theory into intervention design, implementation and evaluation, and was applied to the development of a community-based early obesity prevention intervention for a multi-ethnic population. Methods: IM was applied as follows: 1) Needs assessment of parents, wider community and practitioners; consideration of evidence-base, policy and practice; 2) Identification of outcomes and change objectives following identification of barriers to behaviour change mapped alongside psychological determinants e.g. knowledge, self-efficacy, beliefs 3) Selection of theory-based methods and practical strategies to address barriers to behaviour change e.g. strategies for responsive feeding; 4) Design of the intervention by developing evidence-based interactive activities and resources e.g. visual aids to show babies stomach size. The activities were integrated into an existing parenting programme 5) Adoption and implementation: parenting practitioners were trained by healthcare professionals to deliver within Children Centres. Results: HAPPY is aimed at pregnant women (BMI > 25); consists of 12 x 2.5 hr. sessions (6 ante-natal from 24 weeks; 6 postnatal upto 9 months and addresses 1) mother's diet and physical activity 2) breast or bottle feeding 3) infant diet and parental feeding practices 4) infant physical activity 5) parenting practices: parenting styles and skills. Conclusion: The theory-based, pragmatic, and culturally-relevant intervention is currently being evaluated by a feasibility trial. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation childhood obesity obesity EMTREE MEDICAL INDEX TERMS baby behavior change bottle feeding breast child community diet ethnic group evidence based practice feeding female health care personnel human infant mother needs assessment parent physical activity physician policy pregnant woman prevention self concept skill stomach volume visual aid LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71300478 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 133 TITLE 'Let men into the pregnancy'--men's perceptions about being tested for chlamydia and HIV during pregnancy AUTHOR NAMES Christianson M. Boman J. Essén B. AUTHOR ADDRESSES (Christianson M., monica.christianson@nurs.umu.se; Boman J.; Essén B.) Department of Nursing, Umeå University, Umeå, Sweden SOURCE Midwifery (2013) 29:4 (351-358). Date of Publication: 1 Apr 2013 ISSN 1532-3099 (electronic) ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) chlamydiasis (diagnosis, prevention) Human immunodeficiency virus infection (diagnosis, prevention) paternal behavior prevention and control EMTREE MEDICAL INDEX TERMS adult childbirth education environmental exposure father female human male mass screening men's health physiology pregnancy prenatal care procedures psychology statistics and numerical data Sweden LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 22417755 (http://www.ncbi.nlm.nih.gov/pubmed/22417755) PUI L604722418 DOI 10.1016/j.midw.2012.02.001 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2012.02.001 COPYRIGHT Copyright 2015 Medline is the source for the citation and abstract of this record. RECORD 134 TITLE 'Let men into the pregnancy'--men's perceptions about being tested for chlamydia and HIV during pregnancy. AUTHOR NAMES Christianson M. Boman J. Essén B. AUTHOR ADDRESSES (Christianson M., monica.christianson@nurs.umu.se) Department of Nursing, Umeå University, Umeå, Sweden. (Boman J.; Essén B.) CORRESPONDENCE ADDRESS M. Christianson, Department of Nursing, Umeå University, Umeå, Sweden. Email: monica.christianson@nurs.umu.se SOURCE Midwifery (2013) 29:4 (351-358). Date of Publication: Apr 2013 ISSN 1532-3099 (electronic) ABSTRACT 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. an explorative research strategy with in-depth interviews and an analysis informed by grounded theory principles was used. the northern part of Sweden. 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. 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. 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. knowledge from this research can contribute to influencing the attitudes among health-care providers positively, and inspiring policy changes. Copyright © 2012 Elsevier Ltd. All rights reserved. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) chlamydiasis (diagnosis, prevention) environmental exposure (prevention) Human immunodeficiency virus infection (diagnosis, prevention) mass screening paternal behavior EMTREE MEDICAL INDEX TERMS adult article childbirth education father female human male men's health methodology physiology pregnancy prenatal care psychological aspect statistics Sweden LANGUAGE OF ARTICLE English MEDLINE PMID 22417755 (http://www.ncbi.nlm.nih.gov/pubmed/22417755) PUI L563023962 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 135 TITLE Anxiety and depression in parents of sick neonates: A hospital-based study AUTHOR NAMES Kong L.-P. Cui Y. Qiu Y.-F. Han S.-P. Yu Z.-B. Guo X.-R. AUTHOR ADDRESSES (Kong L.-P.; Cui Y., cyan@njmu.edu.cn) School of Nursing, Nanjing Medical University, Nanjing, China. (Kong L.-P.) Department of Nursing, Nanjing Health School, Nanjing, China. (Qiu Y.-F., qiuyufang0298@126.com; Han S.-P.; Yu Z.-B.; Guo X.-R.) Department of Pediatrics, Nanjing Maternal and Child Health Hospital Affiliated to Nanjing Medical University, Nanjing, China. CORRESPONDENCE ADDRESS Y. Cui, No. 140 Han-Zhong Road, Nanjing 210029, China. Email: cyan@njmu.edu.cn SOURCE Journal of Clinical Nursing (2013) 22:7-8 (1163-1172). Date of Publication: April 2013 ISSN 0962-1067 1365-2702 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Aims and objectives: To investigate the prevalence of anxiety and depression in parents of hospitalised neonates and to analyse their relationship with other factors such as stress and social support, to provide evidence for targeted clinical interventions. Background: The perinatal period, a special susceptibility to negative emotions, is a period that women and their spouses have to face. In this time, the fact that the neonates have to be hospitalised is no doubt a huge psychological stress to their parents. Little understanding of the hospitalisation environment, lacking awareness of neonatal diseases as well as concerns about the neonates' safety, can easily lead to negative emotions in parents. Under the influence of negative mood, parents could become irritable and vulnerable, which may do harm to their physical and mental health, impact family harmony and even result in ineffective communication with doctors, affecting the care of neonates. Design: This study applied a cross-sectional study design. Methods: The psychological status of 600 parents (400 fathers and 200 mothers) was assessed in the first week of the hospitalisation of neonates, using the Self-Rating Anxiety Scale, Self-Rating Depressive Scale, Social Support Rating Scale and Perceived Stress Scale. Results: The results of the cross-sectional survey showed that 20% of fathers and 24% of mothers had symptoms of anxiety, while 30·8% of fathers and 35% of mothers had depressive symptoms. The total scores for anxiety and depression in these parents were significantly higher than the normal population (p < 0·01). The level of social support and perceived stress were the most important factors relating to parental anxiety and depression. Conclusion: Parents of hospitalised neonates are more prone to suffer from negative emotions than normal population. Anxiety and depression are common emotions in these parents. However, the social support they receive is far from satisfactory, so timely and effective nursing interventions are essential. Relevance to clinical practice: Health professionals should understand the mental health of parents with hospitalised neonates and take measures to reduce their psychological pressure so as to improve their care of the neonates, and help to maintain the harmony and stability of families and the whole society. © 2013 Blackwell Publishing Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) anxiety depression hospital newborn disease parent EMTREE MEDICAL INDEX TERMS adult article China cross-sectional study female human male newborn psychological aspect LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 23480505 (http://www.ncbi.nlm.nih.gov/pubmed/23480505) PUI L368536387 DOI 10.1111/jocn.12090 FULL TEXT LINK http://dx.doi.org/10.1111/jocn.12090 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 136 TITLE NHS Tayside: implementing the Scottish antenatal parent education pack. AUTHOR NAMES McIntyre-Miller A. Chmiel C. AUTHOR ADDRESSES (McIntyre-Miller A.) NHS Tayside (Chmiel C.) CORRESPONDENCE ADDRESS A. McIntyre-Miller, NHS Tayside SOURCE The practising midwife (2013) 16:4 (28-30). Date of Publication: Apr 2013 ISSN 1461-3123 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health education parent patient satisfaction prenatal care EMTREE MEDICAL INDEX TERMS adaptive behavior article education female human human relation male mental stress (prevention) methodology national health service nurse patient relationship organization and management patient attitude pregnancy puerperal depression (prevention) social support statistics United Kingdom LANGUAGE OF ARTICLE English MEDLINE PMID 23687874 (http://www.ncbi.nlm.nih.gov/pubmed/23687874) PUI L369508585 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 137 TITLE Sources of information used by women during pregnancy to meet their information needs related to pregnancy, birth and early parenting: A cross-sectional study AUTHOR NAMES Grimes H. Newton M. Forster D. AUTHOR ADDRESSES (Grimes H., h.grimes@latrobe.edu.au) La Trobe University, Bendigo, Australia. (Newton M.) La Trobe University, Bundoora, Australia. (Forster D.) Mother and Child Health Research, La Trobe University, Melbourne, Australia. (Forster D.) Royal Women's Hospital, Parkville, Australia. CORRESPONDENCE ADDRESS H. Grimes, La Trobe University, Bendigo, Australia. Email: h.grimes@latrobe.edu.au SOURCE Journal of Paediatrics and Child Health (2013) 49 SUPPL. 2 (26). Date of Publication: April 2013 CONFERENCE NAME 17th Congress of the Perinatal Society of Australia and New Zealand, PSANZ 2013 CONFERENCE LOCATION Adelaide, SA, Australia CONFERENCE DATE 2013-04-14 to 2013-04-17 ISSN 1034-4810 BOOK PUBLISHER Blackwell Publishing ABSTRACT Background: To be active participants in decision-making during pregnancy women need access to accurate information. The internet has emerged as an increasingly important medium for health information. There is limited evidence regarding the way these newer technologies have impacted health information seeking. Method: Data were collected in a descriptive cross-sectional study at the Royal Women's Hospital (RWH), Melbourne, Australia titled 'Exploring the care we provide to new mothers'. All women who birthed at the RWH between November 2010 and January 2011 (n = 752) were sent a survey (except those with a known perinatal loss). Descriptive statistics were used to summarise quantitative data. Qualitative data were analysed using content analysis. Results: The response fraction was 47% (350/752). 'Discussion with a midwife' was the most frequently used source of information (70%, 246/350). Less than half the women used the internet. Women from non- English speaking backgrounds (NESB) were less likely to use the pregnancy booklet developed by RWH (p = 0.012) and childbirth education classes (p = 0.012). One third of women had unmet learning needs particularly in relation to breastfeeding and postnatal recovery. Conclusion: Maternity service providers need to ensure that the information they are providing women is meeting the needs of the women they care for. Key findings of note here are that fewer than half of the women used the internet as an information source; and that existing sources of information may not meet the needs of women from NESB, either because existing multilingual resources are not accessed, or because resources are only provided in English. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Australia and New Zealand child parent relation cross-sectional study female human pregnancy society EMTREE MEDICAL INDEX TERMS Australia childbirth education content analysis decision making hospital information seeking Internet learning medical information midwife mother speech statistics technology LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71033403 DOI 10.1111/jpc.12132 FULL TEXT LINK http://dx.doi.org/10.1111/jpc.12132 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 138 TITLE Evaluation of a family nursing intervention for distressed pregnant women and their partners: A single group before and after study AUTHOR NAMES Thome M. Arnardottir S.B. AUTHOR ADDRESSES (Thome M., marga@hi.is) School of Health Science, Faculty of Nursing, University of Iceland, Reykjavik, Iceland. (Arnardottir S.B.) Primary Health Care of the Capital Area, Reykjavik, Iceland. CORRESPONDENCE ADDRESS M. Thome, School of Health Science, Faculty of Nursing, University of Iceland, Reykjavik, Iceland. Email: marga@hi.is SOURCE Journal of Advanced Nursing (2013) 69:4 (805-816). Date of Publication: April 2013 ISSN 0309-2402 1365-2648 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Aim. To report a study of the effects of an antenatal family nursing intervention for emotionally distressed women and their partners. Background. High levels of depressive symptoms and anxiety are common in pregnant women, and their partners are likely to suffer from a higher degree of these symptoms than those of non-distressed women. Maternal anxiety and depressive symptoms influence the development of the foetus and child negatively. Distress-reducing interventions for couples are scarce. Design. The design was a pre- and post-test single group quasi-experiment. Methods. All women distressed during the last two trimesters of pregnancy were referred by midwives to a family nursing home-visiting service in a primary care setting in Iceland. They were invited to participate in the study from November 2007-September 2009. The final sample was 39 couples. Assessment of distress was through self-reporting of depressive symptoms and anxiety, self-esteem, and dyadic adjustment. The couple received four home visits that were guided by the Calgary Family Nursing Model. Results. Women experienced a higher degree of distress than men before the intervention. Couple's distress was interrelated, and improvement was significant on all indicators after the intervention. Conclusion. Healthcare professionals who care for distressed expectant women should attend to their partners' mental health status. The Calgary Family Nursing Model is an appropriate guide for nursing care of distressed prospective couples in a primary care setting. © 2012 Blackwell Publishing Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) family nurse patient relationship spouse EMTREE MEDICAL INDEX TERMS article female human Iceland pregnancy LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 22709258 (http://www.ncbi.nlm.nih.gov/pubmed/22709258) PUI L52073153 DOI 10.1111/j.1365-2648.2012.06063.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1365-2648.2012.06063.x COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 139 TITLE Fathers' experiences of pregnancy, labour and delivery AUTHOR NAMES McHugh A. Hehir M.P. Balla K. Foley M. Mahony R. AUTHOR ADDRESSES (McHugh A.; Hehir M.P.; Balla K.; Foley M.; Mahony R.) National Maternity Hospital, Holles street, Dublin, Ireland. CORRESPONDENCE ADDRESS A. McHugh, National Maternity Hospital, Holles street, Dublin, Ireland. SOURCE Archives of Disease in Childhood: Fetal and Neonatal Edition (2013) 98 SUPPL. 1. Date of Publication: April 2013 CONFERENCE NAME 16th Annual Conference of the British Maternal and Fetal Medicine Society CONFERENCE LOCATION Dublin, Ireland CONFERENCE DATE 2013-04-25 to 2013-04-26 ISSN 1359-2998 BOOK PUBLISHER BMJ Publishing Group ABSTRACT A fathers presence during labour is now commonplace in modern obstetric practise. We sought to evaluate fathers' experiences of pregnancy, labour and delivery. A survey was distributed to fathers in the postnatal period, and comprised of 17 questions. The questions were quantitative and multiple-choice in nature. No qualitative data was sought. A total of 1000 completed questionnaires were submitted for analysis. The mean age of fathers in the study was 33.8 years. Approximately 70% of the population were married, while 27.3% were in long term relationships. A significant percentage of the fathers were employed (88.1%) in paid work. Less than 8% were unemployed. First time fathers constituted the largest group (53.7%). Planned pregnancies constituted 77.9% with 2.5% as a result of fertility treatment. Seventy percent of fathers were 'overjoyed', 18.4% were 'pleased' and 11.3% responded either neutrally or negatively to the news of the pregnancy. Fathers were found to be likely to be present at ultrasound scans (89.1%) but less likely to be involved in antenatal education classes (48%). Almost all fathers were present at the delivery (97.2%). Nearly half of the fathers (49.6%) planned to attend the delivery because they really wanted to witness the birth, 43% attended to support their partner. At every stage of the pregnancy fathers perceived midwifery staff to have communicated better when compared to medical staff. Our quantitative survey found that in general fathers involvement with the pregnancy process and their attendance at the birth to be a positive experience. Communication processes can be improved to better support the father in his role during this time. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father human male pregnancy society EMTREE MEDICAL INDEX TERMS education fertility interpersonal communication married person medical staff midwife multiple choice test perinatal period population questionnaire ultrasound witness LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71393603 DOI 10.1136/archdischild-2013-303966.213 FULL TEXT LINK http://dx.doi.org/10.1136/archdischild-2013-303966.213 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 140 TITLE Depressed mood and body mass index are associated with poor sleep quality in men expecting their first child AUTHOR NAMES Da Costa D. Zelkowitz P. Holly C. Chan E. Pillayc S. Raptis M. Khalifé S. AUTHOR ADDRESSES (Da Costa D.; Zelkowitz P.) Psychiatry, McGill University, Montreal, Canada. (Holly C.) Psychology, University of Ottawa, Ottawa, Canada. (Chan E.) Psychology, McGill University, Montreal, Canada. (Pillayc S.; Raptis M.) Division of Clinical Epidemiology, McGill University Health Centre, Montreal, Canada. (Khalifé S.) Obstetrics and Gynecology, Jewish General Hospital, Montreal, Canada. CORRESPONDENCE ADDRESS D. Da Costa, Psychiatry, McGill University, Montreal, Canada. SOURCE Psychosomatic Medicine (2013) 75:3 (A-66). Date of Publication: April 2013 CONFERENCE NAME 71st Annual Scientific Meeting of the American Psychosomatic Society CONFERENCE LOCATION Miami, FL, United States CONFERENCE DATE 2013-03-13 to 2013-03-16 ISSN 0033-3174 BOOK PUBLISHER Lippincott Williams and Wilkins ABSTRACT Sleep disturbances including insomnia, sleep fragmentation and daytime sleepiness are common for women during pregnancy. Disturbed sleep has been shown to adversely impact quality of life and daily functioning in various populations. Studies addressing the prevalence and factors associated to sleep disturbances in men during the transition to parenthood are lacking. The aim of this study was to determine the prevalence of sleep disturbances in men expecting their first child and to identify factors associated with poor sleep quality. Couples expecting their first child were recruited from local prenatal classes and university affiliated obstetric/gynecology and ultrasound clinics. One hundred and forty-two men (mean age = 34.1, SD= 5.8) completed an on-line survey during their partner's third trimester of pregnancy. The survey included the Pittsburgh Sleep Quality Index (PSQI), measures assessing depression, trait anxiety, social support, marital satisfaction, physical activity, and questions about smoking and alcohol consumption. Logistic regression examined correlates of poor sleep. The mean global PSQI score was 3.4 (SD = 1.7) and selfreported sleep duration was 7.7 hours (SD=1.1). The prevalence of sleep problems defined as PSQI ≥ 5 was 24.6% (n=35). Men who reported more depressive symptoms (odds ratio (OR) = 1.21, 95% confidence interval (CI) = 1.02-1.42) and with a higher BMI (OR = 1.11, 95% CI = 1.01 - 1.23) had greater odds of reporting poor sleep quality. Physical activity level, smoking and alcohol consumption were not associated to poor sleep quality. Depressive symptoms and elevated BMI are associated with sleep disturbances in men expecting their first child. Given that sleep quality is likely to worsen following the birth of a child, men who are already experiencing sleep disturbances during their partner's pregnancy may benefit from strategies aimed at alleviating depressed mood and sleep hygiene counseling to improve sleep. Future studies to address the temporality of depressed mood and sleep disturbances in men during the transition to parenthood are needed. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) body mass child human male mood psychosomatics sleep quality society EMTREE MEDICAL INDEX TERMS alcohol consumption anxiety confidence interval counseling daytime somnolence depression female hospital hygiene insomnia logistic regression analysis marriage parenthood physical activity Pittsburgh Sleep Quality Index population pregnancy prevalence quality of life risk sleep sleep disorder sleep time smoking social support third trimester pregnancy ultrasound university LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71047351 DOI 10.1097/01.psy.0000429452.16135.1b FULL TEXT LINK http://dx.doi.org/10.1097/01.psy.0000429452.16135.1b COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 141 TITLE Excess prenatal corticosterone exposure programs hypotension in aged male offspring in the mouse AUTHOR NAMES O'Sullivan L. Paravicini T.M. Koning A. Cuffe J.S.M. Singh R.R. Moritz K.M. AUTHOR ADDRESSES (O'Sullivan L., k.moritz1@uq.edu.au; Paravicini T.M.; Koning A.; Cuffe J.S.M.; Singh R.R.; Moritz K.M.) School of Biomedical Sciences, University of Queensland, Brisbane, Australia. CORRESPONDENCE ADDRESS L. O'Sullivan, School of Biomedical Sciences, University of Queensland, Brisbane, Australia. Email: k.moritz1@uq.edu.au SOURCE Journal of Paediatrics and Child Health (2013) 49 SUPPL. 2 (87). Date of Publication: April 2013 CONFERENCE NAME 17th Congress of the Perinatal Society of Australia and New Zealand, PSANZ 2013 CONFERENCE LOCATION Adelaide, SA, Australia CONFERENCE DATE 2013-04-14 to 2013-04-17 ISSN 1034-4810 BOOK PUBLISHER Blackwell Publishing ABSTRACT Background: Exposure to synthetic glucocorticoids in utero has been associated with the development of hypertension in later life for both humans and animal models. The effects of natural glucocorticoids have been less well characterized. We used a mouse model of short-term exposure to excess corticosterone (CORT) to investigate the long-term cardiovascular and renal outcomes. Method: CORT was delivered between E12.5-E15. Untreated counterparts were used as controls (UNTR). Nephron endowment was estimated at PN30. At 12 months of age the blood pressure of the offspring was measured by radiotelemetry in both basal and stressed conditions. Urine was collected and analysed using a Cobas Integra® 400 plus analyzer. Results: Male CORT offspring had significantly (P < 0.05) lower basal mean arterial, systolic, and diastolic blood pressures compared to UNTR. In response to a 15 min restraint stress the increase in heart rate was attenuated in the CORT males. Male CORT offspring had increased albuminuria (4.18 ± 0.39 vs. 2.32 ± 0.39 ng/kg BW; P < 0.05) as well as increased excreted levels of sodium, potassium and chlorine ions in their urine. CORT males had 33% decrease in nephron number. Male CORT were lighter at 12 months of age (33.3 ± 1.0 vs. 36.7 ± 1.1 g; P < 0.05), and although they tended to have larger hearts and kidneys this was not statistically significant. No differences were observed in female offspring. Conclusions: Prenatal exposure to excess CORT leads to a nephron deficit, albuminuria, electrolyte imbalance and hypotension in aged male offspring. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) corticosterone EMTREE DRUG INDEX TERMS chloride ion glucocorticoid potassium sodium EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Australia and New Zealand exposure hypotension male mouse progeny society EMTREE MEDICAL INDEX TERMS albuminuria analyzer animal model blood pressure diastolic blood pressure electrolyte disturbance female heart heart rate human hypertension immobilization stress kidney nephron prenatal exposure telemetry urine LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71033593 DOI 10.1111/jpc.12133 FULL TEXT LINK http://dx.doi.org/10.1111/jpc.12133 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 142 TITLE Can we improve women's operative vaginal birth experience? AUTHOR NAMES Cass G. Goyder K. Strachan B. Bahl R. AUTHOR ADDRESSES (Cass G.) Musgrove Park Hospital, Taunton, United Kingdom. (Goyder K.; Strachan B.; Bahl R.) St Michaels Hospital, Bristol, United Kingdom. CORRESPONDENCE ADDRESS G. Cass, Musgrove Park Hospital, Taunton, United Kingdom. SOURCE Archives of Disease in Childhood: Fetal and Neonatal Edition (2013) 98 SUPPL. 1. Date of Publication: April 2013 CONFERENCE NAME 16th Annual Conference of the British Maternal and Fetal Medicine Society CONFERENCE LOCATION Dublin, Ireland CONFERENCE DATE 2013-04-25 to 2013-04-26 ISSN 1359-2998 BOOK PUBLISHER BMJ Publishing Group ABSTRACT Background Obstetric practise is emotive, challenging and has long term impact both in terms of delivering new life but also for the mother where much of her experience occurs in labour and delivery. Aim of this study To investigate the non-technical skills for operative vaginal delivery that have an impact on women's birth experience when having an OVD. Method Sixteen women who had an OVD of a term baby underwent a semi structured interview 6-8 weeks postnatal. The interview recordings were transcribed verbatim. Thematic coding of data was carried out. Consistency of interpretation was ascertained by two researchers. Results One of the key themes identified by women was a 'feeling of loss of control' and a 'need for explanation' of events to enable empowerment and reinforce control back to the woman. Women reported that 'loss of control is very worrying and overwhelming'. This want of ownership to the process of operative delivery is further highlighted by the 'need for partnership between the healthcare provider and the woman', 'enabling autonomy' and 'avoiding a paternalistic relationship'. Greater information for OVD in antenatal classes was suggested in order to counteract a common theme of negative perceptions of an operative delivery. Conclusion Vulnerability of the women's feelings highlights the importance of non technical skills in ensuring a woman feels trust, is empowered and in control. These non-technical skills need to be taught, learnt and practised to ensure a woman's experience if safe, positive and pays justice to the delight of having a child. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) female human society vaginal delivery EMTREE MEDICAL INDEX TERMS baby child empowerment health care personnel instrumental delivery interview justice mother organization and management recording scientist semi structured interview skill LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71393606 DOI 10.1136/archdischild-2013-303966.216 FULL TEXT LINK http://dx.doi.org/10.1136/archdischild-2013-303966.216 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 143 TITLE Renal denervation abolishes the age-dependent increase in blood pressure in female intrauterine growth-restricted rats at 12 months of age AUTHOR NAMES Intapad S. Tull F.L. Brown A.D. Dasinger J. Ojeda N.B. Fahling J.M. Alexander B.T. AUTHOR ADDRESSES (Intapad S.; Tull F.L.; Brown A.D.; Dasinger J.; Fahling J.M.; Alexander B.T., balexander@umc.edu) Departments of Physiology and Biophysics, Women's Health Research Center, University of Mississippi Medical Center, 2500 N State St, Jackson, MS 39216, United States. (Ojeda N.B.; Alexander B.T., balexander@umc.edu) Departments of Pediatrics, Women's Health Research Center, University of Mississippi Medical Center, Jackson, MS, United States. CORRESPONDENCE ADDRESS B.T. Alexander, Departments of Physiology and Biophysics, Women's Health Research Center, University of Mississippi Medical Center, 2500 N State St, Jackson, MS 39216, United States. Email: balexander@umc.edu SOURCE Hypertension (2013) 61:4 (828-834). Date of Publication: April 2013 ISSN 0194-911X 1524-4563 (electronic) BOOK PUBLISHER Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327, Philadelphia, United States. ABSTRACT Perinatal insults program sex differences in blood pressure, with males more susceptible than females. Aging may augment developmental programming of chronic disease, but the mechanisms involved are not clear. We previously reported that female growth-restricted offspring are normotensive after puberty. Therefore, we tested the hypothesis that age increases susceptibility to hypertension in female growth-restricted offspring. Blood pressure remained similar at 6 months of age; however, blood pressure was significantly elevated in female growth-restricted offspring relative to control by 12 months of age (137±3 vs 117±4 mm Hg; P<0.01, respectively). Body weight did not differ at 6 or 12 months of age; however, total fat mass and visceral fat were significantly increased at 12 months in female growth-restricted offspring (P<0.05 vs control). Glomerular filtration rate remained normal, yet renal vascular resistance was increased at 12 months of age in female growth-restricted offspring (P<0.05 vs control). Plasma leptin, which can increase sympathetic nerve activity, did not differ at 6 months but was increased at 12 months of age in female growth-restricted offspring (P<0.05 vs control). Because of the age-dependent increase in leptin, we hypothesized that the renal nerves may contribute to the age-dependent increase in blood pressure. Bilateral renal denervation abolished the elevated blood pressure in female growth-restricted offspring normalizing it relative to denervated female control offspring. Thus, these data indicate that age induces an increase in visceral fat and circulating leptin associated with a significant increase in blood pressure in female growth-restricted offspring, with the renal nerves serving as an underlying mechanism. © 2013 American Heart Association, Inc. EMTREE DRUG INDEX TERMS catecholamine (endogenous compound) leptin (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) age hypertension intrauterine growth retardation kidney denervation EMTREE MEDICAL INDEX TERMS animal experiment animal model animal tissue article blood pressure monitoring controlled study fat mass female glomerulus filtration rate heart rate intraabdominal fat kidney blood flow kidney vascular resistance nonhuman priority journal protein blood level rat uterus blood flow uterus weight weight reduction EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Cardiovascular Diseases and Cardiovascular Surgery (18) Urology and Nephrology (28) Clinical and Experimental Biochemistry (29) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013180532 MEDLINE PMID 23424240 (http://www.ncbi.nlm.nih.gov/pubmed/23424240) PUI L52456549 DOI 10.1161/HYPERTENSIONAHA.111.00645 FULL TEXT LINK http://dx.doi.org/10.1161/HYPERTENSIONAHA.111.00645 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 144 TITLE Fathers' engagement in pregnancy and childbirth: Evidence from a national survey AUTHOR NAMES Redshaw M. Henderson J. AUTHOR ADDRESSES (Redshaw M., maggie.redshaw@npeu.ox.ac.uk; Henderson J., jane.henderson@npeu.ox.ac.uk) Policy Research Unit for Maternal Health and Care, National Perinatal Epidemiology Unit, University of Oxford, Old Road Campus, Headington, Oxford OX3 7LF, United Kingdom. CORRESPONDENCE ADDRESS M. Redshaw, Policy Research Unit for Maternal Health and Care, National Perinatal Epidemiology Unit, University of Oxford, Old Road Campus, Headington, Oxford OX3 7LF, United Kingdom. Email: maggie.redshaw@npeu.ox.ac.uk SOURCE BMC Pregnancy and Childbirth (2013) 13 Article Number: 70. Date of Publication: 20 Mar 2013 ISSN 1471-2393 (electronic) BOOK PUBLISHER BioMed Central Ltd., Floor 6, 236 Gray's Inn Road, London, United Kingdom. ABSTRACT Background: Early involvement of fathers with their children has increased in recent times and this is associated with improved cognitive and socio-emotional development of children. Research in the area of father's engagement with pregnancy and childbirth has mainly focused on white middle-class men and has been mostly qualitative in design. Thus, the aim of this study was to understand who was engaged during pregnancy and childbirth, in what way, and how paternal engagement may influence a woman's uptake of services, her perceptions of care, and maternal outcomes.Methods: This study involved secondary analysis of data on 4616 women collected in a 2010 national maternity survey of England asking about their experiences of maternity care, health and well-being up to three months after childbirth, and their partners' engagement in pregnancy, labour and postnatally. Data were analysed using descriptive statistics, chi-square, binary logistic regression and generalised linear modelling.Results: Over 80% of fathers were 'pleased or 'overjoyed' in response to their partner's pregnancy, over half were present for the pregnancy test, for one or more antenatal checks, and almost all were present for ultrasound examinations and for labour. Three-quarters of fathers took paternity leave and, during the postnatal period, most fathers helped with infant care. Paternal engagement was highest in partners of primiparous white women, those living in less deprived areas, and in those whose pregnancy was planned. Greater paternal engagement was positively associated with first contact with health professionals before 12 weeks gestation, having a dating scan, number of antenatal checks, offer and attendance at antenatal classes, and breastfeeding. Paternity leave was also strongly associated with maternal well-being at three months postpartum.Conclusions: This study demonstrates the considerable sociodemographic variation in partner support and engagement. It is important that health professionals recognise that women in some sociodemographic groups may be less supported by their partner and more reliant on staff and that this may have implications for how women access care. © 2013 Redshaw and Henderson; licensee BioMed Central Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation childbirth pregnancy EMTREE MEDICAL INDEX TERMS adolescent adult article breast feeding child care father female health health practitioner human labor male maternal care outcome assessment perception perinatal period pregnancy test ultrasound United Kingdom wellbeing EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013205147 MEDLINE PMID 23514133 (http://www.ncbi.nlm.nih.gov/pubmed/23514133) PUI L52503405 DOI 10.1186/1471-2393-13-70 FULL TEXT LINK http://dx.doi.org/10.1186/1471-2393-13-70 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 145 TITLE A community perspective on the role of fathers during pregnancy: A qualitative study AUTHOR NAMES Alio A.P. Lewis C.A. Scarborough K. Harris K. Fiscella K. AUTHOR ADDRESSES (Alio A.P., amina_alio@urmc.rochester.edu) Public Health Sciences, University of Rochester School of Medicine and Dentistry, 265 Crittenden Blvd, CU 420644, Rochester, NY 14642, United States. (Lewis C.A., cindi_lewis@URMC.Rochester.edu) Translational Biomedical Sciences, University of Rochester School of Medicine and Dentistry, 265 Crittenden Blvd CU 420644, Rochester, NY 14642, United States. (Scarborough K., kenneth.scarborough@mac.com) REACHUP, Incorporated, 2902 N. Armenia Avenue, Suite 100, Tampa, FL 33607, United States. (Harris K., kharris@cfgnh.org) New Haven Healthy Start, 70 Audubon Street, New Haven, CT 06510, United States. (Fiscella K., kevin_fiscella@URMC.Rochester.edu) Family Medicine, Public Health Sciences and Oncology, University of Rochester School of Medicine and Dentistry and Wilmot Cancer Center, 1381 South Ave, Rochester, NY 14620, United States. CORRESPONDENCE ADDRESS A.P. Alio, Public Health Sciences, University of Rochester School of Medicine and Dentistry, 265 Crittenden Blvd, CU 420644, Rochester, NY 14642, United States. Email: amina_alio@urmc.rochester.edu SOURCE BMC Pregnancy and Childbirth (2013) 13 Article Number: 60. Date of Publication: 7 Mar 2013 ISSN 1471-2393 (electronic) BOOK PUBLISHER BioMed Central Ltd., Floor 6, 236 Gray's Inn Road, London, United Kingdom. ABSTRACT Background: Defining male involvement during pregnancy is essential for the development of future research and appropriate interventions to optimize services aiming to improve birth outcomes. Study Aim: To define male involvement during pregnancy and obtain community-based recommendations for interventions to improve male involvement during pregnancy.Methods: We conducted focus groups with mothers and fathers from the National Healthy Start Association program in order to obtain detailed descriptions of male involvement activities, benefits, barriers, and proposed solutions for increasing male involvement during pregnancy. The majority of participants were African American parents.Results: The involved " male" was identified as either the biological father, or, the current male partner of the pregnant woman. Both men and women described the ideal, involved father or male partner as present, accessible, available, understanding, willing to learn about the pregnancy process and eager to provide emotional, physical and financial support to the woman carrying the child. Women emphasized a sense of " togetherness" during the pregnancy. Suggestions included creating male-targeted prenatal programs, enhancing current interventions targeting females, and increasing healthcare providers' awareness of the importance of men's involvement during pregnancy.Conclusions: Individual, family, community, societal and policy factors play a role in barring or diminishing the involvement of fathers during pregnancy. Future research and interventions should target these factors and their interaction in order to increase fathers' involvement and thereby improve pregnancy outcomes. © 2013 Alio et al.; licensee BioMed Central Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father paternal behavior pregnancy EMTREE MEDICAL INDEX TERMS adult African American article clinical article emotion female financial management health care personnel human male parent prenatal care qualitative research sex difference social support EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Health Policy, Economics and Management (36) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013191988 MEDLINE PMID 23497131 (http://www.ncbi.nlm.nih.gov/pubmed/23497131) PUI L52483542 DOI 10.1186/1471-2393-13-60 FULL TEXT LINK http://dx.doi.org/10.1186/1471-2393-13-60 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 146 TITLE Prenatal Parent Education for First-Time Expectant Parents: " Making It Through Labor Is Just the Beginning..." AUTHOR NAMES Ateah C.A. AUTHOR ADDRESSES (Ateah C.A., christine_ateah@umanitoba.ca) Faculty of Nursing, University of Manitoba, Winnipeg, Manitoba, Canada. CORRESPONDENCE ADDRESS C.A. Ateah, 89 Curry Pl, Winnipeg, Manitoba, R3T 2N2, Canada. Email: christine_ateah@umanitoba.ca SOURCE Journal of Pediatric Health Care (2013) 27:2 (91-97). Date of Publication: March 2013 ISSN 0891-5245 BOOK PUBLISHER Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States. ABSTRACT 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. © 2013 National Association of Pediatric Nurse Practitioners. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation health education midwife nurse patient relationship parent EMTREE MEDICAL INDEX TERMS adult article Canada (epidemiology) education female health care quality human male meta analysis needs assessment newborn organization and management patient education patient satisfaction pilot study pregnancy prenatal care psychological aspect questionnaire LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 23414974 (http://www.ncbi.nlm.nih.gov/pubmed/23414974) PUI L51577373 DOI 10.1016/j.pedhc.2011.06.019 FULL TEXT LINK http://dx.doi.org/10.1016/j.pedhc.2011.06.019 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 147 TITLE Preventing abusive head trauma through perinatal parent education AUTHOR NAMES Dias M.S. AUTHOR ADDRESSES (Dias M.S.) CORRESPONDENCE ADDRESS M.S. Dias, SOURCE Journal of Neurosurgery Pediatrics (2013) 11:3 (A369). Date of Publication: March 2013 CONFERENCE NAME 36th Annual Meeting of The American Society of Pediatric Neurosurgeons CONFERENCE LOCATION Kauai, HI, United States CONFERENCE DATE 2013-02-10 to 2013-02-15 ISSN 1933-0707 BOOK PUBLISHER American Association of Neurological Surgeons ABSTRACT Introduction: Abusive head trauma (AHT) remains the most severe form of child abuse with approximately 25% mortality and at least 50% permanent neurological morbidity among survivors. Shaking is a significant mechanism of injury, with or without associated impact. Preventing AHT should be a national imperative to prevent both the personal and financial costs to the families and society. Methods: In 1998 we began a primary hospital based perinatal prevention program in an eight county region of Western NY (WNY) to educate all parents (both mothers and fathers/father figures) of every child, before the infant's discharge from the hospital, about the dangers of violent infant shaking. In 2000 the program expanded to the adjacent 9 county Finger Lakes Region (FLR). Parents receive a brochure and are asked to view an 8 minute video providing information about violent infant shaking, and are asked to sign a commitment statement (CS) affirming their participation. The regional incidence of AHT has been tracked for 13 years and compared with historical control rates. Results: Program satisfaction has been excellent, and compliance, as measured by the return of CS, has been > 90% for over a decade. The past 13 years have seen a sustained and statistically significant reduction in the incidence of AHT, 48% in WNY and 56% in FLR, compared with historical control rates. Conclusion: Perinatal parent education appears to be significantly effective in reducing the incidence of AHT; the results of larger trials in Pennsylvania are being evaluated at present. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) education head injury human neurosurgeon parent society EMTREE MEDICAL INDEX TERMS child child abuse female hospital infant injury lake morbidity mortality mother prevention satisfaction survivor United States videorecording LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71239270 DOI 10.3171/2013.1.PEDSpaper25 FULL TEXT LINK http://dx.doi.org/10.3171/2013.1.PEDSpaper25 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 148 TITLE Prenatal dexamethasone (DEX) exposure but not postnatal stress in mice worsens stroke outcome in later life AUTHOR NAMES Bergmeier C. Kronert F. Antonow-Schlorke I. Rupprecht S. Witte O.W. Schwab M. AUTHOR ADDRESSES (Bergmeier C.; Kronert F.; Antonow-Schlorke I.; Rupprecht S.; Witte O.W.; Schwab M.) Hans Berger Dept. of Neurology, Jena Univ. Hospital, Germany. CORRESPONDENCE ADDRESS C. Bergmeier, Hans Berger Dept. of Neurology, Jena Univ. Hospital, Germany. SOURCE Reproductive Sciences (2013) 20:3 SUPPL. 1 (137A-138A). Date of Publication: March 2013 CONFERENCE NAME 60th Annual Scientific Meeting of the Society for Gynecologic Investigation, SGI 2013 CONFERENCE LOCATION Orlando, FL, United States CONFERENCE DATE 2013-03-20 to 2013-03-23 ISSN 1933-7191 BOOK PUBLISHER SAGE Publications Inc. ABSTRACT Early life stress enhances the incidence for vascular diseases in elderly [Roseboom, Early Hum Dev 2006]. In parallel, prenatal DEX exposure increases blood pressure in adult rats [Ortiz, Kidney Int 2001]. The effects on cerebrovascular system are not known. This is important because stroke is the third most common cause for disability and invalidism. Objective: To examine the effects of prenatal DEX exposure and early postnatal stress on stroke outcome in later life. Methods: Mice were treated with saline or 2x170μg/kg body weight DEX 24h apart corresponding to 2x12mg DEX administered to a 70kg pregnant woman to enhance fetal lung maturation at either E16/17 (one course) or E14-17 (two courses, term E19). Litter size was reduced to six pups. One group of pups of untreated mothers underwent maternal separation at P3-13 for 3h daily. Estrus was synchronized in females. At six months of age, mice underwent transient middle cerebral artery occlusion (MCAO) modeling media infarction as the most common form of embolic stroke. Infarct volume and the injury-related gliotic zone were estimated after 7 days using immunostaining of microtubule-associated protein 2 (MAP2) and glial fibrillary acidic protein (GFAP), respectively. Results: Infarct size following MCAO was similar in males and females (Fig. 1). One course of prenatal DEX treatment (E16/17) resulted in larger infarctions and gliotic zones in female and male mice (p>0.05, Fig. 1). Two courses of prenatal DEX (E14-17) did not further increase infarct size and gliotic zone (Fig. 1). Postnatal stress did not affect infarct size and astrogliosis. Conclusions: Prenatal DEX exposure but not postnatal stress in mice worsens stroke outcome in later life. Two and four days of DEX treatment have the same effects. The DEX effects might be due to programming of cerebrovascular reactivity resulting in a higher cerebrovascular tone and the inability of the cerebral vasculature to dilate maximally as we have shown previously in rats using myography (Figure Presented). EMTREE DRUG INDEX TERMS (MAJOR FOCUS) dexamethasone EMTREE DRUG INDEX TERMS glial fibrillary acidic protein microtubule associated protein 2 sodium chloride EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) cerebrovascular accident exposure gynecological examination mouse society EMTREE MEDICAL INDEX TERMS adult aged astrocytosis blood pressure body weight brain blood vessel disability early life stress estrus female fetus lung maturation human immunohistochemistry infarction injury invalidity kidney litter size male maternal deprivation middle cerebral artery occlusion model mother myography pregnant woman rat vascular disease vascularization LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71198638 DOI 10.1177/1933719113482088 FULL TEXT LINK http://dx.doi.org/10.1177/1933719113482088 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 149 TITLE Intimate partner violence and the role of legislation AUTHOR NAMES Palmer S.A.P. Armstrong A. AUTHOR ADDRESSES (Palmer S.A.P.; Armstrong A.) NICHD, Bethesda, United States. CORRESPONDENCE ADDRESS S.A.P. Palmer, NICHD, Bethesda, United States. SOURCE Journal of Women's Health (2013) 22:3 (37). Date of Publication: March 2013 CONFERENCE NAME 21st Annual Women's Health Congress: Women's Health 2013 CONFERENCE LOCATION Washington, DC, United States CONFERENCE DATE 2013-03-22 to 2013-03-24 ISSN 1540-9996 BOOK PUBLISHER Mary Ann Liebert Inc. ABSTRACT Background: Each year, 1.3 to 5.3 million women in the United States experience Intimate Partner Violence (IPV). Costs related to IPV are estimated to be between $2 and $7 billion each year; evidence that IPV has become a major public health issue. This problem is so prevalent, in 1994 The Violence Against Women Act (VAWA) was passed to provide funding for research and prevention of violence against women. Current interventions include screening with referral to counseling and protective shelters, psycho behavioral interventions during prenatal and postpartum care, referral of men to batterer treatment programs, and conjoint couples treatment. Objective(s): Identify effective interventions in the prevention of IPV and to examine the role of legislation. Materials/Methods: A Pub Med search was performed using the search terms intimate partner violence, domestic violence, legislation, law, violence against women act, to identify interventions and legislation in the area of IPV. Results: 20 articles were identified. Screening interventions effectively identify women experiencing IPV, and could improve health outcomes. No study has examined the effectiveness of screening when the outcome measure is an improved outcome rather than the identification of abuse. Psycho behavioral interventions in African Americans have been shown to reduce IPV during pregnancy and has the potential to reduce neonatal mortality. Conclusions: The true effectiveness of batterer treatment programs and conjoint couples treatment is unknown. Current VAWA legislation has created funding for both criminal justice efforts and social service support programs. This bill is currently set to expire at the end of the month, and the future of its reauthorization is unknown. VAWA is essential as there is a great need for further evidence based research on effective interventions, with the goal of decreasing the social and economic burden of intimate partner violence. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) female health human law partner violence EMTREE MEDICAL INDEX TERMS abuse African American counseling criminal justice domestic violence evidence based practice funding male newborn mortality pregnancy prevention public health puerperium screening social work United States violence LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71017574 DOI 10.1089/jwh.2013.Ab01 FULL TEXT LINK http://dx.doi.org/10.1089/jwh.2013.Ab01 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 150 TITLE Male-specific alteration in excitatory post-synaptic development and social interaction in pre-natal valproic acid exposure model of autism spectrum disorder AUTHOR NAMES Kim K.C. Kim P. Go H.S. Choi C.S. Park J.H. Kim H.J. Jeon S.J. Dela Pena I.C. Han S.-H. Cheong J.H. Ryu J.H. Shin C.Y. AUTHOR ADDRESSES (Kim K.C.; Go H.S.) Department of Pharmacology, College of Pharmacy, Seoul National University, Seoul, South Korea. (Kim K.C.; Kim P.; Go H.S.; Choi C.S.; Han S.-H.; Shin C.Y., chanyshin@kku.ac.kr) Center for Neuroscience Research, SMART Institute of Advanced Biomedical Sciences, Konkuk University, Seoul, South Korea. (Kim P.; Choi C.S.; Park J.H.; Han S.-H.; Shin C.Y., chanyshin@kku.ac.kr) Department of Pharmacology, School of Medicine, Konkuk University, 1 Hwayang-Dong, Kwangjin-Gu, Seoul 143-701, South Korea. (Kim H.J.; Dela Pena I.C.; Cheong J.H.) Department of Pharmacy, Sahmyook University, Seoul, South Korea. (Jeon S.J.) Department of Psychiatry, School of Medicine, University of California, Los Angeles CA, United States. (Ryu J.H.) Department of Oriental Pharmaceutical Science, College of Pharmacy, Kyung Hee University, Seoul, South Korea. CORRESPONDENCE ADDRESS C.Y. Shin, Department of Pharmacology, School of Medicine, Konkuk University, 1 Hwayang-Dong, Kwangjin-Gu, Seoul 143-701, South Korea. Email: chanyshin@kku.ac.kr SOURCE Journal of Neurochemistry (2013) 124:6 (832-843). Date of Publication: March 2013 ISSN 0022-3042 1471-4159 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT 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 α-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. Prenatal VPA exposure induces male inclined autistic symptoms including impaired social interactions and seizure susceptibility in rat fetus. These gender-specific impairments of VPA-exposed rats, which are similar to human autistic patients, may provide experimental models to elucidate the gender-dependent symptoms and molecular mechanisms in anti-social disorders including ASD, especially focusing on the development of excitatory/inhibitory nervous systems and synapses. © 2013 International Society for Neurochemistry. EMTREE DRUG INDEX TERMS 4 aminobutyric acid (endogenous compound) calcium calmodulin dependent protein kinase II (endogenous compound) glutamate decarboxylase (endogenous compound) glutamic acid (endogenous compound) postsynaptic density protein 95 (endogenous compound) valproic acid (drug toxicity) vesicular glutamate transporter 1 (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) autism excitatory postsynaptic potential social interaction EMTREE MEDICAL INDEX TERMS animal experiment animal model article controlled study disease model electric shock electron microscopy female male nerve cell nerve cell differentiation nonhuman postsynaptic membrane prenatal drug exposure priority journal progeny protein expression rat sex difference synaptogenesis CAS REGISTRY NUMBERS 4 aminobutyric acid (28805-76-7, 56-12-2) calcium calmodulin dependent protein kinase II (141467-21-2) glutamate decarboxylase (9024-58-2) glutamic acid (11070-68-1, 138-15-8, 56-86-0, 6899-05-4) valproic acid (1069-66-5, 99-66-1) EMBASE CLASSIFICATIONS Neurology and Neurosurgery (8) Clinical and Experimental Biochemistry (29) Drug Literature Index (37) Toxicology (52) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013147498 MEDLINE PMID 23311691 (http://www.ncbi.nlm.nih.gov/pubmed/23311691) PUI L52425670 DOI 10.1111/jnc.12147 FULL TEXT LINK http://dx.doi.org/10.1111/jnc.12147 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 151 TITLE Does antenatal education affect labour and birth? A structured review of the literature AUTHOR NAMES Ferguson S. Davis D. Browne J. AUTHOR ADDRESSES (Ferguson S., Sally.Ferguson@canberra.edu.au; Davis D.; Browne J.) Faculty of Health, Disciplines of Nursing and Midwifery, University of Canberra, Bruce ACT 2617, Australia. CORRESPONDENCE ADDRESS S. Ferguson, Faculty of Health, Disciplines of Nursing and Midwifery, University of Canberra, Bruce ACT 2617, Australia. Email: Sally.Ferguson@canberra.edu.au SOURCE Women and Birth (2013) 26:1 (e5-e8). Date of Publication: March 2013 ISSN 1871-5192 1878-1799 (electronic) BOOK PUBLISHER Elsevier, P.O. Box 211, Amsterdam, Netherlands. ABSTRACT 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. © 2012 Australian College of Midwives. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth health education labor prenatal care EMTREE MEDICAL INDEX TERMS anxiety childbirth education human labor induction parenting education priority journal short survey EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013194079 MEDLINE PMID 23063931 (http://www.ncbi.nlm.nih.gov/pubmed/23063931) PUI L52253354 DOI 10.1016/j.wombi.2012.09.003 FULL TEXT LINK http://dx.doi.org/10.1016/j.wombi.2012.09.003 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 152 TITLE Does an intense prenatal care management program improve perinatal outcomes in a high risk population? AUTHOR NAMES Wang L. Richardson R. Evans K. Lu Y. Sherry M. Hawkins M. Neale D.M. AUTHOR ADDRESSES (Wang L.; Richardson R.; Evans K.; Lu Y.; Sherry M.; Hawkins M.) Care Management/Research Team, Johns Hopkins HealthCare, Baltimore, United States. (Neale D.M.) Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, United States. CORRESPONDENCE ADDRESS L. Wang, Care Management/Research Team, Johns Hopkins HealthCare, Baltimore, United States. SOURCE Reproductive Sciences (2013) 20:3 SUPPL. 1 (331A). Date of Publication: March 2013 CONFERENCE NAME 60th Annual Scientific Meeting of the Society for Gynecologic Investigation, SGI 2013 CONFERENCE LOCATION Orlando, FL, United States CONFERENCE DATE 2013-03-20 to 2013-03-23 ISSN 1933-7191 BOOK PUBLISHER SAGE Publications Inc. ABSTRACT Objective: To investigate the effect of an intense prenatal case management program, Partner's with Moms (PWM), on perinatal outcomes in a high risk obstetrical population. This program links each patient to a case manager who is present at each clinic visit. Medication, transportation and social work assistance along with nutrition and smoking cessation counseling are integral parts of the program. Study Design: This is a retrospective, case control study, from July 1, 2008 - June 30, 2010. All women were enrolled in a Medicaid MCO, called Priority Partners (PP), at least 56 days prior to delivery. The intervention group included women who also enrolled in an intense case management program, PWM, at least 56 days prior to delivery, and continued PWM enrollment until 30 days prior to the delivery. The control group included those women who were referred to PWM but did not enrolled in PWM or had enrolled in but dropped out of PWM > 30 days prior to delivery. Perinatal outcomes assessed were gestational age at delivery, birth weight and admission to the NICU. Data were abstracted from administrative claims and case management records. Results: There were 672 patients in the intervention group and 427 patients in the control group. There were no differences in maternal age or perinatal deaths between intervention group vs control group (26.4 yrs (6.4) vs 25.4 yrs (6.0); 3 vs 0, respectively). There were no differences in term (>37 weeks) birth rate, birthweight > 2500 g or NICU admissions between the intervention vs control groups (79% vs 83%; 82% vs 86%; and 17% vs 15%; respectively). However there was a lower rate of early preterm (< 34 weeks) birth, very low birthweight (<1500 g), and NICU stay >15 days, than those in the comparison group (23% vs 34%, p =.06;17% vs 24%, p = 0.05; 33% vs 41%, p = .2 respectively). Conclusions: Our study suggests that an intense prenatal case management program tends to improve the rates of early prematurity, very low birthweight and prolonged NICU stays. These findings highlight that such an intense program may reduce the burden of prematurity and fetal growth restriction that is often associated with high risk maternal conditions. Moreover, the data suggests that such a program may reduce the amount of NICU care that is needed in this population. EMTREE DRUG INDEX TERMS pokeweed mitogen EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) gynecological examination high risk population prenatal care society EMTREE MEDICAL INDEX TERMS birth rate birth weight case control study case management case manager control group counseling drug therapy female fetus growth gestational age hospital human maternal age medicaid nutrition patient perinatal death population prematurity risk smoking cessation social work study design traffic and transport very low birth weight LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71199300 DOI 10.1177/1933719113482088 FULL TEXT LINK http://dx.doi.org/10.1177/1933719113482088 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 153 TITLE Couvade Syndrome among Polish expectant fathers AUTHOR NAMES Kazmierczak M. Kielbratowska B. Pastwa-Wojciechowska B. Preis K. AUTHOR ADDRESSES (Kazmierczak M., psymk@univ.gda.pl; Pastwa-Wojciechowska B.) Institute of Psychology, University of Gdansk, Gdansk, Poland. (Kielbratowska B.; Preis K.) Medical University of Gdansk, Gdansk, Poland. CORRESPONDENCE ADDRESS M. Kazmierczak, Institute of Psychology, University of Gdansk, Gdansk, Poland. Email: psymk@univ.gda.pl SOURCE Medical Science Monitor (2013) 19:1 (132-138). Date of Publication: 21 Feb 2013 ISSN 1234-1010 1643-3750 (electronic) BOOK PUBLISHER International Scientific Literature Inc., 1125 Willis Ave., Albertson, United States. ABSTRACT Background: The aim of the conducted study was to analyze the phenomenon of Couvade Syndrome amongst fathers expecting their children in Poland. The authors examined the frequency of couvade symptoms in male subjects as well as their associations with male empathy. Material/Methods: The research involved 143 expectant fathers. All subjects attended antenatal classes, and their female partners were in their third trimester. Before the start of classes, participants were asked to fill in the following questionnaires: a survey for measurement of Couvade Syndrome (which includes a set of 16 symptoms identified by Lipkin and Lamb (19) and translated into Polish), and the Empathic Sensitiveness Scale (SWE). Although participants, on average, did not experience Couvade Syndrome, they did experience symptoms that are commonly linked with the syndrome, namely those related to weight (weight gain, changes in appetite and flatulence). Results: The results indicate that expectant fathers experience couvade symptoms related to weight (weight gain, changes in appetite and flatulence). The only empathic component that positively correlates with Couvade Syndrome is personal distress, i.e. the tendency to take on the negative emotions of others. Demographic characteristics are not associated with Couvade Syndrome. Conclusions: The frequency of couvade symptoms in male subjects is associated with male empathy. In other words, men who are emotionally sensitive or prone to distress may physiologically experience the pregnancy of their female partners, which can be interpreted as compathy. © Med Sci Monit. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) couvade syndrome expectant father mental disease EMTREE MEDICAL INDEX TERMS adult appetite disorder article distress syndrome education empathy flatulence human human experiment male questionnaire weight gain EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013273666 MEDLINE PMID 23425940 (http://www.ncbi.nlm.nih.gov/pubmed/23425940) PUI L368819728 DOI 10.12659/MSM.883791 FULL TEXT LINK http://dx.doi.org/10.12659/MSM.883791 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 154 TITLE Decomposing Kenyan socio-economic inequalities in skilled birth attendance and measles immunization AUTHOR NAMES Van Malderen C. Ogali I. Khasakhala A. Muchiri S.N. Sparks C. Van Oyen H. Speybroeck N. AUTHOR ADDRESSES (Van Malderen C., carine.vanmalderen@uclouvain.be; Speybroeck N., niko.speybroeck@uclouvain.be) Institute of Health and Society (IRSS), Université Catholique de Louvain, Brussels, Belgium. (Ogali I., inogali@yahoo.com) Veterinary Research Centre, Kenya Agricultural Research Institute, Kikuyu, Kenya. (Khasakhala A., akhasakhala@uonbi.ac.ke) Population Studies Research Institute (PSRI), University of Nairobi, Nairobi, Kenya. (Muchiri S.N., stephen_muchiri@yahoo.com) Futures Group, Nairobi, Kenya. (Sparks C., corey.sparks@utsa.edu) Department of Demography, University of Texas, San Antonio, United States. (Van Oyen H., Herman.VanOyen@wiv-isp.be) Unit of Public Health and Surveillance, Scientific Institute of Public Health, Brussels, Belgium. CORRESPONDENCE ADDRESS C. Van Malderen, Institute of Health and Society (IRSS), Université Catholique de Louvain, Brussels, Belgium. Email: carine.vanmalderen@uclouvain.be SOURCE International Journal for Equity in Health (2013) 12:1 Article Number: 3. Date of Publication: 2013 ISSN 1475-9276 (electronic) BOOK PUBLISHER BioMed Central Ltd., Floor 6, 236 Gray's Inn Road, London, United Kingdom. ABSTRACT Introduction. Skilled birth attendance (SBA) and measles immunization reflect two aspects of a health system. In Kenya, their national coverage gaps are substantial but could be largely improved if the total population had the same coverage as the wealthiest quintile. A decomposition analysis allows identifying the factors that influence these wealth-related inequalities in order to develop appropriate policy responses. The main objective of the study was to decompose wealth-related inequalities in SBA and measles immunization into their contributing factors. Methods. Data from the Kenyan Demographic and Health Survey 2008/09 were used. The study investigated the effects of socio-economic determinants on [1] coverage and [2] wealth-related inequalities of SBA utilization and measles immunization. Techniques used were multivariate logistic regression and decomposition of the concentration index (C). Results: SBA utilization and measles immunization coverage differed according to household wealth, parent's education, skilled antenatal care visits, birth order and father's occupation. SBA utilization further differed across provinces and ethnic groups. The overall C for SBA was 0.14 and was mostly explained by wealth (40%), parent's education (28%), antenatal care (9%), and province (6%). The overall C for measles immunization was 0.08 and was mostly explained by wealth (60%), birth order (33%), and parent's education (28%). Rural residence (-19%) reduced this inequality. Conclusion: Both health care indicators require a broad strengthening of health systems with a special focus on disadvantaged sub-groups. © 2013 Van Malderen et al.; licensee BioMed Central Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) clinical indicator health care disparity measles vaccination skilled birth attendance social status EMTREE MEDICAL INDEX TERMS adolescent adult article birth order educational status ethnicity female geographic distribution health survey household human Kenya male normal human occupation prenatal care priority journal rural area EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Health Policy, Economics and Management (36) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013046006 MEDLINE PMID 23294938 (http://www.ncbi.nlm.nih.gov/pubmed/23294938) PUI L52383737 DOI 10.1186/1475-9276-12-3 FULL TEXT LINK http://dx.doi.org/10.1186/1475-9276-12-3 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 155 TITLE Parents' rationale for male circumcision AUTHOR NAMES Rediger C. Muller A.J. AUTHOR ADDRESSES (Rediger C.) University of Saskatchewan, Saskatoon, Canada. (Muller A.J., a.muller@usask.ca) Department of Academic Family Medicine, University of Saskatchewan, 204 Brookside Ct, Warman, SK S0K 0A1, Canada. CORRESPONDENCE ADDRESS A.J. Muller, Department of Academic Family Medicine, University of Saskatchewan, 204 Brookside Ct, Warman, SK S0K 0A1, Canada. Email: a.muller@usask.ca SOURCE Canadian Family Physician (2013) 59:2 (e110-e115). Date of Publication: February 2013 ISSN 0008-350X BOOK PUBLISHER College of Family Physicians of Canada, 2630 Skymark Avenue, Mississauga Ont., Canada. ABSTRACT Objective To determine which factors parents consider to be most important when pursuing elective circumcision procedures in newborn male children. Design Prospective survey. Setting Saskatoon, Sask. Participants A total of 230 participants attending prenatal classes in the Saskatoon Health Region over a 3-month period. Main outcome measures Parents' plans to pursue circumcision, personal and family circumcision status, and factors influencing parents' decision making on the subject of elective circumcision. Results The reasons that parents most often gave for supporting male circumcision were hygiene (61.9%), prevention of infection or cancer (44.8%), and the father being circumcised (40.9%). The reasons most commonly reported by parents for not supporting circumcision were it not being medically necessary (32.0%), the father being uncircumcised (18.8%), and concerns about bleeding or infection (15.5%). Of all parents responding who were expecting children, 56.4% indicated they would consider pursuing elective circumcision if they had a son; 24.3% said they would not. In instances in which the father of the expected baby was circumcised, 81.9% of respondents were in favour of pursuing elective circumcision. When the father of the expected child was not circumcised, 14.9% were in favour of pursuing elective circumcision. Regression analysis showed that the relationship between the circumcision status of the father and support of elective circumcision was statistically significant (P < .001). Among couples in which the father was circumcised, 82.2% stated that circumcision by an experienced medical practitioner was a safe procedure for all boys, in contrast to 64.1% of couples in which the father of the expected child was not circumcised. When the expecting father was circumcised, no one responded that circumcision was an unsafe procedure, compared with 7.8% when the expecting father was not circumcised (P = .003). Conclusion Despite new medical information and updated stances from various medical associations, newborn male circumcision rates continue to be heavily influenced by the circumcision status of the child's father. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) circumcision parental attitude EMTREE MEDICAL INDEX TERMS adolescent adult aged article bleeding cancer prevention decision making female human hygiene infection infection prevention male EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English, French EMBASE ACCESSION NUMBER 2013129879 MEDLINE PMID 23418252 (http://www.ncbi.nlm.nih.gov/pubmed/23418252) PUI L368415345 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 156 TITLE Important factors working to mediate Swedish fathers' experiences of a caesarean section AUTHOR NAMES Johansson M. Hildingsson I. Fenwick J. AUTHOR ADDRESSES (Johansson M., margareta.johansson@miun.se; Hildingsson I., ingegerd.hildingsson@miun.se) Department of Health Sciences, Mid Sweden University, SE-851 70 Sundsvall, Sweden. (Hildingsson I., ingegerd.hildingsson@miun.se) Department of Women's and Children's Health, Uppsala University, SE-751 85 Uppsala, Sweden. (Hildingsson I., ingegerd.hildingsson@miun.se) Department of Women's and Children's Health, Karolinska Institutet, SE-171 77 Stockholm, Sweden. (Fenwick J., j.fenwick@griffith.edu.au) School of Nursing and Midwifery, Maternity and Family Unit, Research Centre for Clinical and Community Practice Innovation (RCCCPI), Griffith Health Institute, Griffith University, University Drive, Gold Coast Hospital, Meadowbrook, QLD 4131, Australia. CORRESPONDENCE ADDRESS M. Johansson, Email: margareta.johansson@miun.se SOURCE Midwifery (2013) 29:9 (1041-1049). Date of Publication: September 2013 ISSN 0266-6138 ABSTRACT 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. © 2012 Elsevier Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) cesarean section childbirth education father EMTREE MEDICAL INDEX TERMS adult article Birth experiences cohort analysis consumer decision making education elective surgery fear female human human relation male methodology paternal behavior pregnancy pregnant woman psychological aspect qualitative research Sweden LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 23415354 (http://www.ncbi.nlm.nih.gov/pubmed/23415354) PUI L1052443937 DOI 10.1016/j.midw.2012.09.009 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2012.09.009 COPYRIGHT Copyright 2015 Medline is the source for the citation and abstract of this record. RECORD 157 TITLE Depressive symptoms in new first-time fathers: associations with age, sociodemographic characteristics, and antenatal psychological well-being. AUTHOR NAMES Bergström M. AUTHOR ADDRESSES (Bergström M.) Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden. CORRESPONDENCE ADDRESS M. Bergström, SOURCE Birth (Berkeley, Calif.) (2013) 40:1 (32-38). Date of Publication: Mar 2013 ISSN 1523-536X (electronic) ABSTRACT New fathers may be as vulnerable as new mothers to depression, and their symptoms also can affect the mother and child. The purpose of this study was to investigate depressive symptoms and associations with paternal age, sociodemographic characteristics, and antenatal psychological well-being in Swedish first-time fathers. Depressive symptoms, defined as scores of 11 or greater on the Edinburgh Postnatal Depression Scale, were investigated in 812 men 3 months after their first baby was born. The study sample included primarily Swedish-born, married or cohabiting men who participated in antenatal education classes during the partner's pregnancy. In all, 10.3 percent of study men suffered from depressive symptoms. Compared with fathers aged 29-33 years (sample mean age ± 2 yr), the younger fathers had an increased risk for depressive symptoms (OR 2.55; 95% CI 1.50-4.35). Low educational level, low income, poor partner relationship quality, and financial worry increased the risk for depressive symptoms, but these factors could not explain the increased risk among the young. New fathers in their twenties seem to have an increased risk for depressive symptoms that cannot be explained solely by socioeconomic factors. Support should be offered to new fathers with particular focus on the young. © 2013, Copyright the Authors Journal compilation © 2013, Wiley Periodicals, Inc. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) depression (epidemiology) father EMTREE MEDICAL INDEX TERMS adolescent adult article depressive symptoms educational status female follow up human human relation income male middle aged paternal age postpartum psychological aspect questionnaire Sweden (epidemiology) young adult LANGUAGE OF ARTICLE English MEDLINE PMID 24635422 (http://www.ncbi.nlm.nih.gov/pubmed/24635422) PUI L373986121 DOI 10.1111/birt.12026 FULL TEXT LINK http://dx.doi.org/10.1111/birt.12026 COPYRIGHT Copyright 2014 Medline is the source for the citation and abstract of this record. RECORD 158 TITLE Parents of children with congenital heart disease prefer more information than cardiologists provide AUTHOR NAMES Arya B. Glickstein J.S. Levasseur S.M. Williams I.A. AUTHOR ADDRESSES (Arya B., barya124@gmail.com; Glickstein J.S.; Levasseur S.M.; Williams I.A.) Division of Cardiology, Department of Pediatrics, Morgan Stanley Children's Hospital, Columbia University College of Physicians and Surgeons, New York, NY, United States. CORRESPONDENCE ADDRESS B. Arya, 3959 Broadway Avenue, 2 North, New York, NY 10032, United States. Email: barya124@gmail.com SOURCE Congenital Heart Disease (2013) 8:1 (78-85). Date of Publication: January/February 2013 ISSN 1747-079X 1747-0803 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Objectives: To determine whether pediatric cardiologists and parents of older children with congenital heart disease (CHD) share similar expectations regarding the education and counseling that should be provided to parents of children with CHD in both the prenatal and neonatal period. Design: Consenting parents of older children with CHD (age >3 years) and cardiologists ranked the importance of education topics on a scale of 1 (unimportant) to 10 (very important). The rankings of parents and cardiologists were compared using Student's t-test. Results: We had 38 cardiologists and 41 parents complete the questionnaire. There was a statistically significant difference in rankings between cardiologist and parents of children with CHD (P<0.03). Parents consistently ranked topics as more important than cardiologists with a mean difference in rank score of 0.85±0.3. In the prenatal period, the most significant differences between parents and cardiologists were noted for information related to the child's quality of life. For neonatal counseling, the most significant differences were noted for information regarding follow-up care and the parent's ability to describe the child's CHD to medical personnel. Conclusion: Parents of older children with CHD would prefer to receive more counseling and education in the prenatal and newborn period than cardiologists perceive is wanted. © 2012 Wiley Periodicals, Inc. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) cardiologist congenital heart disease (congenital disorder) medical information parental attitude EMTREE MEDICAL INDEX TERMS adolescent adult article child clinical article cross-sectional study female follow up health care survey human infant knowledge male newborn parent counseling prenatal period preschool child priority journal quality of life questionnaire school child EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Cardiovascular Diseases and Cardiovascular Surgery (18) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013071036 MEDLINE PMID 22891764 (http://www.ncbi.nlm.nih.gov/pubmed/22891764) PUI L368211295 DOI 10.1111/j.1747-0803.2012.00706.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1747-0803.2012.00706.x COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 159 TITLE Prenatal Representations of Family in Parents and Coparental Interactions as Predictors of Triadic Interactions During Infancy AUTHOR NAMES Favez N. Frascarolo F. Lavanchy Scaiola C. Corboz-Warnery A. AUTHOR ADDRESSES (Favez N., nicolas.favez@unige.ch) Faculty of Psychology and Educational Sciences, University of Geneva, Switzerland. (Frascarolo F.; Lavanchy Scaiola C.; Corboz-Warnery A.) CEF, IUP, Department of Psychiatry, CHUV, University of Lausanne, Switzerland. CORRESPONDENCE ADDRESS N. Favez, Faculty of Psychology and Educational Sciences, University of Geneva, Boulevard du Pont d'Arve 40, 1211 Geneva 4, Switzerland. Email: nicolas.favez@unige.ch SOURCE Infant Mental Health Journal (2013) 34:1 (25-36). Date of Publication: January/February 2013 ISSN 0163-9641 1097-0355 (electronic) BOOK PUBLISHER John Wiley and Sons Inc., P.O.Box 18667, Newark, United States. ABSTRACT In this study, we explored the predictive role of family interactions and family representations in mothers and fathers during pregnancy for postnatal mother-father-infant interactions during the first 2 years after birth. Families (N = 42) were seen at the fifth month of pregnancy and at 3 and 18 months after birth. During pregnancy, parents were asked to play with their baby at the first meeting by using a doll in accordance with the procedure of the prenatal Lausanne Trilogue Play (LTP; A. Corboz-Warnery & E. Fivaz-Depeursinge, 2001; E. Fivaz-Depeursinge, F. Frascarolo-Moutinot, & A. Corboz-Warnery, 2010). Family representations were assessed by administering the Family System Test (T. Gehring, 1998). Marital satisfaction and the history of the couple were assessed through self-reported questionnaires. At 3 and 18 months, family interactions were assessed in the postnatal LTP. Infant temperament was assessed through parent reports. Results show that (a) prenatal interactions and child temperament are the most important predictors of family interactions and (b) paternal representations are predictive of family interactions at 3 months. These results show that observational assessment of "nascent" family interactions is possible during pregnancy, which would allow early screening of family maladjustment. The findings also highlight the necessity of taking into account paternal representations as a significant variable in the development of family interactions. © 2012 Michigan Association for Infant Mental Health. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child behavior child parent relation family interaction EMTREE MEDICAL INDEX TERMS article child female human infant male marriage observational study play predictive value pregnancy preschool child priority journal questionnaire temperament EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English, German, Spanish, French EMBASE ACCESSION NUMBER 2013040256 PUI L368117953 DOI 10.1002/imhj.21372 FULL TEXT LINK http://dx.doi.org/10.1002/imhj.21372 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 160 TITLE Male and female involvement in the birth and child-rearing process AUTHOR NAMES Maroto-Navarro G. Pastor-Moreno G. Ocaña-Riola R. Benítez-Hidalgo V. García-Calvente M.D.M. Gutiérrez-Cuadra M.D.P. Gijón-Sánchez M.T. Río-Lozano M.D. Marcos-Marcos J. AUTHOR ADDRESSES (Maroto-Navarro G., gracia.maroto.easp@juntadeandalucia.es; Pastor-Moreno G.; Ocaña-Riola R.; Benítez-Hidalgo V.; García-Calvente M.D.M.; Río-Lozano M.D.) Andalusian School of Public Health, Granada, Spain. (Maroto-Navarro G., gracia.maroto.easp@juntadeandalucia.es) CIBER de Epidemiología y Salud Pública (CIBERSP), Madrid, Spain. (Gutiérrez-Cuadra M.D.P.) Virgen de las Nieves Hospital, Granada, Spain. (Gijón-Sánchez M.T.) University of Malaga, Málaga, Spain. (Marcos-Marcos J.) Institute for Women's and Gender Studies, University of Granada, Granada, Spain. CORRESPONDENCE ADDRESS G. Maroto-Navarro, Email: gracia.maroto.easp@juntadeandalucia.es SOURCE Journal of Clinical Nursing (2013) 22:21-22 (3071-3083). Date of Publication: November 2013 ISSN 1365-2702 (electronic) 0962-1067 ABSTRACT Aims and objectives: To know the male involvement during pregnancy and childbirth, with special attention to their participation in public services of perinatal health and the impact that this participation has on their subsequent involvement in child-rearing, to compare the male and female involvement in child-rearing and to identify the factors associated with a greater male involvement. Background: Most of the research on male involvement in birth and child-rearing comes from Anglo-Saxon and Scandinavian countries. These studies show a lower involvement of men in relation to women, even in countries with instruments to promote gender shared responsibility. The Spanish Ministry of Health has developed strategies to improve the male involvement in the public services of perinatal health to advance in gender equality. This is a suitable context to contribute to the lack of information about fatherhood and the gender inequalities in the Spanish context. Design: Transversal design. Methods: A questionnaire was administered to 150 fathers and 157 mothers residing in Granada, with at least one biological child aged 2 months to 3 years. Results: A minority of the men attended the childbirth education whereas most of them attended pregnancy check-ups and were present at birth. Women spent more time with their children and took charge of tasks of child-rearing to a larger extent. The profile of an involved father is a man with a higher level of education, not married, his partner has a full-time employment, born in Spain and attended to the childbirth education classes. Conclusion: This study shows gender inequalities in the reproductive field beyond the biological conditions. Relevance to clinical practice: The challenge of the health services is to promote social change and identify areas for improvement to include the father figure in public services of perinatal health. © 2013 John Wiley & Sons Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child rearing obstetric delivery EMTREE MEDICAL INDEX TERMS article child parent relation female gender perspective health promotion human inequalities in health male newborn perinatal care reproductive health LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 24007478 (http://www.ncbi.nlm.nih.gov/pubmed/24007478) PUI L1052770679 DOI 10.1111/jocn.12153 FULL TEXT LINK http://dx.doi.org/10.1111/jocn.12153 COPYRIGHT Copyright 2014 Medline is the source for the citation and abstract of this record. RECORD 161 TITLE An Exploration of the Perceptions of Male Partners Involved in the Birthing Experience at a Regional Australian Hospital AUTHOR NAMES Porrett L. Barkla S. Knights J. De Costa C. Harmen S. AUTHOR ADDRESSES (Porrett L.; Barkla S.; Knights J.; De Costa C., caroline.decosta@jcu.edu.au; Harmen S.) James Cook University, School of Medicine and Dentistry, Cairns Campus, PO Box 902, Cairns, QLD, 4870, Australia. CORRESPONDENCE ADDRESS C. De Costa, James Cook University, School of Medicine and Dentistry, Cairns Campus, PO Box 902, Cairns, QLD, 4870, Australia. Email: caroline.decosta@jcu.edu.au SOURCE Journal of Midwifery and Women's Health (2013) 58:1 (92-97). Date of Publication: January/February 2013 ISSN 1526-9523 1542-2011 (electronic) BOOK PUBLISHER Wiley-Blackwell Publishing, Inc., 8403 Colesville Rd, Suite 1550, Silver Spring, United States. ABSTRACT Introduction: The benefits to women of having their male partners present during labor and birth have been well documented, but the effects on men of sharing the birth experience have been less well explored. Several studies have suggested that male partners' positive experiences at this time may benefit partner and family relationships subsequently, whereas negative experiences may translate into later difficulties in these relationships. This study explored the perceptions of male partners involved in the birthing experience in the Integrated Women's Health Unit of Cairns Base Hospital, Cairns, Australia, over a 6-month period in 2010. The aims of the study were to document male partners' self-reported perceptions of their antenatal, labor, and birth experiences and birth expectations and birth involvement and to determine whether these perceptions influenced their feelings that their presence during birth was beneficial to the birthing woman. Methods: Participants were men experiencing for the first time their partner giving birth. A self-administered 14-item questionnaire was used to collect data; 163 of 200 eligible participants returned completed questionnaires. Continuous variables were converted to categorical variables and chi-square testing was used to determine significant differences between groups. The relationship between beneficial presence and antenatal, labor, and birthing experiences was assessed using correlation analysis and hierarchical regression analysis. Results: There was a significant relationship demonstrated between perceived benefit of the partners' presence and positive perception of both antenatal experience and birth involvement. There also was a positive relationship between realized birth expectations and both antenatal experience and birth involvement. Discussion: This study suggests that male partners' perceptions of beneficial presence during the birth experience can be enhanced by their feeling well informed and supported during the antenatal period and feeling involved and supported by staff during birth. These findings have implications for the provision of information and support to male partners by midwives and childbirth educators and provide the basis for further research in this area. © 2012 by the American College of Nurse-Midwives. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) labor support paternal attitude personal experience EMTREE MEDICAL INDEX TERMS adult age article Australia cesarean section childbirth childbirth education controlled study human labor induction male medical information paternal behavior perception prenatal care priority journal questionnaire self report vaginal delivery EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013081852 MEDLINE PMID 23279049 (http://www.ncbi.nlm.nih.gov/pubmed/23279049) PUI L368255055 DOI 10.1111/j.1542-2011.2012.00238.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1542-2011.2012.00238.x COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 162 TITLE Improving Prenatal Health: Setting the Agenda for Increased Male Involvement AUTHOR NAMES Guadagno M. Mackert M. Rochlen A. AUTHOR ADDRESSES (Guadagno M., mariea@utexas.edu; Mackert M.; Rochlen A.) The University of Texas at Austin, Austin, TX, United States. CORRESPONDENCE ADDRESS M. Guadagno, Email: mariea@utexas.edu SOURCE American Journal of Men's Health (2013) 7:6 (523-526). Date of Publication: November 2013 ISSN 1557-9891 (electronic) 1557-9883 ABSTRACT The U.S. infant mortality rate is among the highest in the developed world, with recent vital statistics reports estimating 6.14 infant deaths per 1,000 live births. Traditional health education and promotion to improve maternal, infant, and child health in the United States has focused only on women, leaving men out of important health messages that may affect pregnancy outcomes as well as family well-being. Recently, public health scholars have suggested that men be included in prenatal health education in an effort to improve birth outcomes and reduce infant mortality. Incorporating men in prenatal health promotion and education has been found to improve overall birth preparedness, reduce the risk of maternal-infant HIV transmission, and reduce perinatal mortality in less-developed nations. Although these results are positive, research on paternal impact in pregnancy outcomes in the United States to date is lacking. This article proposes a U.S.-specific research agenda to understand the current role of men in pregnancy health, as well as actual involvement, barriers, and the influence men can have in prenatal health. A discussion of culture, individual motivations, health care providers, and social marketing is also considered. © The Author(s) 2013. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father paternal behavior perinatal care prenatal diagnosis social behavior total quality management EMTREE MEDICAL INDEX TERMS article cultural anthropology cultural disparity father child relation fathering female health education human male medical information newborn organization and management pregnancy pregnancy complication (prevention) social support statistics United States (epidemiology) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 23727791 (http://www.ncbi.nlm.nih.gov/pubmed/23727791) PUI L1369946476 DOI 10.1177/1557988313490785 FULL TEXT LINK http://dx.doi.org/10.1177/1557988313490785 COPYRIGHT Copyright 2014 Medline is the source for the citation and abstract of this record. RECORD 163 TITLE Pre- and Postnatal Risk Factors for ADHD in a Nonclinical Pediatric Population AUTHOR NAMES Sagiv S.K. Epstein J.N. Bellinger D.C. Korrick S.A. AUTHOR ADDRESSES (Sagiv S.K., sagiv@bu.edu) Department of Environmental Health, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118, United States. (Sagiv S.K., sagiv@bu.edu; Korrick S.A.) Brigham and Women's Hospital, Boston, MA, United States. (Epstein J.N.; Bellinger D.C.) Cincinnati Children's Hospital Medical Center, OH, United States. (Bellinger D.C.) Children's Hospital Boston, Boston, MA, United States. (Korrick S.A.) Harvard School of Public Health, Boston, MA, United States. CORRESPONDENCE ADDRESS S. K. Sagiv, Department of Environmental Health, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118, United States. Email: sagiv@bu.edu SOURCE Journal of Attention Disorders (2013) 17:1 (47-57). Date of Publication: January 2013 ISSN 1087-0547 1557-1246 (electronic) BOOK PUBLISHER SAGE Publications Inc., 2455 Teller Road, Thousand Oaks, United States. ABSTRACT Objective:The authors characterized pre- and postnatal risk factors for ADHD among a population-based sample of 8-year-old children followed since birth (N = 604). Method: Parents and teachers rated ADHD symptoms, including inattention and impulsivity/hyperactivity. The authors reviewed pediatric medical records for history of an ADHD diagnosis, and parents reported ADHD medication use. The authors analyzed risk factors in relationship to outcomes using multivariable regression models. Results: Low paternal education, prenatal smoking, prenatal illicit drug use, maternal depression, and low Home Observation for Measurement of the Environment score were associated with greater risk for ADHD behaviors assessed via rating scale. Low income and being male were associated with ADHD diagnosis in medical records and ADHD medication use. Conclusion: The authors found associations between socioeconomic, psychosocial, and prenatal exposures and ADHD-related behavior. Selection bias due to access to care and recall bias from inaccurate report of past exposures is minimized in this large, nonclinical, prospective cohort study. © 2013 SAGE Publications. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attention deficit disorder (etiology) EMTREE MEDICAL INDEX TERMS addiction (complication) child depression (complication) educational status female human male pregnancy prenatal exposure psychological aspect psychological rating scale psychology review risk factor sex difference smoking (adverse drug reaction) socioeconomics LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 22298092 (http://www.ncbi.nlm.nih.gov/pubmed/22298092) PUI L366222442 DOI 10.1177/1087054711427563 FULL TEXT LINK http://dx.doi.org/10.1177/1087054711427563 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 164 TITLE Food Insecurity and Children's Mental Health: A Prospective Birth Cohort Study AUTHOR NAMES Melchior M. Chastang J.-F. Falissard B. Galéra C. Tremblay R.E. Côté S.M. Boivin M. AUTHOR ADDRESSES (Melchior M., maria.melchior@inserm.fr; Chastang J.-F.) INSERM U1018, Centre for research in Epidemiology and Population Health, Epidemiology of occupational and social determinants of health, F-94807, Villejuif, France. (Melchior M., maria.melchior@inserm.fr; Chastang J.-F.) Université de Versailles Saint-Quentin, UMRS 1018, France. (Falissard B.; Tremblay R.E.; Côté S.M.) INSERM U669, Maison de Solenn, Université Paris-Sud and Université Paris-Descartes, 97 Bd du Port Royal, F-75679 Paris, France. (Galéra C.) Service de Pédopsychiatrie universitaire, Hôpital Charles-Perrens, Université Victor Ségalen Bordeaux 2, Bordeaux, France. (Tremblay R.E.; Côté S.M.) International Laboratory for Child and Adolescent Mental Health, Research Group on Children's Psychosocial Maladjustment, University of Montreal, Montreal, Canada. (Tremblay R.E.) School of Public Health and Population Science, University College, Dublin, Ireland. (Boivin M.) Université Laval, Québec, Canada. CORRESPONDENCE ADDRESS M. Melchior, INSERM U1018, Centre for research in Epidemiology and Population Health, Epidemiology of occupational and social determinants of health, F-94807, Villejuif, France. Email: maria.melchior@inserm.fr SOURCE PLoS ONE (2012) 7:12 Article Number: e52615. Date of Publication: 29 Dec 2012 ISSN 1932-6203 (electronic) BOOK PUBLISHER Public Library of Science, 185 Berry Street, Suite 1300, San Francisco, United States. ABSTRACT Food insecurity (which can be defined as inadequate access to sufficient, safe, and nutritious food that meets individuals' dietary needs) is concurrently associated with children's psychological difficulties. However, the predictive role of food insecurity with regard to specific types of children's mental health symptoms has not previously been studied. We used data from the Longitudinal Study of Child Development in Québec, LSCDQ, a representative birth cohort study of children born in the Québec region, in Canada, in 1997-1998 (n = 2120). Family food insecurity was ascertained when children were 11/2 and 41/2 years old. Children's mental health symptoms were assessed longitudinally using validated measures of behaviour at ages 41/2, 5, 6 and 8 years. Symptom trajectory groups were estimated to identify children with persistently high levels of depression/anxiety (21.0%), aggression (26.2%), and hyperactivity/inattention (6.0%). The prevalence of food insecurity in the study was 5.9%. In sex-adjusted analyses, children from food-insecure families were disproportionately likely to experience persistent symptoms of depression/anxiety (OR: 1.79, 95% CI 1.15-2.79) and hyperactivity/inattention (OR: 3.06, 95% CI 1.68-5.55). After controlling for immigrant status, family structure, maternal age at child's birth, family income, maternal and paternal education, prenatal tobacco exposure, maternal and paternal depression and negative parenting, only persistent hyperactivity/inattention remained associated with food insecurity (fully adjusted OR: 2.65, 95% CI 1.16-6.06). Family food insecurity predicts high levels of children's mental health symptoms, particularly hyperactivity/inattention. Addressing food insecurity and associated problems in families could help reduce the burden of mental health problems in children and reduce social inequalities in development. © 2012 Melchior et al. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child health child mental health food insecurity mental health EMTREE MEDICAL INDEX TERMS aggression anxiety article attention deficit disorder birth Canada child child behavior child parent relation cohort analysis controlled study depression educational status family female human hyperactivity immigrant income longitudinal study male maternal age prenatal exposure preschool child prevalence prospective study psychologic assessment school child tobacco validation study EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2012755743 MEDLINE PMID 23300723 (http://www.ncbi.nlm.nih.gov/pubmed/23300723) PUI L366343881 DOI 10.1371/journal.pone.0052615 FULL TEXT LINK http://dx.doi.org/10.1371/journal.pone.0052615 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 165 TITLE Polycystic ovary syndrome and pregnancy ORIGINAL (NON-ENGLISH) TITLE Síndrome de ovario poliquístico y embarazo AUTHOR NAMES Sir-Petermann T. De Guevara A.L. Villarroel A.C. Preisler J. Echiburú B. Recabarren S. AUTHOR ADDRESSES (Sir-Petermann T., tsir@med.uchile.cl; De Guevara A.L.; Preisler J.; Echiburú B.) Unidad de Endocrinología, Chile. (Villarroel A.C.) Unidad de Diabetes y Nutrición, Departamento de Medicina, Universidad de Chile, Hospital San Juan de Dios, Campus Occidente, Chile. (Recabarren S.) Laboratorio de Fisiología y Endocrinología Animal, Facultad de Medicina Veterinaria, Departamento de Ciencias Animales, Universidad de Concepción, Chillán, Chile. (Echiburú B.) Ingeniero en Biotecnología Molecular, Chile. CORRESPONDENCE ADDRESS T. Sir-Petermann, Las Palmeras 299, Interior Quinta Normal, Casilla 33052, Correo 33 Santiago, Chile. Email: tsir@med.uchile.cl SOURCE Revista Medica de Chile (2012) 140:7 (919-925). Date of Publication: 2012 ISSN 0034-9887 0717-6163 (electronic) BOOK PUBLISHER Sociedad Medica de Santiago, Casilla 168, 9 Correo, 55, Santiago, Chile. ABSTRACT Polycystic ovary syndrome (PCOS) is a common endocrine metabolic dysfunction closely associated with insulin resistance and obesity, which predisposes to pregnancy complications and prenatal programming of the offspring. The aim of this review is to report our experience in PCOS patients who became pregnant and were followed during the whole pregnancy. Firstly, we analyzed the effect of pregnancy on PCOS pathophysiology and secondly the role of PCOS in pregnancy outcomes. Regarding the first point, during normal pregnancy a progressive insulin resistance, serum lipid changes and an increase in androgen levels is observed, which is exacerbated in the PCOS condition. This adverse intrauterine environment could have a prenatal programming effect with detrimental consequences for female or male fetuses. Regarding the second point, PCOS is associated with an increased risk for maternal complications such as gestational diabetes (GDM) and pregnancy-induced hypertension. Moreover, these adverse pregnancy outcomes are more frequently associated with an increase in low birth weight and high birth weight newborns. According to our clinical experience, PCOS patients who became pregnant and were not treated with metformin during the whole pregnancy, showed a higher prevalence of gestational diabetes and SGA newborns, which was improved with metformin treatment. In summary, pregnancy may constitute a period in which an abnormal condition is established or aggravated in the fetus of a PCOS mother. Moreover, PCOS enhanced adverse obstetric and neonatal outcomes. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) ovary polycystic disease (complication) pregnancy complication EMTREE MEDICAL INDEX TERMS animal animal model birth weight female fetus human male physiology pregnancy pregnancy diabetes mellitus (etiology) pregnancy outcome prenatal development review LANGUAGE OF ARTICLE English, Spanish LANGUAGE OF SUMMARY English MEDLINE PMID 23282707 (http://www.ncbi.nlm.nih.gov/pubmed/23282707) PUI L365978092 DOI 10.4067/S0034-98872012000700015 FULL TEXT LINK http://dx.doi.org/10.4067/S0034-98872012000700015 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 166 TITLE Effect of a values-based prevention curriculum on HIV-positive couples from four regions in Ethiopia AUTHOR NAMES Brewster-Lee D. Suba M. AUTHOR ADDRESSES (Brewster-Lee D.) Catholic Relief Services, Baltimore, United States. (Suba M., misgina.suba@crs.org) Catholic Relief Services Ethiopia, Addis Ababa, Ethiopia. CORRESPONDENCE ADDRESS M. Suba, Catholic Relief Services Ethiopia, Addis Ababa, Ethiopia. Email: misgina.suba@crs.org SOURCE Journal of the International AIDS Society (2012) 15 SUPPL. 3 (171). Date of Publication: 24 Oct 2012 CONFERENCE NAME 19th International AIDS Conference CONFERENCE LOCATION Washington, DC, United States CONFERENCE DATE 2012-07-22 to 2012-07-27 ISSN 1758-2652 BOOK PUBLISHER International AIDS Society ABSTRACT Background: Although evidence reveals that most heterosexual HIV transmission in sub-Saharan Africa takes place within marriage or cohabitation, approaches for people living with HIV (PLHIV) focus primarily on individuals. The Faithful House (TFH) is a couples-based, skills-building curriculum used with 45,000 couples in twelve countries, recently modified to address PLHIV issues. Research examined the effect of TFH on attitudes and behaviors to provide evidence for a couples-based approach for more holistic PLHIV programming. Methods: Participants, using convenience sampling, from HIV programs in four regions of Ethiopia were randomly distributed between intervention and control groups.The intervention group participated in TFH workshop for PLHIV. Both groups completed surveys at baseline and three months post-intervention which was analyzed using STATA. Results: The study surveyed 378 individuals with a mean age of 35.2. Most couples (88%) were either married or cohabitating. All participants had been tested for HIV with 90% testing positive. Intervention participants (193) reported significant changes (pB 0.01) in the quality of their relationship, including improved communication and joint decision-making about child care, finances and sexual negotiation. Intervention participants had statistically significant improvements in medication adherence (18% non-adherent at baseline versus 10% at three-months) and percentage diagnosed with sexually transmitted infections in the past three months (7.3% decreased to 4.7%). Of males with pregnant partners, 94% in the intervention group attended antenatal care visits compared with 36% in the control. Intervention participants also reported statistically significant decreases (p<0.05) in violent behaviors including insulting, shoving, and forcing sex. Conclusion: The modified TFH curriculum had a positive impact on attitudes and behaviors affecting the physical and relationship health of PLHIV couples. These preliminary results indicate potential for couples-based approaches for more holistic programming for PLHIV. Continued evaluations are critical in determining sustained impact on health status outcomes, attitudes and actual behavior change. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) acquired immune deficiency syndrome curriculum Ethiopia Human immunodeficiency virus prevention EMTREE MEDICAL INDEX TERMS Africa south of the Sahara behavior change child care cohabitation convenience sample decision making finance health health status heterosexuality human interpersonal communication male marriage married person medication compliance prenatal care sexually transmitted disease skill workshop LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71248086 DOI org/10.7448/IAS.15.5.18438 FULL TEXT LINK http://dx.doi.org/org/10.7448/IAS.15.5.18438 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 167 TITLE Goal! Making antenatal courses work for men AUTHOR NAMES Newburn M. AUTHOR ADDRESSES (Newburn M.) NCT, United Kingdom. CORRESPONDENCE ADDRESS M. Newburn, NCT, United Kingdom. SOURCE Practising Midwife (2012) 15:7 (22-26). Date of Publication: 2012 ISSN 1461-3123 BOOK PUBLISHER Medical Education Solutions Ltd, 66 Siward Road, Bromley BR2 9JZ, United Kingdom. ABSTRACT SUMMARY 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. © 2012 Medical Education Solutions Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father health education midwife paternal behavior patient education prenatal care EMTREE MEDICAL INDEX TERMS adaptive behavior adult child parent relation education female human human relation male methodology mother nurse patient relationship patient satisfaction pregnancy psychological aspect puerperal depression (prevention) review social support statistics United Kingdom LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 22908498 (http://www.ncbi.nlm.nih.gov/pubmed/22908498) PUI L365462082 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 168 TITLE The birth path at the trasimeno lake in Umbria, Italy AUTHOR NAMES Toschi M. Mortali A. AUTHOR ADDRESSES (Toschi M.) A.G.I.TE., Milano, Italy. (Mortali A.) AUSL2, Perugia Umbria, Italy. CORRESPONDENCE ADDRESS M. Toschi, A.G.I.TE., Milano, Italy. SOURCE International Journal of Gynecology and Obstetrics (2012) 119 SUPPL. 3 (S505). Date of Publication: October 2012 CONFERENCE NAME 20th FIGO World Congress of Gynecology and Obstetrics CONFERENCE LOCATION Rome, Italy CONFERENCE DATE 2012-10-07 to 2012-10-12 ISSN 0020-7292 BOOK PUBLISHER Elsevier Ireland Ltd ABSTRACT Objectives: Objective of the presentation is to see how many of the pregnancies followed by the local Family Planning Clinics (Servizio Consultoriale AUSL2 Distretto 4) are ending in a physiological birth, a healthy puerperium and breastfed baby until 6 moths of life. We want to understand which are the good, useful sites of the “path” and which are the slippery ones. Materials: We are pursuing the National Guide Lines for the follow-up of pregnancies and we have been trained for join in the project for “Baby friendly Hospital”, together with the local Hospital personal. We perform every year 6 courses of ANTENATAL CLASSES for more or less 120 couples and we have an OPEN to couples Lactation Session, twice a week, to share the joy and the problems of breastfeeding. We will present the 350 pregnancies followed locally by midwives and gynaecologists in the years 2008 / 2011 and we will try to analyze if and how the Health and Social Services are responding to the needs of the child, the woman and the family. Methods: We will rewiew all the questionaires given back from the couples at the end of antenatal classes. We will consider the tipe of birth occured to all the women followed during the pregnancies and the brestfeeding habit after 6 month of age. We will make a special brief questionnaire given at home to every woman visited by the midwife after a week from birth.We will have 2 focus groups with mothers after birth and with fathers, in order to have more impressions of their needs and how the Services respond. Results: Results can be very interesting due to the fact that the Italian rate and the local rate of Cesarean Section are very high (38%) and the rate of exclusive breastfeeding at 6 months, quite low. We would like to explore how and when the help of the midwifes and other professionals (Family Paediatricians and family doctors are very important in italian NHS) can be more effective and how it can produce a change in the empowerment of women and their babies. Conclusions: We believe in the future years only a real good cooperation between all the staff of the Hospital and the local family planning, together with an involvement of the local society (ONG, Women groups, Community..) can really give a chance for the achievement of good standards for a more physiological birth and growth of our children. (Figure presented). EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) gynecology Italy lake obstetrics EMTREE MEDICAL INDEX TERMS achievement baby cesarean section child community empowerment family planning father female follow up general practitioner habit health hospital human information processing lactation male midwife moth mother pediatrician pregnancy puerperium questionnaire social work society LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70906028 DOI 10.1016/S0020-7292(12)61125-4 FULL TEXT LINK http://dx.doi.org/10.1016/S0020-7292(12)61125-4 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 169 TITLE Medullary thyroid cancer in a 9-week-old infant with familial MEN 2B: Implications for timing of prophylactic thyroidectomy AUTHOR NAMES Shankar R.K. Rutter M.J. Chernausek S.D. Samuels P.J. Mo J.Q. Rutter M.M. AUTHOR ADDRESSES (Shankar R.K., roopakshankar@gmail.com; Rutter M.M., meilan.rutter@cchmc.org) Division of Endocrinology, Cincinnati Children's Hospital Medical Center, MLC 7012, 3333 Burnet Avenue, Cincinnati, OH 45229, United States. (Rutter M.J., Mike.Rutter@cchmc.org) Division of Otolaryngology, Cincinnati Children's Hospital Medical Center, MLC 2018, 3333 Burnet Avenue, Cincinnati, OH 45229, United States. (Chernausek S.D., Steven-Chernausek@ouhsc.edu) Department of Pediatrics, University of Oklahoma Health Sciences Center, 1200 N Phillips Ave, Suite 4500, Oklahoma City, OK 73104, United States. (Samuels P.J., Paul.Samuels@cchmc.org) Department of Pediatric Anesthesiology, Cincinnati Children's Hospital Medical Center, MLC 2001, 3333 Burnet Avenue, Cincinnati, OH 45229, United States. (Mo J.Q., Jun.Mo@cchmc.org) Division of Pathology, Cincinnati Children's Hospital Medical Center, MLC 1010, 3333 Burnet Avenue, Cincinnati, OH 45229, United States. CORRESPONDENCE ADDRESS M.M. Rutter, Division of Endocrinology, Cincinnati Children's Hospital Medical Center, MLC 7012, 3333 Burnet Avenue, Cincinnati, OH 45229, United States. Email: meilan.rutter@cchmc.org SOURCE International Journal of Pediatric Endocrinology (2012) 2012:1 Article Number: 25. Date of Publication: 19 Sep 2012 ISSN 1687-9848 1687-9856 (electronic) BOOK PUBLISHER BioMed Central Ltd., Floor 6, 236 Gray's Inn Road, London, United Kingdom. ABSTRACT Background: Patients with Multiple Endocrine Neoplasia type 2 (MEN 2) are at high risk of developing aggressive medullary thyroid carcinoma (MTC) in childhood, with the highest risk in those with MEN type 2B (of whom >95% have an M918T RET proto-oncogene mutation). Metastatic MTC has been reported as young as 3 months of age. Current guidelines recommend prophylactic thyroidectomy within the first year of life for MEN 2B.Patient findings: We report a 9-week-old infant with MTC due to familial MEN 2B. A full-term male infant, born to a mother with known MEN 2B and metastatic MTC, had an M918T RET proto-oncogene mutation confirmed at 4 weeks of age. He underwent prophylactic total thyroidectomy at 9 weeks of age. Pathology showed a focal calcitonin-positive nodule (2.5 mm), consistent with microscopic MTC.Summary: This case highlights the importance of early prophylactic thyroidectomy in MEN 2B. Although current guidelines recommend surgery up to a year of life, MTC may occur in the first few weeks of life, raising the question of how early we should intervene. In this report, we discuss the risks, benefits and barriers to performing earlier thyroidectomy, soon after the first month of life, and make suggestions to facilitate timely intervention. Prenatal anticipatory surgical scheduling could be considered in familial MEN 2B. Multidisciplinary collaboration between adult and pediatric specialists is key to the optimal management of the infant at risk. © 2012 Shankar et al.; licensee BioMed Central Ltd. EMTREE DRUG INDEX TERMS calcitonin (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) neurofibromatosis (surgery) thyroid medullary carcinoma (surgery) thyroidectomy EMTREE MEDICAL INDEX TERMS article birth weight calcitonin blood level case report clinical effectiveness constipation early intervention ganglioneuroma gene mutation genetic screening histopathology human human tissue infant lacrimal gland disease liver metastasis (complication) lung metastasis (complication) lymph node dissection male mucosa neuroma neuroma oncogene pheochromocytoma (surgery) priority journal risk benefit analysis time to treatment CAS REGISTRY NUMBERS calcitonin (12321-44-7, 21215-62-3, 9007-12-9) EMBASE CLASSIFICATIONS Endocrinology (3) Pediatrics and Pediatric Surgery (7) Cancer (16) Human Genetics (22) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2013281775 PUI L368839602 DOI 10.1186/1687-9856-2012-25 FULL TEXT LINK http://dx.doi.org/10.1186/1687-9856-2012-25 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 170 TITLE Do antenatal classes do enough to prepare parents for when things go wrong? AUTHOR NAMES Gregory E. AUTHOR ADDRESSES (Gregory E., egregorydavis@gmail.com) 118 Knox Street, Watson, ACT, Australia. CORRESPONDENCE ADDRESS E. Gregory, 118 Knox Street, Watson, ACT, Australia. Email: egregorydavis@gmail.com SOURCE Journal of Paediatrics and Child Health (2012) 48:9 (717-720). Date of Publication: September 2012 ISSN 1034-4810 1440-1754 (electronic) BOOK PUBLISHER Blackwell Publishing, 550 Swanston Street, Carlton South, Australia. ABSTRACT 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. © 2012 Paediatrics and Child Health Division (Royal Australasian College of Physicians). EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health education pregnancy complication prenatal care EMTREE MEDICAL INDEX TERMS female human labor medical information obstetric delivery parental attitude parenthood pregnancy priority journal review EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2012543032 MEDLINE PMID 22970663 (http://www.ncbi.nlm.nih.gov/pubmed/22970663) PUI L365639606 DOI 10.1111/j.1440-1754.2012.02538.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1440-1754.2012.02538.x COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 171 TITLE Effects of a one session spouse-support enhancement childbirth education on childbirth self-efficacy and perception of childbirth experience in women and their husbands AUTHOR NAMES Eom S.Y. Kim E.S. Kim H.J. Bang Y.O. Chun N. AUTHOR ADDRESSES (Eom S.Y.; Kim E.S.; Kim H.J.; Bang Y.O.) Samsung Medical Center, Seoul, South Korea. (Chun N., nmchun@sungshin.ac.kr) College of Nursing, Sungshin Women's University, Seoul, South Korea. CORRESPONDENCE ADDRESS N. Chun, College of Nursing, Sungshin Women's University, Dobong-ro 76ga-gil, Kangbuk-gu, Seoul 142-732, South Korea. Email: nmchun@sungshin.ac.kr SOURCE Journal of Korean Academy of Nursing (2012) 42:4 (599-607). Date of Publication: August 2012 ISSN 2005-3673 2093-7482 (electronic) BOOK PUBLISHER Korean Society of Nursing Science, 635-4 Yeoksam-dong Kangnam-gu, Seoul, South Korea. ABSTRACT Purpose: This study was conducted to evaluate the effect of a one-session spouse-support enhancement childbirth education on childbirth self-efficacy and perception of childbirth experience. Methods: The design of this study was a nonequivalent control group pretest-posttest experiment. The participants in the study were 31 couples in the experimental group and 30 in the control group. The experimental couples were provided with one session on spouse-support enhancement childbirth education the night before delivery. Data were collected at two hours after delivery using the Childbirth Self-Efficacy Inventory (CBSEI) and perception of childbirth experience scale. Data were analyzed using PASW statistics 18 program. Frequencies, percentage, mean, x2 test, t-test were used for data analysis. Results: Childbirth self-efficacy significantly increased in the experimental group as compared to the control group, but there was no significant difference in perception of childbirth experience in the experimental group compared to the control group. Conclusion: The results suggest that a one-session childbirth education has beneficial effects on enhancing childbirth self-efficacy in pregnant couples. A one-session spouse-support enhancement childbirth education is recommended as an effective nursing intervention to promote couple's childbirth self-efficacy and it is also recommended that modifications of program to promote women's childbirth experience should be considered. © 2012 Korean Society of Nursing Science. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) pregnant woman self concept spouse EMTREE MEDICAL INDEX TERMS adaptive behavior adult article birth controlled clinical trial controlled study female human male patient education psychological aspect LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 22972220 (http://www.ncbi.nlm.nih.gov/pubmed/22972220) PUI L365683980 DOI 10.4040/jkan.2012.42.4.599 FULL TEXT LINK http://dx.doi.org/10.4040/jkan.2012.42.4.599 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 172 TITLE Can father inclusive practice reduce paternal postnatal anxiety? A repeated measures cohort study using the hospital anxiety and depression scale AUTHOR NAMES Tohotoa J. Maycock B. Hauck Y.L. Dhaliwal S. Howat P. Burns S. Binns C.W. AUTHOR ADDRESSES (Tohotoa J., j.tohotoa@curtin.edu.au; Maycock B., b.maycock@curtin.edu.au; Dhaliwal S., s.dhaliwal@curtin.edu.au; Howat P., p.howat@curtin.edu.au; Burns S., s.burns@curtin.edu.au; Binns C.W., c.binns@curtin.edu.au) School of Public Health, Curtin Health Innovation Research Institute, Curtin University, Perth, WA, Australia. (Hauck Y.L., yvonne.hauck@curtin.edu.au) School of Nursing and Midwifery, Curtin Health Innovation Research Institute, Curtin University, Perth, WA, Australia. (Howat P., p.howat@curtin.edu.au) Centre for Behavioural Research Cancer Control, Shenton Park, WA, Australia. CORRESPONDENCE ADDRESS J. Tohotoa, School of Public Health, Curtin Health Innovation Research Institute, Curtin University, Perth, WA, Australia. Email: j.tohotoa@curtin.edu.au SOURCE BMC Pregnancy and Childbirth (2012) 12 Article Number: 75. Date of Publication: 31 Jul 2012 ISSN 1471-2393 (electronic) BOOK PUBLISHER BioMed Central Ltd., Floor 6, 236 Gray's Inn Road, London, United Kingdom. ABSTRACT Background: Perinatal research on anxiety and depression has primarily focused on mothers. We have limited knowledge of fathers' anxiety during the perinatal period yet there is evidence that the parenting capacity of a person can be compromised by anxiety and depression. The purpose of this paper is to identify the impact of a father inclusive intervention on perinatal anxiety and depression. The prime focus of the intervention was to provide education and support to fathers of breastfeeding partners with the aim of increasing both initiation and duration of breastfeeding.Methods: A repeated measures cohort study was conducted during a RCT that was implemented across eight public maternity hospitals in Perth, Western Australia between May 2008 and June 2009. A baseline questionnaire which included the Hospital Anxiety and Depression Scale (HADS) was administered to all participants on the first night of their hospital based antenatal education program and was repeated at six weeks postnatal. SPSS version 17 was used for reporting descriptive results.Results: The mean anxiety levels at baseline for the fathers in the intervention group (n=289) and control group (n=244) were 4.58 and 4.22 respectively. At 6 weeks postnatal (only matched pairs), intervention and control group were 3.93 and 3.79. More intervention group fathers self-rated less anxiety compared to the fathers in the control group from baseline to post test (p=0.048). Depression scores for intervention fathers at baseline (mean =1.09) and at six weeks (mean=1.09) were very similar to fathers in the control group at baseline (mean=1.11) and at six weeks (mean =1.07) with no significant changes.Conclusions: Both intervention and control group fathers experienced some anxiety prior to the birth of their baby, but this was rapidly reduced at six weeks. Paternal anxiety is common to new fathers and providing them with information and strategies for problem-solving can increase their knowledge and potentially lower the risk of postnatal anxiety.Trial registration: (Australian New Zealand Clinical Trials Registry ACTRN12609000667213). © 2012 Tohotoa et al.; licensee BioMed Central Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) anxiety disorder (therapy) father paternal anxiety (therapy) puerperal depression (therapy) EMTREE MEDICAL INDEX TERMS adolescent adult article Australia breast feeding controlled study female Hospital Anxiety and Depression Scale human major clinical study male patient education questionnaire randomized controlled trial risk reduction scoring system self concept social support EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2012571607 MEDLINE PMID 22849509 (http://www.ncbi.nlm.nih.gov/pubmed/22849509) PUI L365723470 DOI 10.1186/1471-2393-12-75 FULL TEXT LINK http://dx.doi.org/10.1186/1471-2393-12-75 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 173 TITLE Parent information on parent and infant sleep: Trial of a sleep intervention for first time mothers in early postpartum AUTHOR NAMES Sweeney B.M. Signal L. Babbage D.R. AUTHOR ADDRESSES (Sweeney B.M.; Signal L.) Sleep/Wake Research Centre, Massey University, Wellington, New Zealand. (Babbage D.R.) School of Psychology, Massey University, Wellington, New Zealand. CORRESPONDENCE ADDRESS B.M. Sweeney, Sleep/Wake Research Centre, Massey University, Wellington, New Zealand. SOURCE Sleep (2012) 35 SUPPL. 1 (A417). Date of Publication: 2012 CONFERENCE NAME 26th Annual Meeting of the Associated Professional Sleep Societies, LLC, SLEEP 2012 CONFERENCE LOCATION Boston, MA, United States CONFERENCE DATE 2012-06-09 to 2012-06-13 ISSN 0161-8105 BOOK PUBLISHER Associated Professional Sleep Societies,LLC ABSTRACT Introduction: Alterations in usual sleep are universal among peripartum women. Prospective mothers receive little information about realistic sleep patterns or strategies for coping. Further, minimal evidence-based information is available on coping with and promoting infant sleep in the early postpartum. The aim of this study was to trial a behaviouraleducational intervention to promote maternal and infant sleep in the irst three months. Results for maternal sleep at six weeks are reported. Methods: Forty primiparous women were assigned to either an intervention or control group. Intervention participants attended a 2-hour prenatal sleep education session, and received weekly postnatal support phone calls during weeks 1-6. Control participants attended a 1-hour prenatal general information session and received two contact-only phone calls in weeks 1-6. All mothers and babies completed 48-hours of actigraphy, sleep diaries and questionnaires at 6 and 12-weeks postpartum. Questionnaires pertaining to sleep, health, mood and psychosocial factors were completed at 35-37 weeks gestation and 12-weeks postpartum. Intervention group mothers received a comprehensive information booklet. Results: At 6-weeks postpartum there was a trend for mothers in the intervention group for less total sleep time in 24-hours than control group mothers by 17 minutes (p = .26). However, intervention group mothers' mean longest sleep episodes were 16 minutes greater (p = .26). Using the General Sleep Disturbance Scale, 37% of control mothers were classiied as poor sleepers compared to 16% of intervention mothers. The impact of sleepiness on daytime function was also greater in control mothers (30% compared to 20% in intervention group). Intervention group mothers reported higher levels of conidence in understanding and managing infant sleep, especially in relation to recognising infant cues and tired signs (t(32)=-2.29, p<.03). Conclusion: Although most differences did not reach statistical signiicance, mothers in the intervention group had longer episodes of sleep and were more conident in managing their infants sleep. These strategies warrant further investigation in a larger sample. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) female human infant mother organization parent sleep EMTREE MEDICAL INDEX TERMS actimetry baby cardiac resynchronization therapy device control group coping behavior dental floss education evidence based practice health mood polymer constrained wrist prosthesis pregnancy primipara questionnaire sleep disorder sleep pattern sleep time social psychology somnolence LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71515351 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 174 TITLE Eight years of prevention of parent to child transmission of HIVAIDS programme (PPTCT) in a tertiary care hospital in India AUTHOR NAMES Kulkarni M. Vijay Kumar G.S. Bhandiwad A. AUTHOR ADDRESSES (Kulkarni M.; Vijay Kumar G.S.; Bhandiwad A.) JSS Medical College and Hospital, Mysore, India. CORRESPONDENCE ADDRESS M. Kulkarni, JSS Medical College and Hospital, Mysore, India. SOURCE International Journal of Infectious Diseases (2012) 16 SUPPL.1 (e185-e186). Date of Publication: June 2012 CONFERENCE NAME 15th International Congress on Infectious Diseases, ICID 2012 CONFERENCE LOCATION Bangkok, Thailand CONFERENCE DATE 2012-06-13 to 2012-06-16 ISSN 1201-9712 BOOK PUBLISHER Elsevier ABSTRACT Background: The PPTCT program me was started in the country in the year 2002 after a feasibility study in the 5 high prevalence states and aimed to prevent perinatal transmission of HIV. It entails counseling and testing of pregnant women in the integrated centers for counseling and testing (ICTC)s and single dose nevirapine (SDNVP) for mother and baby. This study was carried out according to National AIDS Control Organisation (NACO) protocols, with enrollment, counseling, test ing, and interventions to prevent perinatal transmission of HIV, at JSS Hospital, Mysore. Methods: All women attending antenatal clinics of the hospital from October 2002 to December 2010 were counseled and subjected to HIV testing after an informed consent. Those found positive, were confirmed to be seropositive, by two more rapid tests. Such women were given SDNVP (200 mg) at the onset of labour.Ceasarian delivery was carried out with universal precautions. Neonate was administered SDNVP (2 mg/kg body weight) at birth. Exclusive breast feeding was advised, baby followed up. Tested at 18 months of age by rapid tests for HIV. Results: Out of 21003 women tested, 71 were confirmed positive. 46 (65%) patients delivered in our hospital. 30 patients were followed up for up to 18 months. None of these babies were seropositive at 18 months. Conclusion: The intervention in PPTCT to significantly reduce perinatal transmission of HIV can be successful if guidelines are followed strictly and if the services are integrated with Maternal and Child Health services of the hospitals. EMTREE DRUG INDEX TERMS nevirapine EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child hospital human India infection parent prevention tertiary health care EMTREE MEDICAL INDEX TERMS acquired immune deficiency syndrome baby body weight breast feeding child health care counseling feasibility study female HIV test Human immunodeficiency virus infection control informed consent mother newborn patient pregnant woman prevalence single drug dose LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70868937 DOI 10.1016/j.ijid.2012.05.748 FULL TEXT LINK http://dx.doi.org/10.1016/j.ijid.2012.05.748 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 175 TITLE Mixed Methods Analysis of Participant Attrition in the Nurse-Family Partnership AUTHOR NAMES O'Brien R.A. Moritz P. Luckey D.W. McClatchey M.W. Ingoldsby E.M. Olds D.L. AUTHOR ADDRESSES (O'Brien R.A.; Moritz P.) College of Nursing, University of Colorado, Anschutz Medical Campus, 13120 E. 19th Ave., Aurora, CO 80045, United States. (Luckey D.W.; McClatchey M.W.) Colorado School of Public Health, Department of Biostatistics and Informatics, University of Colorado, Anschutz Medical Campus, 13121 E. 17th Ave., Mail Stop #8410, Aurora, CO 80045, United States. (Ingoldsby E.M.) OMNI Institute, Denver, CO, United States. (Olds D.L., david.olds@ucdenver.edu) Department of Pediatrics, University of Colorado, Anschutz Medical Campus, 13121 E. 17th Ave., Mail Stop #8410, Aurora, CO 80045, United States. CORRESPONDENCE ADDRESS D. L. Olds, Department of Pediatrics, University of Colorado, Anschutz Medical Campus, 13121 E. 17th Ave., Mail Stop #8410, Aurora, CO 80045, United States. Email: david.olds@ucdenver.edu SOURCE Prevention Science (2012) 13:3 (219-228). Date of Publication: June 2012 ISSN 1389-4986 BOOK PUBLISHER Springer New York, 233 Spring Street, New York, United States. ABSTRACT Participant attrition is a major influence on the effectiveness of evidence-based interventions. Assessing predictors of participant attrition and nurse and site characteristics associated with it could lay a foundation for increasing retention and engagement. We examined this issue in the national expansion of the Nurse-Family Partnership, an evidence-based program of prenatal and infancy home visiting for low-income, first-time mothers, their children, and families. Using a mixed methods approach, we examined participant, nurse, and site predictors of participant attrition and completed home visits. We used mixed multivariate regression models to identify participant, nurse, program, and site predictors of addressable attrition and completed home visits during pregnancy and the first year of the child's life for 10,367 participants at 66 implementation sites. We then conducted semi-structured interviews with nurse home visitors and supervisors at selected sites with the highest (N = 5 sites) and lowest (N = 6 sites) rates of participant addressable attrition and employed qualitative methods to synthesize themes that emerged in nurses' descriptions of the strategies they used to retain participants. Mothers who were younger, unmarried, African American, and visited by nurses who ceased employment had higher rates of attrition and fewer home visits. Hispanic mothers, those living with partners, and those employed at registration had lower rates of attrition. Those who were living with partners and employed had more home visits. Nurses in high retention sites adapted the program to their clients' needs, were less directive, and more collaborative with them. Increasing nurses' flexibility in adapting this structured, evidence-based program to families' needs may increase participant retention and completed home visits. © 2012 Society for Prevention Research. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) evidence based nursing home care human relation patient participation EMTREE MEDICAL INDEX TERMS adolescent adult article female human male patient care patient compliance risk LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 22562646 (http://www.ncbi.nlm.nih.gov/pubmed/22562646) PUI L51999006 DOI 10.1007/s11121-012-0287-0 FULL TEXT LINK http://dx.doi.org/10.1007/s11121-012-0287-0 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 176 TITLE Poor outcomes at discharge among extremely premature infants: A national population-based study AUTHOR NAMES Kugelman A. Bader D. Lerner-Geva L. Boyko V. Levitzki O. Riskin A. Reichman B. AUTHOR ADDRESSES (Kugelman A., dramir@netvision.net.il; Bader D.; Riskin A.) Department of Neonatology, Bnai Zion Medical Center, Technion-Israel Institute of Technology, Haifa, Israel. (Lerner-Geva L.; Boyko V.; Levitzki O.; Reichman B.) Women and Children's Health Research Unit, Gertner Institute for Epidemiology and Health Policy Research, Tel Hashomer, Israel. (Lerner-Geva L.; Reichman B.) Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. CORRESPONDENCE ADDRESS A. Kugelman, Department of Neonatology, Bnai Zion Medical Center, Technion-Israel Institute of Technology, Haifa, Israel. Email: dramir@netvision.net.il SOURCE Archives of Pediatrics and Adolescent Medicine (2012) 166:6 (543-550). Date of Publication: June 2012 ISSN 1072-4710 1538-3628 (electronic) BOOK PUBLISHER American Medical Association, 515 North State Street, Chicago, United States. ABSTRACT Objectives: To assess risk factors and develop a simple estimate method for poor neonatal outcomes for specific groups of extremely premature infants at birth. Design: Population-based study. Setting: Israel National Very Low Birth Weight Infant Database. Participants: Infants born at 23 to 26 weeks' gestation between January 1, 1995, and December 31, 2008. Intervention:Wedeveloped a tool to estimate poor neonatal outcomes for infants born at 24 to 26 weeks' gestation (n=2544) that incorporated factors at birth significantly associated with poor outcomes into a linear regression model. Main Outcome Measures: Poor neonatal outcomes defined as the composite of mortality or severe neurologic or pulmonary morbidity at discharge from the hospital. Results: Major factors associated with poor outcomes at 24 to 26 weeks' gestation were gestational age, male sex, sex-specific birth weight percentile, and lack of prenatal steroid therapy. Estimated poor outcomes for January 1, 2000, to December 31, 2008, were calculated as the sum of the percentages determined for each of the 4 parameters: (1) gestational age (26, 25, and 24 weeks; 0%, 17%, and 34%, respectively), (2) birth weight percentile (>75th, 25th-75th, and <25th percentiles; 0%, 13%, and 26%, respectively), (3) lack of prenatal steroids (16%), and (4) male sex (7%). There was also an intercept value of 25%. Estimated poor outcome rates for the 36 subgroups of infants ranged from 25% to 100% and correlated well with observed rates (intraclass correlation coefficient, 0.93). Conclusions: The combined outcomes of deaths or severe morbidities in the neonatal period of infants born at 24 to 26 weeks' gestation could be simply estimated at birth. The provision of an appropriate and up-to-date estimate of poor neonatal outcomes for specific infants may be useful in counseling families on treatment options for these infants. EMTREE DRUG INDEX TERMS steroid (drug therapy) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) prematurity (drug therapy, drug therapy, epidemiology) EMTREE MEDICAL INDEX TERMS article disease severity female gestational age hospital discharge human infant infant mortality Israel lung disease major clinical study male morbidity neurologic disease outcome assessment population research prenatal care priority journal sex difference steroid therapy very low birth weight EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Neurology and Neurosurgery (8) Chest Diseases, Thoracic Surgery and Tuberculosis (15) Public Health, Social Medicine and Epidemiology (17) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2012328413 MEDLINE PMID 22312168 (http://www.ncbi.nlm.nih.gov/pubmed/22312168) PUI L364968585 DOI 10.1001/archpediatrics.2011.891 FULL TEXT LINK http://dx.doi.org/10.1001/archpediatrics.2011.891 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 177 TITLE Prenatal prediction of poor maternal and offspring outcomes: implications for selection into intensive parent support programs. AUTHOR NAMES Chittleborough C.R. Lawlor D.A. Lynch J.W. AUTHOR ADDRESSES (Chittleborough C.R.) School of Social and Community Medicine, University of Bristol, Bristol, UK. (Lawlor D.A.; Lynch J.W.) CORRESPONDENCE ADDRESS C.R. Chittleborough, School of Social and Community Medicine, University of Bristol, Bristol, UK. Email: catherine.chittleborough@bristol.ac.uk SOURCE Maternal and child health journal (2012) 16:4 (909-920). Date of Publication: May 2012 ISSN 1573-6628 (electronic) ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) depression (diagnosis) infant welfare maternal welfare social support EMTREE MEDICAL INDEX TERMS adolescent adult article breast feeding child female human maternal age mother child relation newborn outcome assessment predictive value pregnancy prenatal care preschool child program development prospective study psychological aspect questionnaire risk factor smoking (adverse drug reaction) socioeconomics United Kingdom LANGUAGE OF ARTICLE English MEDLINE PMID 21573859 (http://www.ncbi.nlm.nih.gov/pubmed/21573859) PUI L365627256 DOI 10.1007/s10995-011-0818-5 FULL TEXT LINK http://dx.doi.org/10.1007/s10995-011-0818-5 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 178 TITLE Interest in newborn genetic testing: A survey of prospective parents and the general public AUTHOR NAMES Etchegary H. Dicks E. Green J. Hodgkinson K. Pullman D. Parfrey P. AUTHOR ADDRESSES (Etchegary H., holly.etchegary@med.mun.ca) Department of Clinical Epidemiology, Health Sciences Centre, Eastern Health and Memorial University, Level 1, 300 Prince Phillip Drive, St. John's, NL A1B 3V6, Canada. (Dicks E.) Department of Clinical Epidemiology, Eastern Health, St. john'S, NL, Canada. (Green J.) Department of Genetics, Memorial University, St. John's, NL, Canada. (Hodgkinson K.; Parfrey P.) Department of Clinical Epidemiology, Memorial University, St. John's, NL, Canada. (Pullman D.) Department of Community Health and Humanities, Memorial University, St. John's, NL, Canada. CORRESPONDENCE ADDRESS H. Etchegary, Department of Clinical Epidemiology, Health Sciences Centre, Eastern Health and Memorial University, Level 1, 300 Prince Phillip Drive, St. John's, NL A1B 3V6, Canada. Email: holly.etchegary@med.mun.ca SOURCE Genetic Testing and Molecular Biomarkers (2012) 16:5 (353-358). Date of Publication: 1 May 2012 ISSN 1945-0265 1945-0257 (electronic) BOOK PUBLISHER Mary Ann Liebert Inc., 140 Huguenot Street, New Rochelle, United States. ABSTRACT Purpose: Newborn screening (NBS) panels continue to expand, yet there are too few data on public attitudes toward testing in the newborn period to indicate whether there is support for such testing. We measured interest in newborn testing for several autosomal recessive disorders and reasons for interest. Methods: A cross-sectional, pen and paper survey was administered to the general public and prospective parents attending prenatal classes in Eastern Canada between April and December, 2010. Results: A total of 648 individuals completed surveys. Interest in newborn testing for inherited hearing loss, vision loss, and neurological disorders was high (over 80% would have their newborn tested). The attitudes of prospective parents and students were positive, but somewhat less so than members of the general public. Across all disorders, interest in testing was driven by the desire to be prepared for the birth of a child with a genetic disorder. Significantly more people would use the information from testing for fatal neurological disorders in future reproductive decisions than the information generated by newborn testing for inherited hearing or vision loss. Conclusion: Interest is high in newborn testing for a variety of conditions, including those for which no effective treatment exists. Findings lend support to the expansion of NBS panels to include those disorders currently lacking treatment and highlight the value of including the views of diverse stakeholders, including prospective parents, in screening policies. © 2012 Mary Ann Liebert, Inc. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) newborn screening EMTREE MEDICAL INDEX TERMS article autosomal recessive disorder cross-sectional study female hearing impairment human major clinical study male neurologic disease newborn parent parental attitude student visual impairment EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Human Genetics (22) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2012304936 MEDLINE PMID 22103558 (http://www.ncbi.nlm.nih.gov/pubmed/22103558) PUI L364891077 DOI 10.1089/gtmb.2011.0221 FULL TEXT LINK http://dx.doi.org/10.1089/gtmb.2011.0221 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 179 TITLE Review of perinatal partner-focused smoking cessation interventions AUTHOR NAMES Duckworth A.L. Chertok I.R.A. AUTHOR ADDRESSES (Duckworth A.L.; Chertok I.R.A., ichertok@hsc.wvu.edu) West Virginia University, School of Nursing, Morgantown, WV, United States. CORRESPONDENCE ADDRESS A.L. Duckworth, West Virginia University, School of Nursing, Morgantown, WV, United States. SOURCE MCN The American Journal of Maternal/Child Nursing (2012) 37:3 (174-181). Date of Publication: May-June 2012 ISSN 0361-929X BOOK PUBLISHER Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327, Philadelphia, United States. ABSTRACT 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. © 2012 Lippincott Williams & Wilkins. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) pregnant woman smoking cessation social support spouse EMTREE MEDICAL INDEX TERMS education female health promotion human male perinatal care pregnancy pregnancy outcome psychological aspect review LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 22549421 (http://www.ncbi.nlm.nih.gov/pubmed/22549421) PUI L364817569 DOI 10.1097/NMC.0b013e31824921b4 FULL TEXT LINK http://dx.doi.org/10.1097/NMC.0b013e31824921b4 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 180 TITLE Parent-infant psychotherapy associate professor frances AUTHOR NAMES Thomson-Salo F. AUTHOR ADDRESSES (Thomson-Salo F.) Royal Women's Hospital, Melbourne, Australia. (Thomson-Salo F.) University of Melbourne, Melbourne, Australia. CORRESPONDENCE ADDRESS F. Thomson-Salo, Royal Women's Hospital, Melbourne, Australia. SOURCE Australian and New Zealand Journal of Psychiatry (2012) 46 SUPPL. 1 (7). Date of Publication: April 2012 CONFERENCE NAME 47th Annual Congress of the Royal Australian and New Zealand College of Psychiatrists, RANZCP 2012 CONFERENCE LOCATION Hobart, TAS, Australia CONFERENCE DATE 2012-05-20 to 2012-05-24 ISSN 0004-8674 BOOK PUBLISHER Informa Healthcare ABSTRACT Topics covered in this workshop will have a practical focus and include: • Working with the infant and carers in different presentations, stages and settings (e.g. maternity hospital, NICU or sick or symptomatic infants). • Working with parents with experience of depression, trauma, borderline presentation, mental illness, substance use, violence. • Psychotherapeutic intervention in the perinatal period, including with teen mothers. • Psychodynamic parent-infant groups in the first and second years. • Dynamic potential of engaging with the infant, and challenges and gains in this approach. • Working with transference/countertransference, projective identification and envy. • Balancing effectiveness of verbal intervention, containment and relational factors. • What I say and do in different settings and at challenging times. • Intervening in reverberating traumatic states in infant and carer. • Short term work - what it achieves, and indications for long term work. • Theories of therapeutic action and change. • Having the infant present in a parent's ongoing therapy. Clinical vignettes, including cases with ongoing complex difficulties, will be referred to and participants will also have the opportunity to bring their own case material. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) college human infant New Zealand parent psychiatrist psychotherapy EMTREE MEDICAL INDEX TERMS female hospital injury mental disease mother perinatal period therapy vignette violence workshop LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71046984 DOI 10.1177/0004867412445952 FULL TEXT LINK http://dx.doi.org/10.1177/0004867412445952 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 181 TITLE Women's and men's satisfaction with two models of antenatal education AUTHOR NAMES Hall J. AUTHOR ADDRESSES (Hall J.) University of the West of England, United Kingdom. CORRESPONDENCE ADDRESS J. Hall, University of the West of England, United Kingdom. SOURCE Practising Midwife (2012) 15:4 (35-36). Date of Publication: April 2012 ISSN 1461-3123 BOOK PUBLISHER Medical Education Solutions Ltd, 66 Siward Road, Bromley BR2 9JZ, United Kingdom. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) educational model parent patient education patient satisfaction prenatal care puerperal depression (prevention) EMTREE MEDICAL INDEX TERMS adaptive behavior adult clinical trial controlled clinical trial controlled study education female human human relation male maternal behavior mental stress (prevention) methodology note paternal behavior pregnancy psychological aspect randomized controlled trial sex difference social support statistics Sweden LANGUAGE OF ARTICLE English MEDLINE PMID 22662539 (http://www.ncbi.nlm.nih.gov/pubmed/22662539) PUI L364774637 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 182 TITLE Mental training during pregnancy. Feelings and experiences during pregnancy and birth and parental stress 1year after birth - A pilot study AUTHOR NAMES Hildingsson I. AUTHOR ADDRESSES (Hildingsson I., ingegerd.hildingsson@miun.se) Mid Sweden University, Department of Health Science, Sundsvall, Sweden. (Hildingsson I., ingegerd.hildingsson@miun.se) Karolinska Institute, Department of Women's and Children's Health, Stockholm, Sweden. CORRESPONDENCE ADDRESS I. Hildingsson, Mid Sweden University, Department of Health Science, Holmgatan 10, SE-87150 Sundsvall, Sweden. Email: ingegerd.hildingsson@miun.se SOURCE Sexual and Reproductive Healthcare (2012) 3:1 (31-36). Date of Publication: March 2012 ISSN 1877-5756 1877-5764 (electronic) BOOK PUBLISHER Elsevier, P.O. Box 211, Amsterdam, Netherlands. ABSTRACT Background: Parental stress has been recognized as a problem despite governmental support of parent education programs aiming to prepare parents for parenthood.Aim: to compare parents who underwent a mental training program during pregnancy with a control group to measure feelings and experiences during pregnancy and birth and perceived parental stress.Methods: A comparative pilot study of 46 self-selected parents who underwent a mental training program during pregnancy, and 1408 parents living in the same catchment area (control group). Data was collected in mid-pregnancy, 2. months and 1. year after birth. The main outcome was parental stress.Results: Parents in the mental training group were more often expecting their first baby and had a higher level of education compared to parents in the control group. Parents participating in the mental training program had less positive feelings about expecting a baby (OR 14.0; 6.7-29.3), the upcoming birth (OR 2.0; 1.1-3.8) and the newborn baby (OR 3.1; 1.6-6.2). Parents who attended the mental training program attended an antenatal parent education to a higher degree (OR 2.0; 1.6-2.4) and were more likely to stay in contact with other participants in the antenatal education (OR 4.1; 1.9-8.6). Mothers in the mental training program used psycho prophylaxis to a higher extent (OR 3.0; 1.2-7.1) There was no difference in the birth experience or the perceived parental stress.Conclusion: Participating in a mental training program for birth and parenthood was not associated with the birth experience or the assessment of parental stress 1. year after birth. © 2011 Elsevier B.V.. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) mental training parental stress training EMTREE MEDICAL INDEX TERMS adult article birth clinical article comparative study controlled study education program educational status female human male newborn parental attitude parenthood pilot study pregnancy priority journal EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2012084043 MEDLINE PMID 22325799 (http://www.ncbi.nlm.nih.gov/pubmed/22325799) PUI L51771494 DOI 10.1016/j.srhc.2011.11.003 FULL TEXT LINK http://dx.doi.org/10.1016/j.srhc.2011.11.003 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 183 TITLE At home in early labour: what fathers do and how they feel--part 3. AUTHOR NAMES Nolan M. Catling J. Smith J. AUTHOR ADDRESSES (Nolan M.) University of Worcester. (Catling J.; Smith J.) CORRESPONDENCE ADDRESS M. Nolan, University of Worcester. SOURCE The practising midwife (2012) 15:3 (14-17). Date of Publication: Mar 2012 ISSN 1461-3123 ABSTRACT This is the third in a series of three articles which present data from a 2010 survey completed by 263 fathers on their experience of being at home with their partner in early labour. Fathers' state of mind during early labour is explored. Anxiety levels are found to be high, particularly in regard to the wellbeing of their partners and babies. Attending antenatal classes does not appear to diminish anxiety and often, nor does speaking to a midwife in early labour. These results require cautious interpretation but also suggest that men need better preparation for their role in supporting mothers during labour. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) cooperation father home delivery labor stage 1 perinatal care spouse EMTREE MEDICAL INDEX TERMS adult article attitude to health caregiver female health behavior human male methodology pregnancy psychological aspect questionnaire statistics United Kingdom LANGUAGE OF ARTICLE English MEDLINE PMID 22479849 (http://www.ncbi.nlm.nih.gov/pubmed/22479849) PUI L364651517 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 184 TITLE Nunavut: building nursing capacity. AUTHOR NAMES Malott M. AUTHOR ADDRESSES (Malott M.) Research to Action Project, Iqaluit, NU. CORRESPONDENCE ADDRESS M. Malott, Research to Action Project, Iqaluit, NU. SOURCE Nursing leadership (Toronto, Ont.) (2012) 25 Spec No 2012 (89-98). Date of Publication: Mar 2012 ISSN 1910-622X ABSTRACT Recruitment and retention issues associated with the growing nursing shortage in Canada are magnified in Nunavut, where the scope of nursing practice is much broader than in urban settings. The Qikiqtani General Hospital (QGH), a 35-bed hospital in Nunavut's capital, Iqaluit, was the home base for this multi-pronged pilot project that spanned 16 months to March 2011. The goals of the project included creating opportunities for front-line nurses to develop new clinical skills and knowledge and expand their competencies; offering enhanced critical care training relevant to the needs of nurses; and providing a smooth transition to entry to practice in a hospital setting for new graduate nurses. An in-house mentorship program was developed, and contracts were made with three outside parties: the Critical Care Education Network (CRI), the Ottawa Hospital and the Perinatal Partnership Program of Eastern and Southeastern Ontario. A number of professional development opportunities were provided - for example, 26 nurses participated in the CRI's critical care training, and six nurses were trained as CRI trainers.Overall, nurses were satisfied with the accessibility, delivery and applicability of the RTA education opportunities, and all nurses agreed that these opportunities increased their professional skills. A plan for the sustainability of the critical care portion of the Nunavut RTA project is currently in place, and the QGH is in the process of hiring a nurse educator for the hospital. This hiring will be a key piece to sustain the project initiatives. If the mentorship program is to continue, it will be essential to hire someone dedicated to the orientation of new graduates and new nurses. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) clinical competence intensive care nursing staff personnel management EMTREE MEDICAL INDEX TERMS adult article audiovisual equipment Canada child curriculum education health care planning human in service training job satisfaction newborn newborn nursing organization and management statistics teacher teaching LANGUAGE OF ARTICLE English MEDLINE PMID 22398484 (http://www.ncbi.nlm.nih.gov/pubmed/22398484) PUI L365332233 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 185 TITLE Profiles of eight working mothers who practiced exclusive breastfeeding in Depok, Indonesia AUTHOR NAMES Februhartanty J. Wibowo Y. Fahmida U. Roshita A. AUTHOR ADDRESSES (Februhartanty J., jfebruhartanty@seameo-recfon.org; Wibowo Y.; Fahmida U.; Roshita A.) SEAMEO Regional Center for Food and Nutrition, University of Indonesia, Jl. Raya Salemba no. 6, Central Jakarta 10430, Indonesia. CORRESPONDENCE ADDRESS J. Februhartanty, SEAMEO Regional Center for Food and Nutrition, University of Indonesia, Jl. Raya Salemba no. 6, Central Jakarta 10430, Indonesia. Email: jfebruhartanty@seameo-recfon.org SOURCE Breastfeeding Medicine (2012) 7:1 (54-58). Date of Publication: 1 Feb 2012 ISSN 1556-8253 1556-8342 (electronic) BOOK PUBLISHER Mary Ann Liebert Inc., 140 Huguenot Street, New Rochelle, United States. ABSTRACT Exclusive breastfeeding practice is generally low because of multifaceted factors internally within mothers themselves and also the surroundings. In addition, studies have consistently found that maternal employment outside the home is related to shorter duration of exclusive breastfeeding. With all these challenges, it is interesting that there are some mothers who manage to exclusively breastfeed their infants. Therefore, this report aims at exploring the characteristics of working mothers who are able to practice exclusive breastfeeding. The original study population was non-working and working mothers who have infants around 1 to 6 months old. The study design is an observational study with a mixed methods approach using a quantitative study (survey) and qualitative methods (in-depth interview) in sequential order. In addition, in-depth interviews with family members, midwives, supervisors at work, and community health workers were also included to accomplish a holistic picture of the situation. The study concludes that self-efficacy and confidence of the breastfeeding mothers characterize the practice of exclusive breastfeeding. Good knowledge that was acquired way before the mothers got pregnant suggests a predisposing factor to the current state of confidence. Home support from the father enhances the decision to sustain breastfeeding. © Copyright 2012, Mary Ann Liebert, Inc. 2012. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding working mother EMTREE MEDICAL INDEX TERMS article attitude to breast feeding childbirth education controlled study family father child relation female health auxiliary human Indonesia infant interview male midwife observational study priority journal quantitative study self concept EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Clinical and Experimental Biochemistry (29) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2012078286 MEDLINE PMID 21777072 (http://www.ncbi.nlm.nih.gov/pubmed/21777072) PUI L364212338 DOI 10.1089/bfm.2011.0017 FULL TEXT LINK http://dx.doi.org/10.1089/bfm.2011.0017 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 186 TITLE Predicting engagement in a transition to parenthood program for couples AUTHOR NAMES Brown L.D. Feinberg M.E. Kan M.L. AUTHOR ADDRESSES (Brown L.D., louis.d.brown@uth.tmc.edu) Division of Health Promotion and Behavioral Sciences, University of Texas School of Public Health, El Paso Regional Campus, 1100 N. Stanton, Suite 110B, El Paso, TX 79902, United States. (Feinberg M.E.) Prevention Research Center, Pennsylvania State University, United States. (Kan M.L.) RTI International, United States. CORRESPONDENCE ADDRESS L.D. Brown, Division of Health Promotion and Behavioral Sciences, University of Texas School of Public Health, El Paso Regional Campus, 1100 N. Stanton, Suite 110B, El Paso, TX 79902, United States. Email: louis.d.brown@uth.tmc.edu SOURCE Evaluation and Program Planning (2012) 35:1 (1-8). Date of Publication: February 2012 ISSN 0149-7189 BOOK PUBLISHER Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom. ABSTRACT Fostering participant engagement is a challenging but essential component of effective prevention programs. To better understand which factors influence engagement, this study examines several predictors of couple engagement in Family Foundations (FF), a preventive intervention for first-time parents shown to enhance parent mental health, couple relations, parenting quality, and child adjustment through age 3 years. FF consists of a series of classes delivered through childbirth education departments at local hospitals. Baseline data on socio-demographics, parent mental health, and couple relationship quality were examined as predictors of participants' level of engagement in FF (n= 89 couples, 178 individuals). Sociodemographic variables such as parent gender, socioeconomic status, and age predicted program engagement to a limited extent. However, findings indicated that marital status was the best predictor of engagement. Discussion focuses on how findings can inform the development of practices that promote engagement, such as the use of targeted outreach efforts for individuals most at risk of disengagement. © 2011 Elsevier Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation child welfare health education parent EMTREE MEDICAL INDEX TERMS adult article clinical trial comparative study controlled clinical trial controlled study education family size father child relation female health care quality human intervention study male mother child relation organization and management predictive value preschool child primary prevention psychological aspect randomized controlled trial risk assessment socioeconomics LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 21841851 (http://www.ncbi.nlm.nih.gov/pubmed/21841851) PUI L51487681 DOI 10.1016/j.evalprogplan.2011.05.001 FULL TEXT LINK http://dx.doi.org/10.1016/j.evalprogplan.2011.05.001 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 187 TITLE “My baby is a person”: Parents' experiences with life-threatening fetal diagnosis AUTHOR NAMES Denney-Koelsch E. Cote-Arsenault D. AUTHOR ADDRESSES (Denney-Koelsch E.) University of Rochester, Rochester, United States. (Cote-Arsenault D.) University of Rochester, Manlius, United States. CORRESPONDENCE ADDRESS E. Denney-Koelsch, University of Rochester, Rochester, United States. SOURCE Journal of Pain and Symptom Management (2012) 43:2 (340-341). Date of Publication: February 2012 CONFERENCE NAME Annual Assembly of the American Academy of Hospice and Palliative Medicine and the Hospice and Palliative Nurses Association 2012 CONFERENCE LOCATION Denver, CO, United States CONFERENCE DATE 2012-03-07 to 2012-03-10 ISSN 0885-3924 BOOK PUBLISHER Elsevier Inc. ABSTRACT Objectives 1. List three concerns raised by parents in their interactions with medical providers. 2. Describe the disconnect between parental experiences of pregnancy with a LFD and the response of others to the situation. 3. State one approach that could be used to legitimize the personhood of these families' unborn baby. Background. Diagnosis of a lethal fetal diagnosis (LFD) early in pregnancy is devastating for parents. Those who choose to continue with the pregnancy report intense emotional reactions and inconsistent, often insensitive treatment by healthcare providers. Research objectives. We sought to clarify the experiences and needs of families in order to design responsive perinatal palliative care services and to establish the feasibility and acceptability of conducting intensive interviews of pregnant women and their partners during their pregnancy with a LFD. Method. In this qualitative descriptive study, we interviewed two women and three couples during pregnancy or just after birth, using open- ended questions. Audiotaped responses were analyzed by two investigators. Result. Two dimensions and six themes emerged. In the dimension of Personal Pregnancy Experience, “Grieving Multiple Losses” elucidates that parents grieve the loss of their normal pregnancy, healthy baby, and future parenting. “Arrested Parenting” describes their sudden interruption in the normal process of becoming a parent. “My Baby is a Person” reflects parents' unanimous desire to honor the humanity of their unborn baby. In the dimension Reactions of Others, three themes were found. “Fragmented Health Care” describes parent's disjointed encounters with multiple providers. “Disconnected Family and Friends” describes the lack of understanding of what the families were experiencing by others. “Utter Isolation” expresses how the parents' sense of social isolation adds to their personal sense of loss and loneliness. Conclusion. The deep divide between the parents' personal experience and the social experience was a source of pain beyond their feelings of grief and loss. Implications for research, policy, or practice. The study reveals issues to be considered in the development of perinatal palliative care programs, including parents' need to be treated as real parents, with acknowledgement of their baby as a person. They ask for supportive counseling to help them understandmedical conditions, make informed decisions, and communicate with multiple providers. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) baby diagnosis hospice human nurse palliative therapy parent EMTREE MEDICAL INDEX TERMS child parent relation counseling female friend grief health care health care personnel humanities interview loneliness pain personal experience personhood policy pregnancy pregnant woman social isolation LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70647424 DOI 10.1016/j.jpainsymman.2011.12.047 FULL TEXT LINK http://dx.doi.org/10.1016/j.jpainsymman.2011.12.047 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 188 TITLE Use of the Internet as a source of health information amongst participants of antenatal classes AUTHOR NAMES Lima-Pereira P. Bermúdez-Tamayo C. Jasienska G. AUTHOR ADDRESSES (Lima-Pereira P.) Instituto Nacional de Salud, Santisima Trinidad casi Itapua, Asuncion, Paraguay. (Bermúdez-Tamayo C., clara.bermudez.easp@juntadeandalucia.es) Hospital Universitario Virgen de las Nieves, Escuela Andaluza de Salud Pública, CIBER en Epidemiología y Salud Pública (CIBERESP), Granada, Spain. (Jasienska G.) Department of Epidemiology and Population Studies, Jagiellonian University, Medical College, Krakow, Poland. CORRESPONDENCE ADDRESS C. Bermúdez-Tamayo, Escuela Andaluza de Salud Pública (EASP), Campus Universitario de Cartuja, Apdo. de correos 2070, C.P. 18080 Granada, Spain. Email: clara.bermudez.easp@juntadeandalucia.es SOURCE Journal of Clinical Nursing (2012) 21:3-4 (322-330). Date of Publication: February 2012 ISSN 0962-1067 1365-2702 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT 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 24-38weeks. 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 24hours. 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 informationamongst 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. © 2011 Blackwell Publishing Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Internet patient education prenatal care EMTREE MEDICAL INDEX TERMS adult article cross-sectional study female human male organization and management LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 22093043 (http://www.ncbi.nlm.nih.gov/pubmed/22093043) PUI L51725143 DOI 10.1111/j.1365-2702.2011.03910.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1365-2702.2011.03910.x COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 189 TITLE Black Adolescent Mothers' Perspectives on Sex and Parenting in Nonmarital Relationships with the Biological Fathers of Their Children AUTHOR NAMES Nelson L.E. Morrison-Beedy D. Kearney M.H. Dozier A. AUTHOR ADDRESSES (Nelson L.E., laron.nelson@utoronto.ca; Morrison-Beedy D.; Kearney M.H.; Dozier A.) Faculty of Nursing, University of Toronto Medicine, Hospital for Sick Children, Toronto, ON, Canada. CORRESPONDENCE ADDRESS L.E. Nelson, 130-155 College Street, Toronto, ON M5T 1P8, Canada. Email: laron.nelson@utoronto.ca SOURCE JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing (2012) 41:1 (82-91). Date of Publication: January/February 2012 ISSN 0884-2175 1552-6909 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Objective: To understand single Black adolescent mothers' perspectives on the sexual and parenting-related aspects of their relationships with the biological fathers of their children. Methods: The study was a qualitative description of perspectives from a convenience sample of Black single (nonmarried) adolescent mothers. Data were generated through focus groups and interviews. Participants were recruited using self-referral and health provider referrals. Setting: The study was conducted in a county public health department sexually transmitted diseases clinic in Rochester, New York. Participants: Single mothers (N = 31) ages 15 to 19 participated in the study. The mean age of participants was 17.5 years (SD = 1.4). Findings: Four themes were identified that reflected the major characteristics of the relationships between the mothers and the biological fathers of their children: (a) You will always care about your "baby daddy" because of your child, (b) Negative behavior is tolerated to keep the family together, (c) The "baby daddy" can get sex as long as we are not on bad terms, and (d) He will always be part of our lives. Conclusion: Black adolescent mothers have complex relationships with the biological fathers of their children that may include ongoing sexual activity. The intersection of coparenting and sexual health needs among adolescent mothers highlights the importance of integrating sexually transmitted infections prevention with perinatal health programs. It is important to consider this unique coparenting relationship when providing risk-reduction counseling to young mothers. © 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation health promotion parental deprivation sexual behavior sexuality sexually transmitted disease (prevention) EMTREE MEDICAL INDEX TERMS adaptive behavior adolescent adult African American article child behavior ethnology father child relation female human infant information processing longitudinal study male marriage methodology psychological aspect socioeconomics United States (epidemiology) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 22834723 (http://www.ncbi.nlm.nih.gov/pubmed/22834723) PUI L365331072 DOI 10.1111/j.1552-6909.2011.01324.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1552-6909.2011.01324.x COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 190 TITLE 'I am going to be a dad': Experiences and expectations of adolescent and young adult expectant fathers AUTHOR NAMES Wilkes L. Mannix J. Jackson D. AUTHOR ADDRESSES (Wilkes L., l.wilkes@uws.edu.au; Mannix J.) Family and Community Health Research Group (FaCH), School of Nursing and Midwifery, College of Health AND Science, University of Western Sydney, Penrith South DC, NSW 1797, Australia. (Jackson D.) Faculty of Nursing, Midwifery and Health, University of Technology, Sydney (UTS), Sydney, NSW, Australia. CORRESPONDENCE ADDRESS L. Wilkes, Family and Community Health Research Group (FaCH), School of Nursing and Midwifery, College of Health and Science, University of Western Sydney, Locked Bag 1797, Penrith South DC, NSW 1797, Australia. Email: l.wilkes@uws.edu.au SOURCE Journal of Clinical Nursing (2012) 21:1-2 (180-188). Date of Publication: January 2012 ISSN 0962-1067 1365-2702 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Aim. To explore the experiences of prospective adolescent fathers regarding their impending fatherhood. Background. Several studies indicate adolescent fatherhood is associated with multiple risk factors. Despite this, it is well documented that these young males have a potentially vital role in the lives of their child/ren and partners. Adolescent pregnancy has often been viewed with a particular emphasis on the mother and relatively little is known about the experiences and expectations of young males facing imminent fatherhood. Design. Narrative methods were used to collect qualitative data. Method. Narratives were elicited through in-depth interviews with seven adolescent expectant fathers aged 16-22years. Results. Impending fatherhood presented these young men with mixed emotions and many challenges. The pregnancies were all unplanned and though participants were all willing to face the responsibilities associated with fatherhood, they also reported feeling ill-prepared for the challenges that lay ahead. Impending fatherhood had caused the young men to reflect on the quality of fathering they had received themselves. The young men were hoping to provide their own infant with a better quality of fathering than they had experienced. Conclusions. Nurses and midwives are ideally placed to provide support to young men facing impending fatherhood to better prepare them to meet the demands of their forthcoming role. Relevance to clinical practice. Prenatal classes should include specific sessions for prospective fathers and provide opportunities to assist young men to discuss their thoughts and concerns about impending fatherhood. It could also be useful to encourage young expectant fathers to engage in discussions with their own fathers and grandfathers. For those young men who do not have effective relationships with their own fathers, it could be useful to organise mentoring with experienced mature men who have successfully engaged in the fatherhood role. © 2011 Blackwell Publishing Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father EMTREE MEDICAL INDEX TERMS adolescent adult article Australia human male psychological aspect LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 21645156 (http://www.ncbi.nlm.nih.gov/pubmed/21645156) PUI L51464673 DOI 10.1111/j.1365-2702.2011.03715.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1365-2702.2011.03715.x COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 191 TITLE Parenting for mental health: what does the evidence say we need to do? Report of Workpackage 2 of the DataPrev project. AUTHOR NAMES Stewart-Brown S.L. Schrader-McMillan A. AUTHOR ADDRESSES (Stewart-Brown S.L.) Medical School, Warwick University, Gibbet Hill, Coventry CV4 7AL, UK. (Schrader-McMillan A.) CORRESPONDENCE ADDRESS S.L. Stewart-Brown, Medical School, Warwick University, Gibbet Hill, Coventry CV4 7AL, UK. Email: sarah.stewart-brown@warwick.ac.uk SOURCE Health promotion international (2011) 26 Suppl 1 (i10-28). Date of Publication: Dec 2011 ISSN 1460-2245 (electronic) ABSTRACT The last decade has witnessed increasing interest in the promotion of mental health and well-being because of its importance for health and social functioning at individual level and for the social and economic well-being of societies. Recent research from a range of disciplines (including neurodevelopment, developmental psychology and genetics) has highlighted the importance of childhood, and particularly the first few years of life, for future mental, social and emotional development. The quality of the parent-child relationship and parenting more generally is one of the factors in determining outcomes. The objective of this review was to identify effective interventions to support parents, parenting and the parent-child relationship from the ante-natal period to adolescence. A systematic search of key electronic databases was undertaken to identify systematic reviews evaluating approaches to parenting support; 52 systematic reviews were identified. Results were synthesized qualitatively and reported under the following headings: (i) perinatal programmes; (ii) parenting support programmes in infancy and early years focused on enhancing caregiver sensitivity and attunement; (iii) formal parenting programmes focused on children's behaviour; (iv) parenting support for highest risk groups. The review provides a robust international evidence base of programmes which have been demonstrated to improve parenting and the mental health and well-being of children. Policies and programmes to support parenting offer much scope for improving mental health. Effective provision requires a skilled workforce and careful application of approaches that have been found to work. More research is needed to develop and identify interventions for some of the highest risk groups. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation evidence based medicine health promotion mental health EMTREE MEDICAL INDEX TERMS child female human male methodology review LANGUAGE OF ARTICLE English MEDLINE PMID 22079931 (http://www.ncbi.nlm.nih.gov/pubmed/22079931) PUI L560054403 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 192 TITLE A randomised controlled multicentre trial of women's and men's satisfaction with two models of antenatal education AUTHOR NAMES Bergström M. Kieler H. Waldenström U. AUTHOR ADDRESSES (Bergström M., Malin.Bergstrom@ki.se; Waldenström U.) Department of Woman and Child Health, Karolinska Institutet, Retsius väg 13, SE-171 77 Stockholm, Sweden. (Kieler H.) Centre for Pharmacoepidemiology, Department of Medicine, Karolinska Institutet, Solna, Stockholm, Sweden. CORRESPONDENCE ADDRESS M. Bergström, Department of Woman and Child Health, Karolinska Institutet, Retsius väg 13, SE-171 77 Stockholm, Sweden. Email: Malin.Bergstrom@ki.se SOURCE Midwifery (2011) 27:6 (e195-e200). Date of Publication: December 2011 ISSN 0266-6138 BOOK PUBLISHER Churchill Livingstone, 1-3 Baxter's Place, Leith Walk, Edinburgh, United Kingdom. ABSTRACT 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 χ(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. © 2010 Elsevier Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) mental stress (prevention) parent patient satisfaction prenatal care puerperal depression (prevention) EMTREE MEDICAL INDEX TERMS adaptive behavior adult article clinical trial controlled clinical trial controlled study education female human human relation male methodology multicenter study patient education pregnancy randomized controlled trial social support statistics Sweden LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 20863604 (http://www.ncbi.nlm.nih.gov/pubmed/20863604) PUI L51078331 DOI 10.1016/j.midw.2010.07.005 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2010.07.005 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 193 TITLE At home in early labour: what fathers do and how they feel--part 2. AUTHOR NAMES Nolan M. Catling J. Smith J. AUTHOR ADDRESSES (Nolan M.) University of Worcester. (Catling J.; Smith J.) CORRESPONDENCE ADDRESS M. Nolan, University of Worcester. SOURCE The practising midwife (2011) 14:11 (22-24). Date of Publication: Dec 2011 ISSN 1461-3123 ABSTRACT This is the second in a series of three articles which present data from a 2010 survey completed by 263 fathers on their experience of being at home with their partner in early labour. Fathers' state of mind during early labour is explored. Anxiety levels are found to be high, particularly in regard to the wellbeing of their partners and babies. Attending antenatal classes does not appear to diminish anxiety and nor does speaking to a midwife in early labour. These results require cautious interpretation but also suggest that men need better preparation for their role in supporting mothers during labour. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father health behavior home delivery labor stage 1 perinatal care spouse EMTREE MEDICAL INDEX TERMS adult article attitude to health caregiver cooperation female human male methodology middle aged pregnancy psychological aspect questionnaire statistics United Kingdom LANGUAGE OF ARTICLE English MEDLINE PMID 22216584 (http://www.ncbi.nlm.nih.gov/pubmed/22216584) PUI L364144016 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 194 TITLE Are fathers underused advocates for breastfeeding AUTHOR NAMES Kenosi M. Hawkes C.P. Dempsey E.M. Ryan C.A. AUTHOR ADDRESSES (Kenosi M.; Hawkes C.P.; Dempsey E.M.; Ryan C.A., tony.ryan@hse.ie) Department of Neonatology, Cork University Maternity Hospital, Wilton, Cork, Ireland. CORRESPONDENCE ADDRESS C. A. Ryan, Department of Neonatology, Cork University Maternity Hospital, Wilton, Cork, Ireland. Email: tony.ryan@hse.ie SOURCE Irish Medical Journal (2011) 104:10 (1-2). Date of Publication: November/December 2011 ISSN 0332-3102 BOOK PUBLISHER Irish Medical Association, 10 Fitzwilliam Place, Dublin 2, Ireland. ABSTRACT Fathers knowledge base and attitudes influence breastfeeding practice. We aimed to evaluate if Irish fathers felt included in the breastfeeding education and decision process. 67 fathers completed questionnaires, which assessed their role in the decision to breastfeed, knowledge regarding the benefits of breastfeeding and attitude towards breastfeeding. Forty-two (62.7%) of their partners were breastfeeding. Antenatal classes were attended by 38 (56.7%); 59 (88.1%) discussed breastfeeding with their partners and 26 (38.8%) felt that the decision was made together. Twelve (48%) fathers of formula fed infants were unaware that breastfeeding was healthier for the baby. Most fathers (80.6%) felt that breastfeeding was the mothera€.s decision and most (82.1%) felt that antenatal information was aimed at mothers only. Irish fathers remain relatively uninformed regarding the benefits of breastfeeding. This may contribute to their exclusion from the decision to breastfeed. Antenatal education should incorporate fathers more, and this may result in an improvement in our breastfeeding rates. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding paternal attitude EMTREE MEDICAL INDEX TERMS article artificial milk attitude to breast feeding awareness breast feeding education controlled study family decision making father human Ireland parenting education paternal behavior perinatal period EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2012162096 MEDLINE PMID 22256447 (http://www.ncbi.nlm.nih.gov/pubmed/22256447) PUI L364460435 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 195 TITLE At home in early labour: what fathers do and how they feel--part 1. AUTHOR NAMES Nolan M. Catling J. Smith J. AUTHOR ADDRESSES (Nolan M.) University of Worcester. (Catling J.; Smith J.) CORRESPONDENCE ADDRESS M. Nolan, University of Worcester. SOURCE The practising midwife (2011) 14:9 (25-29). Date of Publication: Oct 2011 ISSN 1461-3123 ABSTRACT A survey of fathers from across the UK was carried out to explore their experience of being at home with their partners in early labour. Respondents were recruited via the Fatherhood Institute website and by contacting children's centres. Two hundred and sixty three men from diverse backgrounds responded. Approximately two fifths had found that early labour matched up to their expectations, but many fathers had been greatly or somewhat surprised by what happened. In terms of deciding when to leave home and go to the hospital or birth centre, fathers did not generally see themselves as the primary decision makers, but half had been either primarily or jointly responsible for the decision. There is therefore a strong case for ensuring that expectant fathers are given information when attending clinics or antenatal classes with their partners to help them understand the latent phase of labour and signs of established labour. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) cooperation father home delivery labor stage 1 perinatal care spouse EMTREE MEDICAL INDEX TERMS adult article attitude to health caregiver female health behavior human male methodology middle aged pregnancy psychological aspect questionnaire statistics United Kingdom LANGUAGE OF ARTICLE English MEDLINE PMID 22132538 (http://www.ncbi.nlm.nih.gov/pubmed/22132538) PUI L560003634 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 196 TITLE Genetic counseling for everyone: Increasing availability in a sickle cell network AUTHOR NAMES Hartshorne C.F. Canty B. Quirolo K. Earl J. Treadwell M. AUTHOR ADDRESSES (Hartshorne C.F.; Canty B.; Quirolo K.; Earl J.; Treadwell M.) Children's Hospital and Research Center, Oakland, United States. CORRESPONDENCE ADDRESS C.F. Hartshorne, Children's Hospital and Research Center, Oakland, United States. SOURCE American Journal of Hematology (2011) 86:10 (E29-E30). Date of Publication: October 2011 CONFERENCE NAME 5th Annual Sickle Cell Disease Research and Educational Symposium and Grant Writing Institute and Annual National Sickle Cell Disease Scientific Meeting - Sickle Cell Disease: The Next Century CONFERENCE LOCATION Hollywood, FL, United States CONFERENCE DATE 2011-02-21 to 2011-02-25 ISSN 0361-8609 BOOK PUBLISHER Wiley-Liss Inc. ABSTRACT Background: In this era of genomic medicine and health, the role of genetic counseling has expanded.(1) Genetic counselors have always provided education and emotional support to individuals and families, but their role in providing these services throughout the life course of individuals with chronic conditions is evolving. As we established our Network of Care for Sickle Cell Disease (a collaboration of hospitals, primary care sites, community based agencies and a sickle cell center) we included genetic counseling (GC) services for individuals with sickle cell disease (SCD) and their families, with an emphasis on teens and young adults transitioning to adult care. Objectives: To provide ongoing GC support and SCD education for individuals and families. To increase the awareness of prenatal testing options as well as availability of carrier testing prior to pregnancy. Methods: Beginning in May of 2010 GC was provided free of charge to patients and their families seen at the comprehensive sickle cell center. Initially GC appointments were provided outside of regular clinic visits and eventually integrated into regular clinic visits. The genetic counselor, pediatrician and nurse practitioner determined appropriate patients to be seen at each clinic with input from the team psychologist and social workers. The factors influencing appropriateness for GC included the age of the patient, family planning interest, new diagnosis of patient and apparent level of understanding or previous education of patient and family. Results to Date: Thirty-four patients have received GC services. Of those patients, 16 were ages 16 to 29 years, 10 were 2 to 11 years (and families) and 8 were families of patients under 1 year. The 16 to 29 year olds were provided preconception counseling and education regarding prenatal options and trait testing for their partners. The families of the 2 to 11 year olds were given recurrence risks and prenatal diagnosis options, while the patients were provided with age appropriate education. The families of those under 1 year of age received counseling regarding their newborn screen result, sickle cell disease and prenatal options for future pregnancies. Eight families declined GC citing either a recent GC experience, not planning additional children or did not feel the need for additional education. The genetic counselor is also integrated into group education at the center, including quarterly Infant/Toddler and Transition clinics. Conclusion: From the beginning, the majority of patients and families were receptive to receiving GC, particularly once it was integrated into regular clinic visits and a separate appointment was not needed. Patients and their families appreciated the additional education, particularly regarding preconception and prenatal options available to them for future pregnancies. We plan to continue to provide GC to all patients and families with a special regard to our teen and young adult population. We plan to offer these services throughout the Network, including at satellite locations. The genetic counselor is revising curricula and materials for the provision of sickle cell counseling and education throughout the life course. Additionally, we would like to begin to offer GC to our patients who are chronically transfused and who are not typically seen in the comprehensive clinic. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) genetic counseling sickle cell sickle cell anemia writing EMTREE MEDICAL INDEX TERMS adult child community counseling curriculum diagnosis education family planning female health hospital human newborn nurse practitioner patient pediatrician planning population pregnancy prenatal diagnosis primary medical care psychologist recurrence risk social worker LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70601515 DOI 10.1002/ajh.22152 FULL TEXT LINK http://dx.doi.org/10.1002/ajh.22152 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 197 TITLE Having a son or daughter with Down syndrome: Perspectives from mothers and fathers AUTHOR NAMES Skotko B.G. Levine S.P. Goldstein R. AUTHOR ADDRESSES (Skotko B.G., brian.skotko@childrens.harvard.edu) Division of Genetics, Department of Medicine, Children's Hospital Boston, Boston, MA, United States. (Levine S.P.) Family Resource Associates Inc., Shrewsbury, NJ, United States. (Goldstein R.) Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA, United States. CORRESPONDENCE ADDRESS B.G. Skotko, Children's Hospital Boston, 300 Longwood Avenue, Hunnewell 5, Boston MA 02115, United States. Email: brian.skotko@childrens.harvard.edu SOURCE American Journal of Medical Genetics, Part A (2011) 155:10 (2335-2347). Date of Publication: October 2011 ISSN 1552-4825 1552-4833 (electronic) BOOK PUBLISHER Wiley-Liss Inc., 111 River Street, Hoboken, United States. ABSTRACT This study asks parents who have children with Down syndrome (DS) how they feel about their lives so that such information could be shared with expectant couples during prenatal counseling sessions. A valid and reliable survey instrument was mailed to 4,924 households on the mailing lists of six non-profit DS organizations. Of the 2,044 respondents, 99% reported that they love their son or daughter; 97% were proud of them; 79% felt their outlook on life was more positive because of them; 5% felt embarrassed by them; and 4% regretted having them. The parents report that 95% of their sons or daughters without DS have good relationships with their siblings with DS. The overwhelming majority of parents surveyed report that they are happy with their decision to have their child with DS and indicate that their sons and daughters are great sources of love and pride. © 2011 Wiley-Liss, Inc. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Down syndrome EMTREE MEDICAL INDEX TERMS adult article cultural factor family attitude female genetic counseling health survey human male parental attitude postal mail priority journal reliability validity EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Human Genetics (22) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2011533163 MEDLINE PMID 21915989 (http://www.ncbi.nlm.nih.gov/pubmed/21915989) PUI L362619916 DOI 10.1002/ajmg.a.34293 FULL TEXT LINK http://dx.doi.org/10.1002/ajmg.a.34293 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 198 TITLE Supporting mothers to breastfeed: the development and process evaluation of a father inclusive perinatal education support program in Perth, Western Australia. AUTHOR NAMES Tohotoa J. Maycock B. Hauck Y. Howat P. Burns S. Binns C. AUTHOR ADDRESSES (Tohotoa J.) School of Public Health, Curtin University, Kent Street, Bentley 6854, WA, Australia. (Maycock B.; Hauck Y.; Howat P.; Burns S.; Binns C.) CORRESPONDENCE ADDRESS J. Tohotoa, School of Public Health, Curtin University, Kent Street, Bentley 6854, WA, Australia. Email: j.tohotoa@curtin.edu.au SOURCE Health promotion international (2011) 26:3 (351-361). Date of Publication: Sep 2011 ISSN 1460-2245 (electronic) ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding father health education perinatal care EMTREE MEDICAL INDEX TERMS adolescent adult article Australia human male middle aged organization and management psychological aspect social support socioeconomics LANGUAGE OF ARTICLE English MEDLINE PMID 21156662 (http://www.ncbi.nlm.nih.gov/pubmed/21156662) PUI L560000125 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 199 TITLE Parents of children with congenital heart disease prefer more information than cardiologists provide AUTHOR NAMES Arya B. Glickstein J. Levasseur S. Williams I. AUTHOR ADDRESSES (Arya B.; Glickstein J.; Levasseur S.; Williams I.) Division of Pediatric Cardiology, New York Presbyterian-Columbia and Cornell Hospitals, New York, United States. CORRESPONDENCE ADDRESS B. Arya, Division of Pediatric Cardiology, New York Presbyterian-Columbia and Cornell Hospitals, New York, United States. SOURCE Congenital Heart Disease (2011) 6:5 (543-544). Date of Publication: September-October 2011 CONFERENCE NAME American Academy of Pediatrics Section on Cardiology and Cardiac Surgery 2011 CONFERENCE LOCATION Boston, MA, United States CONFERENCE DATE 2011-10-14 to 2011-10-16 ISSN 1747-079X BOOK PUBLISHER Blackwell Publishing Ltd ABSTRACT Purpose. To determine whether pediatric cardiologists and parents of older children with congenital heart disease (CHD) share similar expectations regarding the education and counseling that should be provided to parents of children with CHD in both the prenatal and neonatal period. Methods. Consenting parents of older children with CHD (age > 3 years) and cardiologists ranked the importance of education topics on a scale of 1 (unimportant) to 10 (very important). The rankings of parents and cardiologists were compared using Student's t-test. Results. We had 38 cardiologists and 41 parents complete the questionnaire. There was a statistically significant difference in rankings between cardiologist and parents of children with CHD (P < 0.03). Parents consistently ranked topics as more important than cardiologists with a mean difference in rank score of 0.8 ± 0.3. In the prenatal period, the most significant differences between parents and cardiologists were noted for information related to the child's quality of life. For neonatal counseling, the most significant differences were noted for information regarding follow-up care and the parent's ability to describe the child's CHD to medical personnel. Conclusion. Parents of older children with CHD would prefer to receive more counseling and education in the prenatal and newborn period than cardiologists perceive is wanted. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) cardiologist cardiology child congenital heart disease heart surgery human parent pediatrics EMTREE MEDICAL INDEX TERMS counseling education follow up medical personnel newborn period prenatal period quality of life questionnaire Student t test LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70582400 DOI 10.1111/j.1747-0803.2011.00564.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1747-0803.2011.00564.x COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 200 TITLE Predictors of parenting concern in a Mother and Baby Unit over a 10-year period. AUTHOR NAMES Whitmore J. Heron J. Wainscott G. AUTHOR ADDRESSES (Whitmore J.) Perinatal Mental Health Services, Birmingham & Solihull Mental Health Foundation Trust, Birmingham, UK. (Heron J.; Wainscott G.) CORRESPONDENCE ADDRESS J. Whitmore, Perinatal Mental Health Services, Birmingham & Solihull Mental Health Foundation Trust, Birmingham, UK. Email: Jennifer.whitmore@bsmhft.nhs.uk SOURCE The International journal of social psychiatry (2011) 57:5 (455-461). Date of Publication: Sep 2011 ISSN 1741-2854 (electronic) ABSTRACT To review the characteristics of 462 mothers consecutively admitted to a co-joined mother and baby unit and to examine the incidence and predictors of social services input and separate discharge. Admissions to the Birmingham Mother and Baby Unit from 1998 to 2007 were reviewed. Demographic and clinical information, social services involvement and parenting outcome data were collected from case notes and computerized records. One hundred and forty six (146) women received some form of social services input (32%); 44 cases of separate discharge were identified (10%). Diagnosis, involuntary admission, single status, younger age, Afro-Caribbean ethnicity and social services referral predicted parenting concern. Only 9% of separations were to women suffering a new postpartum mental illness; most were to women experiencing the continuation of an existing illness. Poor parenting skills, absence of a good partner relationship and alcohol/substance misuse were frequently reported in those discharged without their baby. The incidence of separate discharge is lower than in other studies. Potential reasons for this difference are discussed. Further work must be conducted to understand the social inequities and regional differences in social service intervention during perinatal psychiatric admission and determine if parenting outcomes can be improved in women at risk of separation. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation mother mother child relation social work EMTREE MEDICAL INDEX TERMS adolescent adult article child welfare female forecasting human middle aged needs assessment patient referral perinatal care preschool child psychological aspect United Kingdom LANGUAGE OF ARTICLE English MEDLINE PMID 20388718 (http://www.ncbi.nlm.nih.gov/pubmed/20388718) PUI L560022057 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 201 TITLE Paternal anxiety and satisfaction in elective caesarean section AUTHOR NAMES Oliver C.M. Mathers J.D. Wee L. AUTHOR ADDRESSES (Oliver C.M., cmoliver@doctors.org.uk; Mathers J.D.; Wee L.) Department of Anaesthesia, University College Hospita, London, United Kingdom. CORRESPONDENCE ADDRESS C.M. Oliver, Department of Anaesthesia, University College Hospita, London, United Kingdom. Email: cmoliver@doctors.org.uk SOURCE Anaesthesia (2011) 66 SUPPL. 1 (43). Date of Publication: September 2011 CONFERENCE NAME Association of Anaesthetists of Great Britain and Ireland Annual Congress, AAGBI 2011 CONFERENCE LOCATION Edinburgh, United Kingdom CONFERENCE DATE 2011-09-21 to 2011-09-23 ISSN 0003-2409 BOOK PUBLISHER Blackwell Publishing Ltd ABSTRACT Whilst the overwhelming weight of data on caesarean section (CS) concerns maternal experiences, expectant fathers have historically been underrepresented. A literature search revealed only two relevant studies conducted in the past two decades; Chan demonstrated greater paternal anxiety at CS than normal vaginal delivery [1] and Capogna showed that epidural analgesia for the partner reduces paternal stress and enhances involvement in the experience of childbirth [2]. We undertook a survey of the partners of women undergoing CS under spinal anaesthesia to assess paternal preparedness and satisfaction with the process. Methods: The partners of women undergoing elective CS for a normal pregnancy were surveyed between March and May 2010 at preoperative assessment and then again one to seven days postoperatively on the ward or by telephone interview. Participants were asked to rate preparedness, anxiety, overall satisfaction and adequacy of explanation given by anaesthetist on simple five point scales and to indicate sources of information accessed. Exclusion criterion was refusal. Results: Thirty fathers were surveyed, of whom 18 (60%) had prior experience of CS. Fathers with no experience of CS felt more anxious and less prepared than those with previous experience (Table 1). Overall satisfaction level and anaesthetists' scores for preoperative explanation were very high (for both; median score 5, range 3-5). The most commonly accessed sources of information were friends and family, the media and antenatal classes, with all fathers accessing multiple sources. Discussion: The results indicate that prior experience of CS is superior to other sources of accessible information at allaying perioperative anxiety and improving preparedness. The high overall satisfaction scores suggest that the degree of support and information provided was appropriate. Select individuals may however benefit from greater involvement and reassurance in the form of a supervised discussion with experienced fathers, as suggested by one participant, or the provision of video recordings of fathers discussing their experiences. This survey is limited by the small sample size and a potential for recall bias introduced by a variable interval to postoperative interview. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) anesthesist anxiety cesarean section Ireland satisfaction United Kingdom EMTREE MEDICAL INDEX TERMS childbirth epidural anesthesia expectant father father female friend human interview male pregnancy preoperative evaluation reassurance recall bias sample size spinal anesthesia telephone vaginal delivery videorecording ward weight LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70547468 DOI 10.1111/j.1365-2044.2011.06922.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1365-2044.2011.06922.x COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 202 TITLE Men's experience of their partners' postpartum psychiatric disorders: Narratives from the internet AUTHOR NAMES Engqvist I. Nilsson K. AUTHOR ADDRESSES (Engqvist I., inger.engqvist@his.se) School of Life Sciences, University of Skövde, Box 408, SE-541 28 Skövde, Sweden. (Nilsson K.) Institute of Health and Caring Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden. CORRESPONDENCE ADDRESS I. Engqvist, School of Life Sciences, University of Skövde, Box 408, SE-541 28 Skövde, Sweden. Email: inger.engqvist@his.se SOURCE Mental Health in Family Medicine (2011) 8:3 (137-146). Date of Publication: September 2011 ISSN 1756-834X BOOK PUBLISHER Radcliffe Publishing Ltd, 18 Marcham Road, Abingdon, Oxon, United Kingdom. ABSTRACT Objectives: Postpartum psychiatric disorders (PPPD) can be serious and disabling, and may lead to long-term adverse consequences. Partners of women with PPPD are also affected by the illness, but their experiences are seldom described. The aim of this study was to explore men's experience of women with PPPD. Methods: Eleven written narratives from the internet were used to analyse men's perceived experience of their partner's PPPDs. Data were analysed using content analysis. Results: The men revealed a major disruption in their lives. They expressed fear, confusion and anger; they were also extremely concerned about their partners, and felt unable to help in overcoming the disorder. Most of the men described making sacrifices in order to hold the relationship and the family together. Although the disorder improved over time, they were left to face an uncertain future with a woman who seemed to be very different from the person they had known previously. Most of the men gained maturity and increased self-esteem, but for some the result was divorce, custody disputes and loneliness. Conclusions: The men in this study experienced the woman's PPPD as a difficult time, when everything familiar was turned upside down. Health professionals should pay more attention to men's mental health in the postpartum period. Furthermore, information regarding the possibility of these disorders should be given to expectant couples in prenatal classes. Further research is needed to ascertain how and to what extent this should be included in the education. © 2011 Radcliffe Publishing. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) personal experience postpartum psychiatric disorder puerperal psychosis EMTREE MEDICAL INDEX TERMS anger article confusion data analysis emotion exploratory research fear frustration hostility human Internet maturity qualitative research trust EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2012211225 PUI L364613714 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 203 TITLE Schizophrenia-related behavioral and hippocampal morphological alterations after prenatal kainic acid lesions AUTHOR NAMES Von Wilmsdorff M. Bouvier M.-L. Schmitt A. Gaebel W. AUTHOR ADDRESSES (Bouvier M.-L.; Schmitt A.; Gaebel W.) (Von Wilmsdorff M.) Universität Düsseldorf, Duesseldorf, Germany. CORRESPONDENCE ADDRESS M. Von Wilmsdorff, Universität Düsseldorf, Duesseldorf, Germany. SOURCE European Archives of Psychiatry and Clinical Neuroscience (2011) 261 SUPPL. 1 (S42). Date of Publication: September 2011 CONFERENCE NAME 3rd European Conference on Schizophrenia Research: Facts and Visions CONFERENCE LOCATION Berlin, Germany CONFERENCE DATE 2011-09-29 to 2011-10-01 ISSN 0940-1334 BOOK PUBLISHER D. Steinkopff-Verlag ABSTRACT Objective: Although schizophrenia affects both sexes in humans, there are sex-dependent differences with respect to the age of onset, clinical characteristics, course and prognosis of the disease. Methods: To investigate sex-dependent differences in motor coordination and activity as well as in cognitive and social behavior, we repeatedly tested female (n = 14) and male (n = 12) Fisher rats (postnatal days, PD 56-174) that had received intracerebroventricular injections of kainic acid as well as female (n = 15) and male (n = 16) control animals. The hippocampus was examined histologically. Results: Both female controls and female animals with prenatal intervention spent less time in a dark box before entering an unknown illuminated area in the alcove test than male controls. Compared to controls, animals that received prenatal injection (particularly females) committed a higher number of perseveration errors in the T-maze alternation task. Female rats exhibited a higher degree of activity than males, suggesting that these effects are sex-dependent. Animals that received prenatal intervention engaged in a longer duration of social contacts. Histological analysis showed that pyramidal cells in hippocampal area CA3 (in both hemispheres) of control animals were longer than those found in treated animals. Sexdependent differences were found in left hippocampi of control animals and animals after prenatal intervention. Conclusion: These results demonstrate important differences between males and females in terms of weight gain, response to fear, working memory and social behavior. We also found sex-dependent differences in the lengths of hippocampal neurons. Further studies on larger sample sets with more detailed analyses of morphological changes are required to confirm our data. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) kainic acid EMTREE DRUG INDEX TERMS nitrogen 15 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) mental disease schizophrenia social behavior working memory EMTREE MEDICAL INDEX TERMS fear female female animal hemisphere hippocampus human injection intracerebroventricular drug administration male maze test motor coordination nerve cell onset age prognosis pyramidal nerve cell rat weight gain LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70658952 DOI 10.1007/s00406-011-0229-z FULL TEXT LINK http://dx.doi.org/10.1007/s00406-011-0229-z COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 204 TITLE Educational needs assessment for men's participation in perinatal care ORIGINAL (NON-ENGLISH) TITLE Évaluation des besoins en formation des hommes pour leur participation aux soins périnatals AUTHOR NAMES Simbar M. Nahidi F. Ramezani-Tehrani F. Akbarzadeh A. AUTHOR ADDRESSES (Simbar M., masoumeh.simbar@gmail.com; Nahidi F.) Department of Reproductive Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran. (Ramezani-Tehrani F.) Reproductive Endocrinology Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran. (Akbarzadeh A.) Department of Biostatistics, Shahid Beheshti University of Medical Sciences, Tehran, Iran. CORRESPONDENCE ADDRESS M. Simbar, Department of Reproductive Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Email: masoumeh.simbar@gmail.com SOURCE Eastern Mediterranean Health Journal (2011) 17:9 (689-696). Date of Publication: September, 2011 ISSN 1020-3397 BOOK PUBLISHER World Health Organization, P.O. Box 1517, Alexandria, Egypt. ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health education perinatal care EMTREE MEDICAL INDEX TERMS adolescent adult article attitude to health controlled study counseling cultural factor descriptive research female human male EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English, Arabic, French LANGUAGE OF SUMMARY English, Arabic, French EMBASE ACCESSION NUMBER 2011515041 MEDLINE PMID 22259920 (http://www.ncbi.nlm.nih.gov/pubmed/22259920) PUI L362551770 COPYRIGHT Copyright 2013 Elsevier B.V., All rights reserved. RECORD 205 TITLE Maternal prenatal undernutrition programs adipose tissue gene expression in adult male rat offspring under high-fat diet AUTHOR NAMES Lukaszewski M.-A. Mayeur S. Fajardy I. Delahaye F. Dutriez-Casteloot I. Montel V. Dickes-Coopman A. Laborie C. Lesage J. Vieau D. Breton C. AUTHOR ADDRESSES (Lukaszewski M.-A.; Mayeur S.; Fajardy I.; Delahaye F.; Dutriez-Casteloot I.; Montel V.; Dickes-Coopman A.; Laborie C.; Lesage J.; Vieau D.; Breton C., christophe.breton@univ-lille1.fr) Unité Environnement Périnatal et Croissance, UPRES EA 4489, Université Lille-Nord de France, Equipe Dénutritions Maternelles Périnatales, Villeneuve d'Ascq, France. CORRESPONDENCE ADDRESS C. Breton, Unité Environnement Périnatal et Croissance, UPRES EA 4489, Université Lille-Nord de France, Equipe Dénutritions Maternelles Périnatales, Villeneuve d'Ascq, France. Email: christophe.breton@univ-lille1.fr SOURCE American Journal of Physiology - Endocrinology and Metabolism (2011) 301:3 (E548-E559). Date of Publication: September 2011 ISSN 0193-1849 1522-1555 (electronic) BOOK PUBLISHER American Physiological Society, 9650 Rockville Pike, Bethesda, United States. ABSTRACT 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 11 β-HSD1, 11β-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 11 β -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. © 2011 the American Physiological Society. EMTREE DRUG INDEX TERMS 11beta hydroxysteroid dehydrogenase 1 (endogenous compound) 11beta hydroxysteroid dehydrogenase 2 (endogenous compound) corticosterone (endogenous compound) leptin (endogenous compound) STAT3 protein (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) malnutrition maternal nutrition white adipose tissue EMTREE MEDICAL INDEX TERMS adipogenesis animal experiment animal model article catch up growth controlled study female gene expression profiling gene expression regulation hyperleptinemia lipid diet male metabolic syndrome X nonhuman nucleotide sequence obesity phenotype prenatal period priority journal progeny protein expression protein phosphorylation rat CAS REGISTRY NUMBERS corticosterone (50-22-6) MOLECULAR SEQUENCE NUMBERS GENBANK (NC005109, NM012513, NM012524, NM012546, NM012547, NM012576, NM012596, NM012659, NM012682, NM012688, NM012701, NM012706, NM012707, NM012719, NM012799, NM012958, NM013046, NM013047, NM013064, NM013076, NM013131, NM013179, NM017019, NM017025, NM017080, NM017167, NM017332, NM019130, NM020100, NM022193, NM031019, NM031347, NM031758, NM032075, NM053744, NM053816, NM133570, NM138505, NM144744, NM152845, NM172092) EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2011474595 MEDLINE PMID 21712534 (http://www.ncbi.nlm.nih.gov/pubmed/21712534) PUI L362415449 DOI 10.1152/ajpendo.00011.2011 FULL TEXT LINK http://dx.doi.org/10.1152/ajpendo.00011.2011 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 206 TITLE Early prenatal stress epigenetically programs dysmasculinization in second-generation offspring via the paternal lineage AUTHOR NAMES Morgan C.P. Bale T.L. AUTHOR ADDRESSES (Morgan C.P.; Bale T.L., tbale@vet.upenn.edu) Department of Animal Biology, School of Veterinary Medicine, University of Pennsylvania, 3800 Spruce Street, Philadelphia, PA 19104-6046, United States. CORRESPONDENCE ADDRESS T. L. Bale, Department of Animal Biology, School of Veterinary Medicine, University of Pennsylvania, 3800 Spruce Street, Philadelphia, PA 19104-6046, United States. Email: tbale@vet.upenn.edu SOURCE Journal of Neuroscience (2011) 31:33 (11748-11755). Date of Publication: 17 August 2011 ISSN 0270-6474 1529-2401 (electronic) BOOK PUBLISHER Society for Neuroscience, 1121 14th Street,NW, Suite 1010, Washington, United States. ABSTRACT 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,β-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. ©2011 the authors. EMTREE DRUG INDEX TERMS formestane microRNA microRNA 322 microRNA 574 microRNA 873 testosterone (endogenous compound) transforming growth factor beta receptor 3 (endogenous compound) unclassified drug EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) disorder of sex development (etiology) dysmasculinization (etiology) epigenetics heritability prenatal stress progeny second generation offspring EMTREE MEDICAL INDEX TERMS animal behavior animal experiment animal model animal tissue article brain function brain level controlled study F2 gene female gene gene expression profiling gene location gene targeting male mouse nerve cell differentiation nonhuman phenotype priority journal sex difference transcription regulation CAS REGISTRY NUMBERS formestane (566-48-3) testosterone (58-22-0) EMBASE CLASSIFICATIONS Neurology and Neurosurgery (8) Endocrinology (3) General Pathology and Pathological Anatomy (5) Developmental Biology and Teratology (21) Urology and Nephrology (28) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2011458559 MEDLINE PMID 21849535 (http://www.ncbi.nlm.nih.gov/pubmed/21849535) PUI L362361955 DOI 10.1523/JNEUROSCI.1887-11.2011 FULL TEXT LINK http://dx.doi.org/10.1523/JNEUROSCI.1887-11.2011 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 207 TITLE Satisfaction and use of a spiritually based mantram intervention for childbirth-related fears in couples AUTHOR NAMES Hunter L. Bormann J. Belding W. Sobo E.J. Axman L. Reseter B.K. Hanson S.M. Miranda Anderson V. AUTHOR ADDRESSES (Hunter L., lhunter@mail.sdsu.edu; Bormann J., jill.bormann@va.gov) School of Nursing, San Diego State University, San Diego, CA 92182-4158, United States. (Bormann J., jill.bormann@va.gov; Belding W.) VA San Diego Healthcare System, San Diego, CA 92161, United States. (Sobo E.J., esobo@mail.sdsu.edu) Department of Anthropology, San Diego State University, San Diego, CA 92182-6040, United States. (Axman L., linnea.axman@med.navy.mil) Naval School of Health Sciences, San Diego, CA 92134, United States. (Reseter B.K., brenda.reseter@med.navy.mil) OB/GYN Department, Bremerton Naval Hospital, Bremerton, WA 98312, United States. (Hanson S.M., suzannehanson@medprodoctors.com) Maricopa Integrated Health System, Phoenix, AZ 85008, United States. (Miranda Anderson V., vmiranda95@gmail.com) CORRESPONDENCE ADDRESS L. Hunter, School of Nursing, San Diego State University, San Diego, CA 92182-4158, United States. Email: lhunter@mail.sdsu.edu SOURCE Applied Nursing Research (2011) 24:3 (138-146). Date of Publication: August 2011 ISSN 0897-1897 BOOK PUBLISHER W.B. Saunders, Independence Square West, Philadelphia, United States. ABSTRACT This study assessed patient satisfaction with the use of a spiritually based (mantram/sacred word) intervention in expecting couples. A mixed-methods design, experimental repeated measures with interviews at 6-month follow-up was conducted. Satisfaction was moderate to high. Mantram was used for labor pains and uncertainty. Implications include scheduling flexible classes earlier in pregnancy. A larger randomized study is needed to assess intervention effectiveness. © 2011 Elsevier Inc. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) birth fear religion EMTREE MEDICAL INDEX TERMS article female human male pregnancy psychological aspect LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 20974063 (http://www.ncbi.nlm.nih.gov/pubmed/20974063) PUI L50644902 DOI 10.1016/j.apnr.2009.06.002 FULL TEXT LINK http://dx.doi.org/10.1016/j.apnr.2009.06.002 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 208 TITLE Maternal perinatal undernutrition has long-term consequences on morphology, function and gene expression of the adrenal medulla in the adult male rat AUTHOR NAMES Laborie C. Molendi-Coste O. Breton C. Montel V. Vandenbulcke F. Grumolato L. Anouar Y. Vieau D. AUTHOR ADDRESSES (Laborie C., christine.laborie@univ-lille1.fr; Molendi-Coste O.; Breton C.; Montel V.; Vieau D.) Unité Environnement Périnatal et Croissance, EA 4489, Université Lille Nord de France, Equipe Dénutritions Remplace by Maternelles Périnatales, Universite Lille1, Villeneuve d'Ascq, France. (Vandenbulcke F.) LGgE, Ecologie Numérique et Ecotoxicologie, Université Lille Nord de France, Université Lille1, Villeneuve d'Ascq, France. (Grumolato L.; Anouar Y.) INSERM U982, Laboratoire de Différenciation et Communication Neuronale et Neuroendocrine, IFRMP 23, Université de Rouen, Mont-Saint-Aignan, France. CORRESPONDENCE ADDRESS C. Laborie, Unité Environnement Périnatal et Croissance, EA 4489, Université Lille Nord, Equipe Dénutritions Remplace by Maternelles Périnatales, Universite Lille1, F-59655 Villeneuve d'Ascq, France. Email: christine.laborie@univ-lille1.fr SOURCE Journal of Neuroendocrinology (2011) 23:8 (711-724). Date of Publication: August 2011 ISSN 0953-8194 1365-2826 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Epidemiological studies suggest that maternal undernutrition sensitises to the development of chronic adult diseases, such as type 2 diabetes, hypertension and obesity. Although the physiological mechanisms involved in this 'perinatal programming' remain largely unknown, alterations of stress neuroendocrine systems such as the hypothalamic-pituitary-adrenal (HPA) and sympathoadrenal axes might play a crucial role. Despite recent reports showing that maternal perinatal undernutrition disturbs chromaffin cells organisation and activity in male rats at weaning, its long-term effects on adrenal medulla in adult animals are unknown. Using a rat model of maternal perinatal 50% food restriction (FR50) from the second week of gestation until weaning, histochemistry approaches revealed alterations in noradrenergic chromaffin cells aggregation and in cholinergic innervation in the adrenal medulla of 8-month-old FR50 rats. Electron microscopy showed that chromaffin cell granules exhibited ultrastructural changes in FR50 rats. These morphological changes were associated with reduced circulating levels and excretion of catecholamines. By contrast, catecholamine plasma levels were significantly increased after a 16 or 72h of fasting, indicating that the responsiveness of the sympathoadrenal system to food deprivation was accentuated in FR50 adult rats. Among 384 pituitary adenylate cyclase-activating polypeptide-sensitive genes, we identified 129 genes (33.6%) that were under expressed (ratio<0.7) in FR50 animals. A large number of these genes are involved in cytoskeleton remodelling and vesicle trafficking. Taken together, our results show that maternal perinatal undernutrition programmes adrenomedullary function and gene expression in adult male rats. Because catecholamines contribute to metabolic homeostasis, as well as arterial blood pressure regulation, the alterations observed in the adrenal medulla of adult male FR50 rats may participate in the programming of chronic adult diseases. © 2011 The Authors. Journal of Neuroendocrinology © 2011 Blackwell Publishing Ltd. EMTREE DRUG INDEX TERMS adenylate cyclase activator (endogenous compound) catecholamine (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adrenal medulla functional morphology gene expression malnutrition maternal nutrition maternal perinatal undernutrition EMTREE MEDICAL INDEX TERMS adrenergic system animal model animal tissue arterial pressure article blood pressure regulation catecholamine blood level cell aggregation cell differentiation cell migration cell ultrastructure chromaffin cell controlled study cytoskeleton diet restriction electron microscopy female gene identification histochemistry homeostasis male morphological trait nonhuman parasympathetic innervation pregnancy priority journal rat sympathetic innervation weaning EMBASE CLASSIFICATIONS Endocrinology (3) General Pathology and Pathological Anatomy (5) Clinical and Experimental Biochemistry (29) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2011385221 MEDLINE PMID 21564351 (http://www.ncbi.nlm.nih.gov/pubmed/21564351) PUI L362129900 DOI 10.1111/j.1365-2826.2011.02159.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1365-2826.2011.02159.x COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 209 TITLE “Preparing for pregnancy, birth and beyond”: Developing an evidence-based education programme for parents AUTHOR NAMES Green J.M. Gross H. Pattison H. AUTHOR ADDRESSES (Green J.M.) University of York, United Kingdom. (Gross H.) University of Lincoln, United Kingdom. (Pattison H.) Aston University, United Kingdom. CORRESPONDENCE ADDRESS J.M. Green, University of York, United Kingdom. SOURCE Journal of Reproductive and Infant Psychology (2011) 29:3 (e23-e24). Date of Publication: July 2011 CONFERENCE NAME 31st Annual Conference of the Society for Reproductive and Infant Psychology, SRIP 2011 CONFERENCE LOCATION Nottingham, United Kingdom CONFERENCE DATE 2011-09-14 to 2011-09-15 ISSN 0264-6838 BOOK PUBLISHER Routledge ABSTRACT Over the past two years the authors have been members of a Department of Health Expert Group developing a model of 'preparation for pregnancy, birth and beyond'. The rationale for this exciting initiative was the evidence that when it works, such preparation contributes to improved experience of birth, higher levels of behaviour change such as smoking cessation and breast feeding, growth in confidence in parenting and relationships and the development of highly valued social networks. The purpose of the model was to build on research evidence and effective work already in practice, and to involve parents and parents-to-be and as well as midwives and commissioners, in the production of a framework for useful and relevant antenatal education. The group includes academics, policy makers, practitioners and providers, both public and third sector. Initially there were two streams of Expert Group activity: one to identify the appropriate evidence about educational and motivational programmes and models of behaviour change; the other to gather information about existing practice, particularly through the Family Nurse Partnership programme and projects. Following this evidence gathering phase, the second phase was to develop the framework itself, creating a template for use by existing and new practitioners and providers, which draws on information that will be acceptable and relevant to new parents. The poster will present an outline of the educational programme that has been developed around six themes, together with some of the issues arising from the group's most recent work on managing opportunities and potential barriers to implementation. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) education evidence based practice human infant parent pregnancy psychology society EMTREE MEDICAL INDEX TERMS behavior change breast feeding child parent relation health midwife model nurse physician policy smoking cessation social network LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70665711 DOI 10.1080/02646838.2011.634659 FULL TEXT LINK http://dx.doi.org/10.1080/02646838.2011.634659 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 210 TITLE Parent-Offspring Conflict Theory: An Evolutionary Framework for Understanding Conflict Within Human Families AUTHOR NAMES Schlomer G.L. Del Giudice M. Ellis B.J. AUTHOR ADDRESSES (Schlomer G.L., schlomer@email.arizona.edu) Norton School of Family and Consumer Sciences, Arizona Center for Research and Outreach, University of Arizona, United States. (Del Giudice M., marco.delgiudice@unito.it) Biology of Social Behavior Lab/Center for Cognitive Science, Department of Psychology, University of Turin, Turin, Italy. (Ellis B.J.) Norton School of Family and Consumer Sciences, University of Arizona, United States. CORRESPONDENCE ADDRESS G.L. Schlomer, Norton School of Family and Consumer Sciences, University of Arizona, McClelland Park, 650 North Park Avenue, Tucson, AZ 85721-0078, United States. Email: schlomer@email.arizona.edu SOURCE Psychological Review (2011) 118:3 (496-521). Date of Publication: July 2011 ISSN 0033-295X BOOK PUBLISHER American Psychological Association Inc., 750 First Street, NE Washington, United States. ABSTRACT Decades of research demonstrate that conflict shapes and permeates a broad range of family processes. In the current article, we argue that greater insight, integration of knowledge, and empirical achievement in the study of family conflict can be realized by utilizing a powerful theory from evolutionary biology that is barely known within psychology: parent-offspring conflict theory (POCT). In the current article, we articulate POCT for psychological scientists, extend its scope by connecting it to the broader framework of life history theory, and draw out its implications for understanding conflict within human families. We specifically apply POCT to 2 instances of early mother-offspring interaction (prenatal conflict and weaning conflict); discuss the effects of genetic relatedness on behavioral conflict between parents, children, and their siblings; review the emerging literature on parent-offspring conflict over the choice of mates and spouses; and examine parent-offspring conflict from the perspective of imprinted genes. This review demonstrates the utility of POCT, not only for explaining what is known about conflict within families but also for generating novel hypotheses, suggesting new lines of research, and moving us toward the " big picture" by integrating across biological and psychological domains of knowledge. © 2011 American Psychological Association. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation family conflict psychological model EMTREE MEDICAL INDEX TERMS adoption article human interpersonal communication marriage mother child relation psychological aspect sibling relation LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 21604906 (http://www.ncbi.nlm.nih.gov/pubmed/21604906) PUI L362162138 DOI 10.1037/a0024043 FULL TEXT LINK http://dx.doi.org/10.1037/a0024043 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 211 TITLE Programming effects of antenatal corticosteroids exposure in male sexual behavior AUTHOR NAMES Oliveira M. Leão P. Rodrigues A.-J. Pêgo J.-M. Cerqueira J.-J. Sousa N. AUTHOR ADDRESSES (Oliveira M., mariooliveira@ecsaude.uminho.pt; Leão P.; Rodrigues A.-J.; Pêgo J.-M.; Cerqueira J.-J.; Sousa N.) Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal. CORRESPONDENCE ADDRESS M. Oliveira, Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho Campus de Gualtar, Braga 4710-057, Portugal. Email: mariooliveira@ecsaude.uminho.pt SOURCE Journal of Sexual Medicine (2011) 8:7 (1965-1974). Date of Publication: July 2011 ISSN 1743-6095 1743-6109 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Introduction. Brain regions implicated in sexual behavior begin to differentiate in the last trimester of gestation. Antenatal therapy with corticosteroids is often used in clinical practice during this period to accelerate lung maturation in preterm-risk pregnancies. Clinical and animal studies highlighted major behavioral impairments induced later in life by these treatments, especially when synthetic corticosteroids are used. Aim. To evaluate the implications of acute prenatal treatment with natural vs. synthetic corticosteroids on adult male rat sexual behavior and its neurochemical correlates. Methods. Twelve pregnant Wistar rats were injected with dexamethasone (DEX-1mg/kg), corticosterone (CORT-25mg/kg), or saline on late gestation (pregnancy days 18 and 19). Following this brief exposure to corticosteroids, we assessed the sexual behavior of the adult male progeny and subsequently associated these behaviors with the levels of catecholamines and mRNA of dopamine and androgen receptors (AR) in brain regions relevant for sexual behavior. Main Outcome Measures. Sexual behavior of adult male offspring was assessed by exposure to receptive females. This was associated with serum testosterone levels and levels of catecholamines (determined by high-performance liquid chromatography) and dopamine and AR mRNA expression (real-time polymerase chain reaction [PCR]) in brain regions implicated in sexual behavior. Results. Prenatal DEX exposure resulted in a decreased number and increased mounts and intromissions latencies in adulthood. These findings were associated with decreased levels of serum testosterone and increased hypothalamic expression of AR mRNA. DEX animals also displayed lower dopamine levels and higher dopamine receptor mRNA expression both in hypothalamus and nucleus accumbens (NAcc). The milder phenotype of CORT animals was associated only with decreased dopamine levels in NAcc. Conclusion. Antenatal corticotherapy programs adult male sexual behavior through changes in specific neuronal and endocrine mediators. Importantly, equipotent doses of CORT trigger less detrimental consequences than DEX, emphasizing the differential impact of activation of the different corticosteroid receptors. © 2011 International Society for Sexual Medicine. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) corticosterone (drug comparison) dexamethasone (drug comparison) EMTREE DRUG INDEX TERMS androgen receptor (endogenous compound) catecholamine (endogenous compound) dopamine (endogenous compound) dopamine receptor (endogenous compound) glucocorticoid receptor (endogenous compound) messenger RNA (endogenous compound) placebo serotonin (endogenous compound) testosterone (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) prenatal exposure sexual behavior EMTREE MEDICAL INDEX TERMS animal experiment animal model animal tissue article brain region catecholamine blood level controlled study dopamine blood level drug effect embryo female gestation period high performance liquid chromatography hypothalamus male neurochemistry nonhuman nucleus accumbens phenotype priority journal progeny rat real time polymerase chain reaction serotonin blood level testosterone blood level DRUG MANUFACTURERS (United States)Sigma Aldrich CAS REGISTRY NUMBERS corticosterone (50-22-6) dexamethasone (50-02-2) dopamine (51-61-6, 62-31-7) serotonin (50-67-9) testosterone (58-22-0) EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Urology and Nephrology (28) Clinical and Experimental Biochemistry (29) Clinical and Experimental Pharmacology (30) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2011395970 MEDLINE PMID 21235719 (http://www.ncbi.nlm.nih.gov/pubmed/21235719) PUI L362162052 DOI 10.1111/j.1743-6109.2010.02170.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1743-6109.2010.02170.x COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 212 TITLE A qualitative exploration of first-time fathers' experiences of becoming a father. AUTHOR NAMES Chin R. Daiches A. Hall P. AUTHOR ADDRESSES (Chin R.) Rehabilitation and High Support Directorate, Pennine Care NHS Foundation Trust. (Daiches A.; Hall P.) CORRESPONDENCE ADDRESS R. Chin, Rehabilitation and High Support Directorate, Pennine Care NHS Foundation Trust. Email: rachelchin91@yahoo.com SOURCE Community practitioner : the journal of the Community Practitioners' & Health Visitors' Association (2011) 84:7 (19-23). Date of Publication: Jul 2011 ISSN 1462-2815 ABSTRACT This study aimed to explore first-time fathers' experiences of becoming a father, focusing on their expectations, experiences, and how they are coping with this transition. An interpretative phenomenological analysis (IPA) epistemology and methodology were adopted as the study was focused on understanding the meaning and experiences of this transition for fathers. Nine participants were recruited from seven NCT antenatal classes. The mean age of participants was 38 years (range=30 to 46 years). Participants completed a semi-structured interview between four and eleven weeks post birth. One overarching superordinate theme was derived: 'searching for a place'. This theme consisted of three sub-themes--'the separation connection struggle', 'a sense of utility, agency and control' and 'changing focus of affection'. The findings expand on our understanding of new fathers' experiences, and suggest that first-time fathers experienced an array of psychological responses during each stage of their transition as they searched for their place as father in relation to their partner, child and work. Professionals working in antenatal and postnatal services should discuss with men the possible emotional and psychological changes they may go through to enable more realistic expectations to be considered. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adaptive behavior father life event spouse EMTREE MEDICAL INDEX TERMS adult article family leave female human infant labor male middle aged pregnancy prenatal care psychological aspect qualitative research United Kingdom LANGUAGE OF ARTICLE English MEDLINE PMID 21941706 (http://www.ncbi.nlm.nih.gov/pubmed/21941706) PUI L362829633 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 213 TITLE A case of diffuse uterine leiomyomatosis who had two successful pregnancies after medical management AUTHOR NAMES Purohit R. Sharma J.G. Singh S. AUTHOR ADDRESSES (Purohit R., ramkrishnapurohit@hotmail.com; Sharma J.G.; Singh S.) Obstetrics and Gynaecology, Purohit General Hospital, Shaktinagar, Bargarh, Orissa 768028, India. CORRESPONDENCE ADDRESS R. Purohit, Obstetrics and Gynaecology, Purohit General Hospital, Shaktinagar, Bargarh, Orissa 768028, India. Email: ramkrishnapurohit@hotmail.com SOURCE Fertility and Sterility (2011) 95:7 (2434.e5-2434.e6). Date of Publication: June 2011 ISSN 0015-0282 1556-5653 (electronic) BOOK PUBLISHER Elsevier Inc., 360 Park Avenue South, New York, United States. ABSTRACT Objective: To describe a case report of diffuse uterine leiomyomatosis who had successful pregnancy twice following conservative management. Design: Retrospective report. Setting: Private general hospital. Patient(s): A nulliparous woman 25 years of age presented with menorrhagia and infertility. She had innumerable small fibroids of 4-42 mm size throughout the myometrium. Size of the symmetrically enlarged uterus was 131 × 80 × 60 mm, clinically corresponding to that of 12 weeks of gestation. Intervention(s): She received a GnRH analogue (GnRHa; leuprolide acetate) 3.75 mg per month for 6 months. Main Outcome Measure(s): Reduction of uterus size, menstrual amount, conception, pregnancy outcome. Result(s): Enlarged uterus reduced to almost normal size after 3 doses of GnRHa. She did not experience heavy bleeding during menstruation. She conceived spontaneously in the first cycle after discontinuation of GnRHa. Antenatal course was uneventful. A healthy male baby of 2.5 kg was delivered by cesarean section at 39 weeks. The placenta weighed 330 g. There was no postpartum hemorrhage. She conceived spontaneously for the second time in the first cycle after resumption of menses. Antenatal, intranatal (cesarean section), and postnatal courses of the second pregnancy were uneventful. The second neonate weighed 3.0 kg and the placenta 400 g. Conclusion(s): Conservative treatment may help to achieve successful pregnancy in case of diffuse uterine leiomyomatosis. © 2011 by American Society for Reproductive Medicine. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) leuprorelin (drug therapy) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) leiomyomatosis (drug therapy, diagnosis, drug therapy, therapy) EMTREE MEDICAL INDEX TERMS adult article birth weight cancer size case report cesarean section conservative treatment drug withdrawal female female infertility (complication) gestational age human menorrhagia (complication) menstruation myometrium nullipara placenta pregnancy outcome prenatal period priority journal retrospective study treatment duration uterus myoma (complication) DRUG TRADE NAMES lupride Sun Pharma DRUG MANUFACTURERS Sun Pharma CAS REGISTRY NUMBERS leuprorelin (53714-56-0, 74381-53-6) EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Cancer (16) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2011285335 MEDLINE PMID 21549364 (http://www.ncbi.nlm.nih.gov/pubmed/21549364) PUI L51408407 DOI 10.1016/j.fertnstert.2011.04.004 FULL TEXT LINK http://dx.doi.org/10.1016/j.fertnstert.2011.04.004 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 214 TITLE Development of the family alliance in in vitro fertilization families AUTHOR NAMES Darwiche J. Cairo S. Favez N. Germond M. De Roten Y. Despland J.-N. Guex P. AUTHOR ADDRESSES (Darwiche J.; Cairo S.; Despland J.-N.) University of Lausanne, Institut Universitaire de Psychotherapie, Switzerland. (Favez N.) University of Geneva, Switzerland. (Germond M.) FABER, Lausanne, Switzerland. (De Roten Y.) University of Lausanne, Institut Universitaire de Psychothérapie, Switzerland. (Guex P.) University of Lausanne, Switzerland. CORRESPONDENCE ADDRESS J. Darwiche, University of Lausanne, Institut Universitaire de Psychotherapie, Switzerland. SOURCE European Child and Adolescent Psychiatry (2011) 20 SUPPL. 1 (S9). Date of Publication: June 2011 CONFERENCE NAME 14th International Congress of ESCAP European Society for Child and Adolescent Psychiatry CONFERENCE LOCATION Helsinki, Finland CONFERENCE DATE 2011-06-11 to 2011-06-15 ISSN 1018-8827 BOOK PUBLISHER D. Steinkopff-Verlag ABSTRACT Background: Couples who conceive through In Vitro fertilization (IVF) have to realize the “traditional” transition from couple to family and, in addition, the transition from infertility to medically assisted fertility. Does it make a difference in the quality of their family interactions before and after birth? Previous results showed a stability (Favez et al., 2006) or a positive evolution (Bighin, 2009) of the family alliance before and after birth in non-referred families. Aims: Our first aim was to investigate the pre-postnatal evolution of the family alliance, the marital satisfaction and the parent-to-infant attachment in IVF couples. The second aim was to explore if the prenatal coparenting alliance, the marital satisfaction and the parent-to-fetus attachment were predictors of the postnatal family alliance. Materials and methods: Thirty-one couples expecting their first child were seen at the 5th month of pregnancy and when the child was 9 months old. Couple and family interactions were recorded in prenatal and postnatal versions of the Lausanne Trilogue Play (Fivaz-Depeursinge and Corboz-Warnery, 1999). Measures of marital satisfaction (Spanier, 1976) and parent-to-fetus/infant attachment (Condon, 1993) were used to document the family relational dynamic. Results: Results showed that scores of IVF couples are similar or higher than reference norms for prenatal coparenting alliance, prenatal marital satisfaction and attachment to the fetus, but lower than in non-referred families for the postnatal family alliance. Results indicated a correlation between the pre- and postnatal assessments of marital satisfaction and parent-to-infant attachment but not for the family alliance. A multiple linear regression demonstrated that family postnatal alliance could be negatively predicted by the quality of the paternal attachment to fetus. Conclusions: Possible implications of child-at-center co-parenting in explaining lower family alliance is discussed. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child child psychiatry human in vitro fertilization society EMTREE MEDICAL INDEX TERMS child parent relation family interaction fertility fetus infant infertility marriage multiple linear regression analysis parent pregnancy LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70489174 DOI 10.1007/s00787-011-0181-5 FULL TEXT LINK http://dx.doi.org/10.1007/s00787-011-0181-5 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 215 TITLE Towards parenthood: An antenatal intervention to reduce depression, anxiety and parenting difficulties AUTHOR NAMES Milgrom J. Schembri C. Ericksen J. Ross J. Gemmill A.W. AUTHOR ADDRESSES (Milgrom J., jeannette.milgrom@austin.org.au) Psychological Sciences, University of Melbourne, Australia. (Milgrom J., jeannette.milgrom@austin.org.au; Schembri C.; Ericksen J.; Ross J.; Gemmill A.W.) Parent-Infant Research Institute, Department of Clinical and Health Psychology, Austin Health, Melbourne, Australia. (Milgrom J., jeannette.milgrom@austin.org.au) Clinical and Health Psychology, Heidelberg Repatriation Hospital, PO Box 5444, Heidelberg West, VIC 3081, Australia. CORRESPONDENCE ADDRESS J. Milgrom, Clinical and Health Psychology, Heidelberg Repatriation Hospital, PO Box 5444, Heidelberg West, VIC 3081, Australia. Email: jeannette.milgrom@austin.org.au SOURCE Journal of Affective Disorders (2011) 130:3 (385-394). Date of Publication: May 2011 ISSN 0165-0327 BOOK PUBLISHER Elsevier, P.O. Box 211, Amsterdam, Netherlands. ABSTRACT Background: There have been few antenatal interventions aimed at preparing women for the transition to parenthood and previous attempts to intervene antenatally to prevent postnatal depression and anxiety have had limited impact. Methods: We evaluated the effectiveness of an antenatal intervention which targeted risk factors for poor postnatal adjustment, with the dual aim of reducing both postnatal symptoms of depression/anxiety and parenting difficulties (a nine-unit self-guided workbook with weekly telephone support). Based on an initial feasibility study (n = 200) which confirmed a low level of help-seeking among distressed women during pregnancy, an additional community networking component was developed aimed at increasing social support and access to health professionals to facilitate treatment of current antenatal depression/anxiety, if present. In the evaluation of a second version of the intervention, pregnant women (n = 143) were randomly allocated to receive either the intervention or routine care. Results: Following the antenatal intervention there were significantly fewer cases scoring above threshold for mild-to-severe depression/anxiety symptoms postnatally compared to routine care, along with a trend towards reduced parenting stress. The community networking component appeared helpful and women with higher baseline depression scores showed higher levels of help-seeking in both intervention and routine care groups. Limitations: It was not possible to evaluate the efficacy of individual program components separately. Conclusions: The findings provide support for the effectiveness of the Towards Parenthood intervention both as a preparation for parenthood program and in reducing symptoms of postnatal depression/anxiety. © 2010 Elsevier B.V. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) parenthood puerperal depression (prevention, therapy) EMTREE MEDICAL INDEX TERMS adult antenatal depression anxiety article child parent relation consumer controlled study depression double blind procedure Edinburgh Postnatal Depression Scale female health care access health care personnel human maternal disease pregnant woman prenatal period priority journal randomized controlled trial social status social support EMBASE CLASSIFICATIONS Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2011243197 MEDLINE PMID 21112641 (http://www.ncbi.nlm.nih.gov/pubmed/21112641) PUI L51169464 DOI 10.1016/j.jad.2010.10.045 FULL TEXT LINK http://dx.doi.org/10.1016/j.jad.2010.10.045 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 216 TITLE Preparing for parenthood: the role of antenatal education. AUTHOR NAMES Billingham K. AUTHOR ADDRESSES (Billingham K.) Family Nurse Partnership and Healthy Child Programme, Department of Health. CORRESPONDENCE ADDRESS K. Billingham, Family Nurse Partnership and Healthy Child Programme, Department of Health. Email: kate.billingham@dh.gsi.gov.uk SOURCE Community practitioner : the journal of the Community Practitioners' & Health Visitors' Association (2011) 84:5 (36-38). Date of Publication: May 2011 ISSN 1462-2815 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation maternal care patient education prenatal care EMTREE MEDICAL INDEX TERMS article female human male pregnancy United Kingdom LANGUAGE OF ARTICLE English MEDLINE PMID 21667713 (http://www.ncbi.nlm.nih.gov/pubmed/21667713) PUI L362193756 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 217 TITLE Healthy mothers, healthy children: does maternal demand for antenatal care matter for child health in Nepal? AUTHOR NAMES Halim N. Bohara A.K. Ruan X. AUTHOR ADDRESSES (Halim N.) Department of Sociology, University of New Mexico, Albuquerque, NM 87131, USA. (Bohara A.K.; Ruan X.) CORRESPONDENCE ADDRESS N. Halim, Department of Sociology, University of New Mexico, Albuquerque, NM 87131, USA. Email: nhalim@unm.edu SOURCE Health policy and planning (2011) 26:3 (242-256). Date of Publication: May 2011 ISSN 1460-2237 (electronic) ABSTRACT Nepal's Safe Motherhood Programme has failed to deliver expected gains in maternal and child health. Nepalese mothers and their children continue to dispense with (or be denied) antenatal care, experience high maternal mortality rates and suffer chronic malnutrition. We address the correlates and consequences of antenatal care utilization in Nepal by applying two-stage least squares, binomial logit and Heckman selection bias estimates to data drawn from the Nepal Health and Demographic Surveys of 1996 and 2001. Results indicate that maternal education, even at low levels, significantly increases the use of antenatal care; paternal education plays a more important role in the use of routine antenatal care than the conventional wisdom suggests; and when mothers use routine professional antenatal care and maintain good health their children tend to stay healthy through infancy and early childhood. Since health-seeking behaviour is circumscribed by patriarchal gender norms in Nepal, health policies should not only focus on female education and women's status, but also involve husbands in the process of maternal care utilization. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child welfare health service mother perinatal care women's health EMTREE MEDICAL INDEX TERMS adolescent adult algorithm article female health care survey human infant male Nepal patient attitude preschool child utilization review LANGUAGE OF ARTICLE English MEDLINE PMID 20884618 (http://www.ncbi.nlm.nih.gov/pubmed/20884618) PUI L362464740 DOI 10.1093/heapol/czq040 FULL TEXT LINK http://dx.doi.org/10.1093/heapol/czq040 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 218 TITLE Gender differences in postpartum depression: A longitudinal cohort study AUTHOR NAMES Escribà-Agüir V. Artazcoz L. AUTHOR ADDRESSES (Escribà-Agüir V., escriba_vic@gva.es) Centre for Public Health Research, Health Inequalities Area, Valencia, Spain. (Escribà-Agüir V., escriba_vic@gva.es; Artazcoz L.) CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain. (Artazcoz L.) Agència de Salut Pública, Barcelona, Spain. (Artazcoz L.) Universitat Pompeu Fabra, Barcelona, Spain. CORRESPONDENCE ADDRESS V. Escribà-Agüir, Centre for Public Health Research, Avda Catalunya, 21, Valencia 46020, Spain. Email: escriba_vic@gva.es SOURCE Journal of Epidemiology and Community Health (2011) 65:4 (320-326). Date of Publication: April 2011 ISSN 0143-005X 1470-2738 (electronic) BOOK PUBLISHER BMJ Publishing Group, Tavistock Square, London, United Kingdom. ABSTRACT Background: The course of depression from pregnancy to 1 year post partum and risk factors among mothers and fathers are not known. Aims: (1) To report the longitudinal patterns of depression from the third trimester of pregnancy to 1 year after childbirth; (2) to determine the gender differences between women and their partners in the effect of psychosocial and personal factors on postpartum depression. Methods: A longitudinal cohort study was carried out over a consecutive sample of 769 women in their third trimester of pregnancy and their partners attending the prenatal programme in the Valencian Community (Spain) and follow-up at 3 and 12 months post partum. The outcome variable was the presence of depression at 3 or 12 months post partum measured by the Edinburgh Postnatal Depression Scale. Predictor variables were: psychosocial (marital dissatisfaction, confidant and affective social support) and personal (history of depression, partner's depression and negative life events, depression during the third trimester of pregnancy) variables. Logistic regression models were fitted via generalised estimating equations. Results: At 3 and 12 months post partum, 9.3% and 4.4% of mothers and 3.4% and 4.0% of fathers, respectively, were newly diagnosed as having depression. Low marital satisfaction, partner's depression and depression during pregnancy increased the probability of depression during the first 12 months after birth in mothers and fathers. Negative life events increased the risk of depression only among mothers. Conclusions: Psychosocial and personal factors were strong predictors of depression during the first 12 months post partum for both mothers and fathers. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father mother puerperal depression (epidemiology) EMTREE MEDICAL INDEX TERMS adult article female human longitudinal study male psychological aspect risk factor Spain (epidemiology) statistical model LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 20515899 (http://www.ncbi.nlm.nih.gov/pubmed/20515899) PUI L361389061 DOI 10.1136/jech.2008.085894 FULL TEXT LINK http://dx.doi.org/10.1136/jech.2008.085894 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 219 TITLE Partner Assisted Therapy (PAT) for perinatal depression: A feasibility trial AUTHOR NAMES Brandon A.R. Ceccotti N.L. Shivakumar G. Johnson N. Jarrett R.B. AUTHOR ADDRESSES (Brandon A.R., Anna.Brandon@UTSouthwestern.edu; Ceccotti N.L.; Shivakumar G.; Johnson N.; Jarrett R.B.) University of Texas, Southwestern Medical Center, United States. (Shivakumar G.) Dallas VA Medical Center, United States. CORRESPONDENCE ADDRESS A.R. Brandon, University of Texas, Southwestern Medical Center, United States. Email: Anna.Brandon@UTSouthwestern.edu SOURCE Archives of Women's Mental Health (2011) 14 SUPPL. 1 (S11). Date of Publication: April 2011 CONFERENCE NAME Marce International Society International Biennial General Scientific Meeting - "Perinatal Mental Health Research: Harvesting the Potential" CONFERENCE LOCATION Pittsburgh, PA, United States CONFERENCE DATE 2010-10-27 to 2010-10-30 ISSN 1434-1816 BOOK PUBLISHER Springer Wien ABSTRACT Objective: Poor partner support has been identified as a key risk factorfor depression in perinatal women, but past research has not includedpartners in treatment beyond psychoeducation. A Mentored Patient-Oriented Research award (NIMH [1K23MH085007-02]) enabled afeasibility trial of “Partner-Assisted Therapy (PAT)” at the Women' sMental Health Center of the University of Texas Southwestern Medical Center. Based upon two existing treatments for depression, Interpersonal Psychotherapy (IPT) and Emotionally Focused Couple Therapy (EFCT),PAT includes the partner as an active participant in eight acutepsychotherapy sessions and one follow-up session.Method: Women > 8 weeks estimated gestational age and < 12 weeks postpartum referred to the Principal Investigator for psychiatricassessment who fulfilled DSM-IV criteria for Major Depressive Disorder (SCID), reported at least moderate symptom severity(Ham-D17 > 16), and met study criteria attended eight weeklypsychotherapy sessions and one follow-up session held 6-8 week safter the acute phase ended. Partners attended each session andcompleted study measures also. Evaluated were: relationship satisfaction (Dyadic Adjustment Scale), partner support (Antenatal andPostpartum Partner Support Scale), antenatal attachment (Maternal/Paternal Antenatal Attachment Scale), partner assessment of symptoms (Edinburgh Depression Scale, Partner Version), and parentalassessment of infant temperament (Infant Behavior Questionnaire).Results: Twelve couples consented to participate; one couple failedscreening (untreated partner bipolar disorder), one couple wasexcluded and referred for treatment (partner violence), and ten couplescompleted the 8-session acute phase. Nine couples completed both the acute phase and attended one follow-up session. Although sample sizeprevents meaningful interpretation of data, nine of ten women metcriteria for response (Ham-D17 < 7) at the conclusion of acute phasetreatment, and all ten met criteria for recovery at the 6-week follow-upassessment. There was a trend for improvement in relationshipsatisfaction and partner support. Conclusion: Incorporating partners in the treatment of Major Depressive Disorder during the transition to parenthood is safe andfeasible, and a future RCT is necessary to evaluate efficacy and theincremental benefit of including the partner. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) harvesting mental health research society therapy EMTREE MEDICAL INDEX TERMS awards and prizes bipolar disorder child behavior Dyadic Adjustment Scale female follow up gestational age health center human infant major depression parenthood partner violence patient psychoeducation psychotherapy questionnaire risk satisfaction temperament United States university LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70557320 DOI 10.1007/s00737-010-0203-1 FULL TEXT LINK http://dx.doi.org/10.1007/s00737-010-0203-1 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 220 TITLE Early Adversity and Serotonin Transporter Genotype Interact With Hippocampal Glucocorticoid Receptor mRNA Expression, Corticosterone, and Behavior in Adult Male Rats AUTHOR NAMES Belay H. Burton C.L. Lovic V. Meaney M.J. Sokolowski M. Fleming A.S. AUTHOR ADDRESSES (Belay H.) Department of Biology, University of Toronto, Mississauga, Canada. (Burton C.L.; Lovic V.) Department of Psychology, University of Toronto, Mississauga, Canada. (Meaney M.J.) Sackler Program for Epigenetics and Psychobiology and Douglas Mental Health University Institute, McGill University, Canada. (Sokolowski M.) Program in Maternal Adversity, Vulnerability and Neurodevelopment (MAVAN) Project, Canada. (Fleming A.S., alison.fleming@utoronto.ca) Department of Biology, University of Toronto, Program in Maternal Adversity, Vulnerability and Neurodevelopment (MAVAN) Project, Mississauga, Canada. CORRESPONDENCE ADDRESS A.S. Fleming, Department of Psychology, University of Toronto at Mississauga, 3359 Mississauga Road N., Mississauga ON, L5L 1C6, Canada. Email: alison.fleming@utoronto.ca SOURCE Behavioral Neuroscience (2011) 125:2 (150-160). Date of Publication: April 2011 ISSN 0735-7044 1939-0084 (electronic) BOOK PUBLISHER American Psychological Association Inc., 750 First Street, NE Washington, United States. ABSTRACT Despite its importance for development, relatively little is known about how allelic variation interacts with both pre- and postnatal stress. We examined the interaction between serotonin transporter (5-HTT) genotype, prenatal and postnatal stress on glucocorticoid receptor (GR) mRNA expression, corticosteroid stress responses, and behavior in adult male rats. Prenatal stress involved a daily restraint of pregnant dams from gestational Day 10-21. Postnatal stress involved raising pups after parturition either by their mothers (MR) or in the artificial rearing (AR) paradigm, with or without additional " licking-like" stroking stimulation. 5-HTT genotype, hippocampal GR mRNA level, corticosteroid stress response, and behaviors including startle response, prepulse inhibition (PPI), and locomotor activity were measured in adult male rat offspring. We found significant genotype by prenatal stress interactions for hippocampal GR mRNA levels and for the corticosterone stress responses in adulthood. In contrast, behavioral endpoints tended to be more clearly affected by an interaction between genotype and postnatal environment. These findings suggest that allelic variation in the 5-HTT gene interacts with the prenatal environment to affect the hypothalamic-pituitary-adrenal (HPA) axis physiology and the postnatal environment to affect behavior. These results are the first to indicate a role for genetic variation in the 5-HTT gene in physiology and behavior in the rat. © 2011 American Psychological Association. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) corticosterone (endogenous compound) glucocorticoid receptor (endogenous compound) messenger RNA (endogenous compound) serotonin transporter (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) animal behavior postnatal stress prenatal stress EMTREE MEDICAL INDEX TERMS animal experiment animal tissue article controlled study gene interaction genetic variability genotype hippocampus hypothalamus hypophysis adrenal system licking locomotion male nonhuman prepulse inhibition progeny protein expression protein interaction rat startle reflex CAS REGISTRY NUMBERS corticosterone (50-22-6) EMBASE CLASSIFICATIONS Neurology and Neurosurgery (8) Clinical and Experimental Biochemistry (29) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2011209138 MEDLINE PMID 21463019 (http://www.ncbi.nlm.nih.gov/pubmed/21463019) PUI L361609853 DOI 10.1037/a0022891 FULL TEXT LINK http://dx.doi.org/10.1037/a0022891 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 221 TITLE NCT antenatal preparation for birth and parenthood AUTHOR NAMES Newburn M. AUTHOR ADDRESSES (Newburn M.) NCT, United Kingdom. CORRESPONDENCE ADDRESS M. Newburn, NCT, United Kingdom. SOURCE Journal of Obstetrics and Gynaecology (2011) 31 SUPPL. 1 (12-13). Date of Publication: 2011 CONFERENCE NAME 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies, WCOGA 2011 CONFERENCE LOCATION London, United Kingdom CONFERENCE DATE 2011-03-21 to 2011-03-23 ISSN 0144-3615 BOOK PUBLISHER Informa Healthcare ABSTRACT Background: NCT has over 50 years of providing antenatal education sessions for women and men. The style is highly participative and courses are led by NCT-trained facilitators who have undertaken a 2-year diploma level course in adult learning. Aim: To demonstrate the model and its various formats and what each of these is able to achieve. Objectives: To present feedback from women and men post-course and post-birth on their preferences, experiences and the perceived development provided by, and usefulness of, the courses. Methods: A longitudinal survey of parents attending paidfor courses in 2009; an online post-course audit in 2010 and local reports from short courses delivered within the NHS (2007 and 2010). Results: Parents report increased confidence in birth, baby feeding and life with a new baby after the course. After birth 60% of an NCT sample of women said that their birth was not how they expected it to be, but 64% agreed with the statement¡® my birth was a positive experience'. Women who attended a full-length NCT course felt better prepared than those who had attended an intensive course (Mann-Whitney, p<.05). Discussion: Is antenatal education a worthwhile financial investment for the NHS and a good use of time for parents? What is the optimal 'dose' given that more contact hours seem to yield more positive results. What is the optimal timing for preparation and with-parent support? Can we spread contact time across the pre-birth to postnatal period without spreading ourselves too thinly?. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) andrology gynecology obstetrics parenthood psychosomatics EMTREE MEDICAL INDEX TERMS adult baby clinical audit education feedback system feeding female investment learning model optimal drug dose parent perinatal period LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70372061 DOI 10.3109/01443615.2011.552340 FULL TEXT LINK http://dx.doi.org/10.3109/01443615.2011.552340 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 222 TITLE A comparison of postnatal depression and related factors between Chinese new mothers and fathers AUTHOR NAMES Mao Q. Zhu L.-X. Su X.-Y. AUTHOR ADDRESSES (Mao Q., mqwrt@163.com) The Medical College, Putian University, Putian, China. (Zhu L.-X.) The Medical College, Putian University, Putian, China. (Su X.-Y.) School of Nursing, Sun Yat-sen University, Guangzhou, China. CORRESPONDENCE ADDRESS Q. Mao, The Medical College, Putian University, Putian 351100, China. Email: mqwrt@163.com SOURCE Journal of Clinical Nursing (2011) 20:5-6 (645-652). Date of Publication: March 2011 ISSN 0962-1067 1365-2702 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Aims: This study aims to examine the differences in the prevalence of depression and related factors between new mothers and fathers during the postnatal period. Background: Although the transition to motherhood and postnatal depression has been extensively studied, few studies compared maternal and paternal psychological health during the postnatal period. Design: A cross-sectional design was used. Methods: A total of 376 pairs of new parents participated in this study. The Edinburgh Postnatal Depression Scale, the Perceived Stress Scale and the Social Support Rating Scale were used to measure depression, perceived stress and social support, respectively. We performed paired t-test and multiple regression to analyse the data. Results: No significant difference in the prevalence of postnatal depression was found between the new mothers and fathers (14·9 vs. 12·5%). Fathers experienced similar stress levels as mothers did, while they received lower level of social support than mothers. Perceived stress, social support and partner's Edinburgh Postnatal Depression Scale score were significantly associated with depression for both mothers and fathers. Less sleeping time of infant and a tense relationship between mothers and mother-in-law were related to mothers' depression. The preference for a male baby was associated with fathers' depression. Conclusion. Both new mothers and fathers experienced postnatal depression in China. Relevance to clinical practice. Clinical nurses should pay attention to psychological health among new parents during postnatal period. Perinatal services, such as antenatal and postnatal education and counselling, should also be provided for fathers. © 2011 Blackwell Publishing Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father mother puerperal depression EMTREE MEDICAL INDEX TERMS article China comparative study female human male psychological aspect social support LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 21320193 (http://www.ncbi.nlm.nih.gov/pubmed/21320193) PUI L361259167 DOI 10.1111/j.1365-2702.2010.03542.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1365-2702.2010.03542.x COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 223 TITLE Men and infant feeding: perceptions of embarrassment, sexuality, and social conduct in white low-income British men. AUTHOR NAMES Henderson L. McMillan B. Green J.M. Renfrew M.J. AUTHOR ADDRESSES (Henderson L.) Department of Sociology and Communications, School of Social Sciences, Brunel University, West London, United Kingdom. (McMillan B.; Green J.M.; Renfrew M.J.) CORRESPONDENCE ADDRESS L. Henderson, Department of Sociology and Communications, School of Social Sciences, Brunel University, West London, United Kingdom. SOURCE Birth (Berkeley, Calif.) (2011) 38:1 (61-70). Date of Publication: Mar 2011 ISSN 1523-536X (electronic) ABSTRACT The views of fathers have been shown to be important determinants of infant feeding decisions, but men's perceptions of breastfeeding and formula feeding are rarely explored. Our objectives were to address this gap and examine cultural associations and beliefs concerning infant feeding practices among men. Five focus groups were conducted with low-income men (n = 28) living in areas of social deprivation in Leeds, northeast of England, and low-income areas of Glasgow, west of Scotland. Participants were white British men, aged between 16 and 45 years, and included fathers, expectant fathers, and potential fathers. Overarching themes concerning sexuality, embarrassment, and social conduct were identified across all groups. Participants perceived breastfeeding as "natural" but problematic, whereas formula feeding was mainly considered as convenient and safe. Participants without direct experience of breastfeeding assumed that it involved excessive public exposure and attracted unwanted male attention. Underpinning these fears were strong cultural associations between breasts and sexuality and anxieties concerning appropriate gender roles. In some communities few opportunities may occur to witness breastfeeding, and thus existing fears concerning the activity as attracting predatory male attention remain unchallenged. Perceptions of breastfeeding as a sexual activity and the dominant mass media emphasis on breasts as a sexual site may present additional obstacles to breastfeeding. Antenatal or perinatal education with men should address not only practical issues but also provide advice on tackling problems generated by wider sociocultural issues of sexuality and masculinity. © 2010, Copyright the Authors. Journal compilation © 2010, Wiley Periodicals, Inc. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) bottle feeding breast feeding father perception social psychology EMTREE MEDICAL INDEX TERMS adult article attitude to health father child relation human information processing male middle aged poverty psychological aspect sexuality socioeconomics statistics United Kingdom LANGUAGE OF ARTICLE English MEDLINE PMID 21332776 (http://www.ncbi.nlm.nih.gov/pubmed/21332776) PUI L560015462 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 224 TITLE Interaction of mutant DISC1 and prenatal immune activation: Timing of the neuro behavioral effects of mutant disc1 AUTHOR NAMES Abazyan B. Nomura J. Kannan G. Ishizuka K. Tamashiro K. Nucifora F. Pogorelov V. Ladenheim B. Yanq C. Krasnova I. Cadet J.L. Pardo C. Mori S. Kamiya A. Vogel M. Sawa A. Ross C.A. Pletnikov M. AUTHOR ADDRESSES (Abazyan B.; Nomura J.; Kannan G.; Nucifora F.; Pogorelov V.; Yanq C.; Ross C.A.; Pletnikov M.) Department of Psychiatry and Behavioral Sciences, JHU, School of Medicine, Baltimore, United States. (Ishizuka K.; Tamashiro K.; Kamiya A.; Sawa A.) Psychiatry and Behavioral Science, Jhu School of Medicine, Baltimore, United States. (Ladenheim B.; Krasnova I.; Cadet J.L.) Molecular Neuropsychiatry Branch, NIDA, NIH, Baltimore, United States. (Pardo C.) Neurology, JHU School of Medicine, Baltimore, United States. (Mori S.) Neurology and Radiology, JHU, School of Medicine, Baltimore, United States. (Vogel M.) Maryland Psychiatric Research Center, University of Maryland, Baltimore, United States. CORRESPONDENCE ADDRESS B. Abazyan, Department of Psychiatry and Behavioral Sciences, JHU, School of Medicine, Baltimore, United States. SOURCE Schizophrenia Bulletin (2011) 37 SUPPL. 1 (198). Date of Publication: March 2011 CONFERENCE NAME 13th International Congress on Schizophrenia Research, ICOSR CONFERENCE LOCATION Colorado Springs, CO, United States CONFERENCE DATE 2011-04-02 to 2011-04-06 ISSN 0586-7614 BOOK PUBLISHER Oxford University Press ABSTRACT Background: Gene-environment interactions are involved in the pathogenesis of mental diseases. We evaluated interaction between mutant human Disrupted-In-Schizophrenia-1 (mhDISC1) and maternal immune activation implicated in schizophrenia and mood disorders. Methods: Pregnant mice were treated with saline or polyinosinic:polycytidylic acid (Poly I:C) at gestation day 9. In mutant mice DISC1 express only prenatally, only postnatally and continuously (both prenatally and postnatally). In mice with pre and postnatal expression we measure levels of inflammatory cytokines in fetal and adult brains, expression of mhDISC1, endogenous DISC1, LIS1, NDEL1, gp130, Grb2, GSK-3β and GFAP were assessed in cortical samples of newborn mice. Tissue content of monoamines, volumetric brain abnormalities, dendritic spine density in the hippocampus and various domains of the mouse behavior repertoire were evaluated in adult male mice. Results: Prenatal interaction produced anxiety, depression-like responses, and altered pattern of social behaviors. These behaviors were accompanied by decreased reactivity of the HPA axis, attenuated 5-HT neurotransmission in the hippocampus, reduced enlargement of lateral ventricles, decreased volumes of amygdala and periaqueductal gray matter and linear density of spines on dendrites of granule cells of the hippocampus. Prenatal interaction altered secretion of inflammatory cytokines in fetal brains, levels of mhDISC1, endogenous mouse DISC1, and GSK-3β. The behavioral effects of GEI were observed only if mhDISC1 was expressed throughout the life span. Conclusion: The findings suggest that prenatal immune activation interacts withmhDISC1 to produce neurobehavioral phenotypes that were not present in unchallenged mhDISC1 mice and that resemble aspects of mood disorders. Prenatal and postnatal expression is required for phenotype development and changes of this expression (especially postnatal expression) can give us new way to develop treatment.We propose that our DISC1 mouse model is a valuable system to study the molecular pathways underlying gene-environment interplay relevant to major mental illnesses. EMTREE DRUG INDEX TERMS cytokine glycoprotein gp 130 monoamine polyinosinic polycytidylic acid serotonin sodium chloride EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) mutant schizophrenia EMTREE MEDICAL INDEX TERMS adult amygdala anxiety brain dendrite dendritic spine density environment gene granule cell hippocampus human lateral brain ventricle lifespan male mental disease model mood disorder mouse neurotransmission pathogenesis periaqueductal gray matter phenotype pregnancy secretion (process) social behavior spine tissues LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70360594 DOI 10.1093/schbul/sbq173 FULL TEXT LINK http://dx.doi.org/10.1093/schbul/sbq173 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 225 TITLE Fetal lower urinary tract obstruction: An epidemiological, population based study of outcome AUTHOR NAMES Morris R.K. Tonks A. Malin G. Kilby. M.D. AUTHOR ADDRESSES (Morris R.K.; Malin G.; Kilby. M.D.) School of Clinical and Experimental Medicine, University of Birmingham, Birmingham, United Kingdom. (Tonks A.) West Midlands Congenital Anomaly Register, West Midlands Perinatal Institute, Birmingham, United Kingdom. CORRESPONDENCE ADDRESS R.K. Morris, School of Clinical and Experimental Medicine, University of Birmingham, Birmingham, United Kingdom. SOURCE Reproductive Sciences (2011) 18:3 SUPPL. 1 (366A). Date of Publication: March 2011 CONFERENCE NAME 58th Annual Scientific Meeting of the Society for Gynecologic Investigation, SGI 2011 CONFERENCE LOCATION Miami Beach, FL, United States CONFERENCE DATE 2011-03-16 to 2011-03-19 ISSN 1933-7191 BOOK PUBLISHER SAGE Publications Inc. ABSTRACT Introduction Reported incidences of congenital abnormalities of the genitourinary tract are a rate of 1 in 250 to 1 in 1000. Lower urinary tract obstruction (LUTO) account for the majority of cases; approximately 1 in 2000 pregnancies. Objective To determine the prevalence and outcome of LUTO using a large populationbased congenital anomaly register. To examine the prenatal diagnosis of LUTO and clinical outcomes. Methods A retrospective population based study. Cases of LUTO were selected for a 13 year period (1995-2007) covering a birth population of 851,404. Cases were identifi ed using routinely collected data from a population-based multiple source Congenital Anomaly Register (WMCAR - West Midlands Congenital Anomaly Register) using ICD10 codes and keyword terms. Diagnoses were validated using additional datasets from Regional tertiary Fetal Medicine, Perinatal Pathology, and Paediatric services. Results The total prevalence for LUTO during the study period was 3.6 (3.2-4.0) per 10,000 births, and the live birth prevalence was 2.3 (2.0-2.6) per 10,000 live births. Of the LUTO cases (n=305) 71.8% were isolated anomalies, the remainder were associated with other structural or chromosomal anomalies. The majority (86.9%) of cases were male fetuses of which 79.6% were isolated, for female fetuses 9.7% were isolated. Outcome data overallwere 86 TOPS (28.2%), 25 IUDs (8.2%) and 194 live births (63.6%). Perinatal mortality rate was 194 per 1,000 births and neonatal mortality rate was 139 per 1,000 live births. There were 123 cases that were amenable to antenatal intervention (male, isolated, diagnosed antenatally) and of these cases 40 (33%) had a TOP, 10(8%) had an IUD, 2 (2%) had vesico-centesis and 8 (6.5%) had vesioc-amniotic shunting. Further data will be presented on prognosis of ultrasound features at time of diagnosis and outcome according to disease pathology. Conclusion This is the largest population based study of LUTO and thus gives accurate data for prevalence of disease and prognostic features. The data confi rm that when the condition is isolated the most likely diagnosis is PUV and this is almost exclusively found in male fetuses. Females suffer a much more complex pathology with an associated poorer outcome. The data suggest an improved outcome for cases diagnosed postnatally. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) gynecological examination population society urinary tract obstruction EMTREE MEDICAL INDEX TERMS chromosome aberration congenital disorder congenital malformation diagnosis female fetus intrauterine contraceptive device live birth male mortality newborn mortality pathology perinatal mortality pregnancy prenatal diagnosis prevalence prognosis register shunting Tertiary (period) ultrasound urogenital system LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70492587 DOI 10.1177/193371912011183s067 FULL TEXT LINK http://dx.doi.org/10.1177/193371912011183s067 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 226 TITLE Sex dependent cognitive performance in offspring baboons following maternal caloric restriction in pregnancy and lactation AUTHOR NAMES Rodriguez J.S. Bartlett T.Q. Nathanielsz P.W. Nijland. M.J. AUTHOR ADDRESSES (Rodriguez J.S.; Nathanielsz P.W.; Nijland. M.J.) Ob-Gyn, Univ of TX, Health Sci Ctr at San Antonio, San Antonio, United States. (Bartlett T.Q.) Univ of TX at San Antonio, Anthropology, San Antonio, United States. CORRESPONDENCE ADDRESS J.S. Rodriguez, Ob-Gyn, Univ of TX, Health Sci Ctr at San Antonio, San Antonio, United States. SOURCE Reproductive Sciences (2011) 18:3 SUPPL. 1 (188A). Date of Publication: March 2011 CONFERENCE NAME 58th Annual Scientific Meeting of the Society for Gynecologic Investigation, SGI 2011 CONFERENCE LOCATION Miami Beach, FL, United States CONFERENCE DATE 2011-03-16 to 2011-03-19 ISSN 1933-7191 BOOK PUBLISHER SAGE Publications Inc. ABSTRACT INTRODUCTION: In humans a reduced diet during pregnancy has negative outcomes on affect and cognition in offspring. Using nonhuman primates to study neurodevelopment is a powerful translational tool for determining mechanism when modeling human conditions. We investigated the cognitive outcomes in baboons born to mothers administered a 30% globally reduced diet throughout gestation and lactation. METHODS: Nineteen pregnant baboons were administered control (C, n=12) or 30% reduced diet (R, n=7) throughout gestation. At 3-5 years of age offspring were administered an intra-/extra-dimension attention set shift task (IDED). Analyses were performed using a linear model of log in terms of treatment, sex, treatment∗sex (p<0.05). RESULTS: An effect of perinatal diet was determined. In males (M), the MR (n=4) made more errors versus MC (n=4) offspring. In females (F), the FC (n=8) made more errors versus the FR (n=3) and MC offspring. Figure 1. Number of errors during extra-dimension reversal stage of IDED show a sex effect in the controls: FC made more errors than MC (#); and maternal diet effect in males, the MR offspring made more errors than MC (∗). Mean ± SEM. CONCLUSIONS: We report a 30% reduction in maternal caloric intake has long lasting behavioral outcomes in adolescent baboons. We found detrimental effects in cognitive performance in MR compared to MC but enhanced performance in FR versus FC offspring. We hypothesize that increased levels of prenatal androgens developmentally program brain and behavior in ways that are detrimental in males and beneficial in females. Protein restriction during pregnancy in rats increases circulating androgen in dams near term. EMTREE DRUG INDEX TERMS androgen EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) baboon caloric restriction gynecological examination lactation pregnancy progeny society EMTREE MEDICAL INDEX TERMS adolescent brain caloric intake cognition diet female human male mare maternal nutrition model mother nerve cell differentiation nonhuman nuclear magnetic resonance primate protein restriction rat statistical model LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70491980 DOI 10.1177/193371912011183s067 FULL TEXT LINK http://dx.doi.org/10.1177/193371912011183s067 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 227 TITLE Assessing the impact of paternal involvement on racial/ethnic disparities in infant mortality rates. AUTHOR NAMES Alio A.P. Mbah A.K. Kornosky J.L. Wathington D. Marty P.J. Salihu H.M. AUTHOR ADDRESSES (Alio A.P.) Department of Community and Family Health, University of South Florida, Tampa, FL, USA. (Mbah A.K.; Kornosky J.L.; Wathington D.; Marty P.J.; Salihu H.M.) CORRESPONDENCE ADDRESS A.P. Alio, Department of Community and Family Health, University of South Florida, Tampa, FL, USA. Email: aalio@health.usf.edu SOURCE Journal of community health (2011) 36:1 (63-68). Date of Publication: Feb 2011 ISSN 1573-3610 (electronic) ABSTRACT We sought to assess the contribution of paternal involvement to racial disparities in infant mortality. Using vital records data from singleton births in Florida between 1998 and 2005, we generated odds ratios (OR), 95% confidence intervals (CI), and preventative fractions to assess the association between paternal involvement and infant mortality. Paternal involvement status was based on presence/absence of paternal first and/or last name on the birth certificate. Disparities in infant mortality were observed between and within racial/ethnic subpopulations. When compared to Hispanic (NH)-white women with involved fathers, NH-black women with involved fathers had a two-fold increased risk of infant mortality whereas infants born to black women with absent fathers had a seven-fold increased risk of infant mortality. Elevated risks of infant mortality were also observed for Hispanic infants with absent fathers (OR = 3.33. 95%CI = 2.66-4.17). About 65-75% of excess mortality could be prevented with increased paternal involvement. Paternal absence widens the black-white gap in infant mortality almost four-fold. Intervention programs to improve perinatal paternal involvement may decrease the burden of absent father-associated infant mortality. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Black person Caucasian father child relation health disparity Hispanic infant mortality parental deprivation EMTREE MEDICAL INDEX TERMS adult article birth certificate death certificate ethnology female human infant male risk assessment statistics United States (epidemiology) LANGUAGE OF ARTICLE English MEDLINE PMID 20512407 (http://www.ncbi.nlm.nih.gov/pubmed/20512407) PUI L361461159 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 228 TITLE Randomized controlled trial of primary care pediatric parenting programs: Effect on reduced media exposure in infants, mediated through enhanced parent-child interaction AUTHOR NAMES Mendelsohn A.L. Dreyer B.P. Brockmeyer C.A. Berkule-Silberman S.B. Huberman H.S. Tomopoulos S. AUTHOR ADDRESSES (Mendelsohn A.L., alm5@nyu.edu; Dreyer B.P.; Brockmeyer C.A.; Berkule-Silberman S.B.; Huberman H.S.; Tomopoulos S.) Department of Pediatrics, Bellevue Hospital Center, New York University, 550 First Ave, New York, NY 10016, United States. (Berkule-Silberman S.B.) Department of Psychology, Manhattanville College, Purchase, NY, United States. (Huberman H.S.) Department of Pediatrics, Division of Child Development, University Hospital of Brooklyn, Brooklyn, United States. CORRESPONDENCE ADDRESS A. L. Mendelsohn, Department of Pediatrics, Bellevue Hospital Center, New York University, 550 First Ave, New York, NY 10016, United States. Email: alm5@nyu.edu SOURCE Archives of Pediatrics and Adolescent Medicine (2011) 165:1 (42-48). Date of Publication: January 2011 ISSN 1072-4710 1538-3628 (electronic) BOOK PUBLISHER American Medical Association, 515 North State Street, Chicago, United States. ABSTRACT Objectives: To determine whether pediatric primary care-based programs to enhance parenting and early child development reduce media exposure and whether enhanced parenting mediates the effects. Design: Randomized controlled trial. Setting: Urban public hospital pediatric primary care clinic. Participants: A total of 410 mother-newborn dyads enrolled after childbirth. Interventions: Patients were randomly assigned to 1 of 2 interventions, the Video Interaction Project (VIP) and Building Blocks (BB) interventions, or to a control group. The VIP intervention comprised 1-on-1 sessions with a child development specialist who facilitated interactions in play and shared reading through review of videotapes made of the parent and child on primary care visit days; learning materials and parenting pamphlets were also provided. The BB intervention mailed parenting materials, including age-specific newsletters suggesting activities to facilitate interactions, learning materials, and parent-completed developmental questionnaires (Ages and Stages questionnaires). Outcome Measures: Electronic media exposure in the home using a 24-hour recall diary. Results: The mean (SD) exposure at 6 months was 146.5 (125.0) min/d. Exposure to VIP was associated with reduced total duration of media exposure compared with the BB and control groups (mean [SD] min/d for VIP, 131.6 [118.7]; BB, 151.2 [116.7]; control, 155.4 [138.7]; P=.009). Enhanced parent-child interactionswere found to partially mediate relations between VIP and media exposure for families with a ninth grade or higher literacy level (Sobel statistic=2.49; P=.01). Conclusion: Pediatric primary care may represent an important venue for addressing the public health problem of media exposure in young children at a population level. Trial Registration: clinicaltrials.gov Identifier: NCT00212576. © 2011 American Medical Association. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) parenting education primary medical care randomized controlled trial (topic) EMTREE MEDICAL INDEX TERMS article child development child parent relation childbirth controlled study female health program human learning male pediatrics priority journal questionnaire randomized controlled trial single blind procedure urban area videorecording EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) CLINICAL TRIAL NUMBERS ClinicalTrials.gov (NCT00212576) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2011018355 MEDLINE PMID 21199979 (http://www.ncbi.nlm.nih.gov/pubmed/21199979) PUI L361057728 DOI 10.1001/archpediatrics.2010.266 FULL TEXT LINK http://dx.doi.org/10.1001/archpediatrics.2010.266 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 229 TITLE Perinatal grief and support spans the generations: Parents' and grandparents' evaluations of an intergenerational perinatal bereavement program AUTHOR NAMES Roose R.E. Blanford C.R. AUTHOR ADDRESSES (Roose R.E., rroose@ahss.org) Maternal Fetal Medicine Center, Adventist Midwest Region/Adventist Hinsdale Hospital, Hinsdale, IL, United States. (Roose R.E., rroose@ahss.org; Blanford C.R.) Still Missed Perinatal Bereavement Program, Adventist Midwest Region/Adventist Hinsdale Hospital, Hinsdale, IL, United States. CORRESPONDENCE ADDRESS R. E. Roose, Maternal Fetal Medicine Center, Still Missed Perinatal Bereavement Program, Adventist Midwest Region/Adventist Hinsdale Hospital, 120 N Oak St, Hinsdale, IL 60521, United States. Email: rroose@ahss.org SOURCE Journal of Perinatal and Neonatal Nursing (2011) 25:1 (77-85). Date of Publication: January-March 2011 ISSN 0893-2190 BOOK PUBLISHER Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United States. ABSTRACT 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. © 2011 Lippincott Williams & Wilkins, Inc. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) bereavement child parent relation counseling family human relation pregnancy outcome EMTREE MEDICAL INDEX TERMS adult female health care quality human methodology middle aged newborn pregnancy preschool child psychological aspect review self help social support stillbirth LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 21311274 (http://www.ncbi.nlm.nih.gov/pubmed/21311274) PUI L361312915 DOI 10.1097/JPN.0b013e318208cb74 FULL TEXT LINK http://dx.doi.org/10.1097/JPN.0b013e318208cb74 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 230 TITLE Multigenerational programming in the glucocorticoid programmed rat is associated with generation-specific and parent of origin effects AUTHOR NAMES Drake A.J. Liu L. Kerrigan D. Meehan R.R. Seckl J.R. AUTHOR ADDRESSES (Drake A.J.; Liu L.; Kerrigan D.; Seckl J.R.) University/BHF Centre for Cardiovascular Science, University of Edinburgh, Queen's Medical Research Institute, Edinburgh, United Kingdom. (Meehan R.R.) Medical Research Council Human Genetics Unit, IGMM, Western General Hospital, Edinburgh, United Kingdom. (Meehan R.R.) Breakthrough Breast Cancer Research Unit, University of Edinburgh, Western General Hospital, Edinburgh, United Kingdom. CORRESPONDENCE ADDRESS A. J. Drake, University/BHF Centre for Cardiovascular Science, University of Edinburgh, Queen's Medical Research Institute, Edinburgh, United Kingdom. SOURCE Epigenetics (2011) 6:11 (1334-1343). Date of Publication: November 2011 ISSN 1559-2308 (electronic) 1559-2294 BOOK PUBLISHER Taylor and Francis Inc. ABSTRACT Exposure to an adverse early life environment is associated with increased cardio-metabolic disease risk, a phenomenon termed "programming". The effects of this are not limited to the exposed first (F1) generation but can be transmissible to a second generation (F2) through male and female lines. Using a three generation animal model of programming by initial prenatal glucocorticoid overexposure we have identified effects on fetal and placental weight in both the F1 and F2 offspring. However, the expression of candidate imprinted genes in the fetus and placenta differed between the F1 and F2, with marked parent-of-origin effects in F2. Since DNA methylation at imprinted genes is maintained at fertilization, they are potential templates for the transmission of programming effects across generations. Although we detected alterations in DNA methylation at differentially methylated regions (DMRs) of the key prenatal growth factor Igf2 in F1 and F2 fetal liver, the changes in DNA methylation at these DMRs do not appear to underlie the transmission of effects on Igf2 expression through sperm. Thus, multigenerational programming effects on birth weight and disease risk is associated with different processes in F1 and F2. These findings have implications for the pathogenesis and future attempts to stratify therapies for the "developmental component" of cardiometabolic disease. © 2011 Landes Bioscience. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) dexamethasone (pharmacology, subcutaneous drug administration) EMTREE DRUG INDEX TERMS DNA (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) epigenetics multigenerational programming nuclear reprogramming EMTREE MEDICAL INDEX TERMS animal experiment animal tissue article birth weight controlled study DNA methylation drug effect female fertilization fetus weight male nonhuman placenta weight progeny rat sperm CAS REGISTRY NUMBERS dexamethasone (50-02-2) DNA (9007-49-2) EMBASE CLASSIFICATIONS Human Genetics (22) Clinical and Experimental Pharmacology (30) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2011626801 MEDLINE PMID 22086116 (http://www.ncbi.nlm.nih.gov/pubmed/22086116) PUI L362920957 DOI 10.4161/epi.6.11.17942 FULL TEXT LINK http://dx.doi.org/10.4161/epi.6.11.17942 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 231 TITLE Addressing intimate partner violence in a blackfeet community AUTHOR NAMES Clark E.A. AUTHOR ADDRESSES (Clark E.A.) University of Washington, Seattle, United States. CORRESPONDENCE ADDRESS E.A. Clark, University of Washington, Seattle, United States. SOURCE Journal of Investigative Medicine (2011) 59:1 (209). Date of Publication: January 2011 CONFERENCE NAME American Federation for Medical Research Western Regional Meeting, AFMR 2011 CONFERENCE LOCATION Carmel, CA, United States CONFERENCE DATE 2011-06-26 to 2011-06-29 ISSN 1081-5589 BOOK PUBLISHER Lippincott Williams and Wilkins ABSTRACT Purpose of Study: Intimate partner violence (IPV) poses a disproportionate risk to American Indian and Alaska Native (AI/AN) populations. About 1/3 of AI/AN women experience rape and 2/3 experience physical abuse. IPV is harmful to all women, and pregnant women face greater risks. The Blackfeet community in Browning has identified IPVas an issue; last year, law enforcement officers received 329 reports of domestic violence. The purpose of this project was to educate community members about the health consequences of IPVand increase awareness of resources available to address this issue. Methods Used: The actions of this project were: 1/2 hr educational program was designed and implemented in cooperation with the Blackfeet Domestic Violence Program (BDVP) for three prenatal care groups, reflecting current health concerns for pregnant women. 2) a 1 hr educational session on traumatic brain injury was presented to a men's batterer's group showing neurological and cognitive effects of even Bmild[ head injuries. 3) resource lists were compiled for both with contact information for local, state and national agencies dealing with domestic violence. 4) a meeting with Blackfeet Community Hospital health care providers and staff of the BDVP was facilitated to strengthen inter-agency relationships. Summary of Results: 15 patients and 10 companions attended the prenatal educational sessions. Two men attended the batterer's support group; both had either experienced head injury themselves or knew someone who had. Patient and provider resource lists were distributed to each provider and were requested by three community groups. The meeting with providers and the BDVP was well received, and BDVP plans to do more educational sessions with providers and patients. Conclusions: The project's multifaceted approach allowed the complex issue of IPV to be explored from many angles. The survivors, perpetrators and care providers were each addressed separately, but in a way that strengthened intercommunity relationships, with agencies sharing responsibility. Browning faces significant domestic violence, and one of the main project objectives was to increase community awareness of available resources. The cooperation between the hospital and the BDVP suggests a future of coordinated efforts in providing care and recovery to survivors of IPV. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) community medical research partner violence EMTREE MEDICAL INDEX TERMS abuse American Indian community hospital domestic violence female head injury health health care personnel hospital human law enforcement male offender patient population pregnant woman prenatal care responsibility risk support group survivor traumatic brain injury United States LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70524728 DOI 10.231/JIM.0b013e31820501bd FULL TEXT LINK http://dx.doi.org/10.231/JIM.0b013e31820501bd COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 232 TITLE Is smoking protective against preeclampsia in obese women? AUTHOR NAMES Marshall N. Caughey A. Guild C. Halloran D. Cheng Y.W. AUTHOR ADDRESSES (Marshall N.; Caughey A.) Oregon Health and Science University, Portland, United States. (Guild C.; Halloran D.) Saint Louis University, Saint Louis, United States. (Cheng Y.W.) University of California, San Francisco, San Francisco, United States. CORRESPONDENCE ADDRESS N. Marshall, Oregon Health and Science University, Portland, United States. SOURCE American Journal of Obstetrics and Gynecology (2011) 204:1 SUPPL. (S306). Date of Publication: January 2011 CONFERENCE NAME 2011 31st Annual Meeting of the Society for Maternal-Fetal Medicine: The Pregnancy Meeting CONFERENCE LOCATION San Francisco, CA, United States CONFERENCE DATE 2011-02-07 to 2011-02-12 ISSN 0002-9378 BOOK PUBLISHER Mosby Inc. ABSTRACT OBJECTIVE: Obesity is a risk factor for preeclampsia. Women who smoke are at decreased risk of preeclampsia, but it is unclear the impact of smoking on preeclampsia in obese women. Our objective was to determine the impact of smoking status, maternal obesity, and race on the development of preeclampsia. STUDY DESIGN: This is a retrospective cohort study of birth records linked to hospital discharge data for all live born singleton infants born to African American or Caucasian Missouri residents from 2000-2006. We excluded major congenital anomalies and women with diabetes or chronic hypertension. Obesity was defined as prepregnancy body mass index ≥ 30 kg/m(2). We performed a stratified multivariable regression model for each race and adjusted for maternal age, education, adequate prenatal care, married, nulliparous, Medicaid, male gender, and term. RESULTS: There were 883,414 births meeting study criteria. 27.8% (37,113) of African American and 20.2% (151,085) of Caucasian mothers were obese. Smoking was more prevalent among Caucasian women compared to African American women (20.1% vs. 12.7%). African American women were more likely to develop preeclampsia than Caucasian women (aOR 1.21, 95% CI 1.18, 1.25). Smoking was protective against preeclampsia compared to not smoking (3.86% vs. 5.49%, aOR 0.77, 95% CI 0.75, 0.79). Obesity was associated with an increased risk of preeclampsia (8.89% vs. 4.18%, aOR 2.37, 95% CI 2.32, 2.42). Obese smokers were not at increased risk of preeclampsia, regardless of race (table). CONCLUSIONS: In both African American and Caucasian women, obese smokers are not at increased risk for preeclampsia despite the significantly increased risk of preeclampsia in obese women. This finding may help provide additional insight into the pathogenesis of preeclampsia. (Table presented). EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) female preeclampsia pregnancy smoking society EMTREE MEDICAL INDEX TERMS African American body mass Caucasian cohort analysis congenital malformation diabetes mellitus education gender hospital discharge hypertension infant male maternal age medicaid model mother obesity pathogenesis prenatal care risk risk factor smoke United States LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70328791 DOI 10.1016/j.ajog.2010.10.803 FULL TEXT LINK http://dx.doi.org/10.1016/j.ajog.2010.10.803 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 233 TITLE Prenatal interaction of mutant DISC1 and immune activation produces adult psychopathology AUTHOR NAMES Abazyan B. Nomura J. Kannan G. Ishizuka K. Tamashiro K.L. Nucifora F. Pogorelov V. Ladenheim B. Yang C. Krasnova I.N. Cadet J.L. Pardo C. Mori S. Kamiya A. Vogel M.W. Sawa A. Ross C.A. Pletnikov M.V. AUTHOR ADDRESSES (Abazyan B.; Nomura J.; Kannan G.; Nucifora F.; Pogorelov V.; Yang C.; Ross C.A.; Pletnikov M.V., mpletnik@jhmi.edu) Division of Neurobiology, Department of Psychiatry and Behavioral Sciences, University of Maryland, Baltimore, MD, United States. (Tamashiro K.L.) Department of Psychiatry and Behavioral Sciences, University of Maryland, Baltimore, MD, United States. (Pardo C.; Mori S.; Ross C.A.) Department of Neurology, University of Maryland, Baltimore, MD, United States. (Sawa A.; Ross C.A.; Pletnikov M.V., mpletnik@jhmi.edu) Department of Neuroscience, University of Maryland, Baltimore, MD, United States. (Mori S.) Department of Radiology, University of Maryland, Baltimore, MD, United States. (Ross C.A.) Department of Pharmacology, University of Maryland, Baltimore, MD, United States. (Pletnikov M.V., mpletnik@jhmi.edu) Department of Molecular and Comparative Pathobiology, University of Maryland, Baltimore, MD, United States. (Kannan G.; Sawa A.; Ross C.A.; Pletnikov M.V., mpletnik@jhmi.edu) Program in Cellular and Molecular Medicine, University of Maryland, Baltimore, MD, United States. (Ishizuka K.; Kamiya A.; Sawa A.) Program in Molecular Psychiatry, Department of Psychiatry and Behavioral Sciences, University of Maryland, Baltimore, MD, United States. (Sawa A.) McKusick-Nathans Institute for Genetic Medicine, Johns Hopkins University School of Medicine, University of Maryland, Baltimore, MD, United States. (Ladenheim B.; Krasnova I.N.; Cadet J.L.) US Department of Health and Human Services, National Institute on Drug Abuse, University of Maryland, Baltimore, MD, United States. (Vogel M.W.) Maryland Psychiatric Research Center, University of Maryland, Baltimore, MD, United States. CORRESPONDENCE ADDRESS M. V. Pletnikov, Johns Hopkins University School of Medicine, Department of Psychiatry and Behavioral Sciences, 600 North Wolfe Street, CMSC 8-121, Baltimore, MD 21287, United States. Email: mpletnik@jhmi.edu SOURCE Biological Psychiatry (2010) 68:12 (1172-1181). Date of Publication: 15 Dec 2010 ISSN 0006-3223 BOOK PUBLISHER Elsevier USA, 6277 Sea Harbor Drive, Orlando, United States. ABSTRACT Background Gene-environment interactions (GEI) are involved in the pathogenesis of mental diseases. We evaluated interaction between mutant human disrupted-in-schizophrenia 1 (mhDISC1) and maternal immune activation implicated in schizophrenia and mood disorders. Methods Pregnant mice were treated with saline or polyinosinic:polycytidylic acid at gestation day 9. Levels of inflammatory cytokines were measured in fetal and adult brains; expression of mhDISC1, endogenous DISC1, lissencephaly type 1, nuclear distribution protein nudE-like 1, glycoprotein 130, growth factor receptor-bound protein 2, and glycogen synthase kinase-3beta were assessed in cortical samples of newborn mice. Tissue content of monoamines, volumetric brain abnormalities, dendritic spine density in the hippocampus, and various domains of the mouse behavior repertoire were evaluated in adult male mice. Results Prenatal interaction produced anxiety, depression-like responses, and altered social behavior that were accompanied by decreased reactivity of the hypothalamic-pituitary-adrenal axis, attenuated serotonin neurotransmission in the hippocampus, reduced enlargement of lateral ventricles, decreased volumes of amygdala and periaqueductal gray matter and density of spines on dendrites of granule cells of the hippocampus. Prenatal interaction modulated secretion of inflammatory cytokines in fetal brains, levels of mhDISC1, endogenous mouse DISC1, and glycogen synthase kinase-3beta. The behavioral effects of GEI were observed only if mhDISC1 was expressed throughout the life span. Conclusions Prenatal immune activation interacted with mhDISC1 to produce the neurobehavioral phenotypes that were not seen in untreated mhDISC1 mice and that resemble aspects of major mental illnesses. Our DISC1 mouse model is a valuable system to study GEI relevant to mental illnesses. © 2010 Society of Biological Psychiatry. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) disrupted in schizophrenia 1 protein (endogenous compound) EMTREE DRUG INDEX TERMS cytokine (endogenous compound) glycogen synthase kinase 3beta (endogenous compound) glycoprotein gp 130 (endogenous compound) growth factor receptor bound protein 2 (endogenous compound) monoamine (endogenous compound) polyinosinic polycytidylic acid serotonin (endogenous compound) sodium chloride EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) immune response mental disease EMTREE MEDICAL INDEX TERMS agyria amygdala animal experiment animal model anxiety article bone density brain lateral ventricle controlled study dendrite dendritic spine depression gestational age gray matter hippocampus hypothalamus hypophysis adrenal system male mouse nonhuman priority journal social behavior CAS REGISTRY NUMBERS growth factor receptor bound protein 2 (148266-08-4) polyinosinic polycytidylic acid (24939-03-5, 26301-44-0) serotonin (50-67-9) sodium chloride (7647-14-5) EMBASE CLASSIFICATIONS Immunology, Serology and Transplantation (26) Clinical and Experimental Biochemistry (29) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2010669104 MEDLINE PMID 21130225 (http://www.ncbi.nlm.nih.gov/pubmed/21130225) PUI L360106990 DOI 10.1016/j.biopsych.2010.09.022 FULL TEXT LINK http://dx.doi.org/10.1016/j.biopsych.2010.09.022 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 234 TITLE The experience of parents who continue a pregnancy after a diagnosis of a life-limiting condition in their baby AUTHOR NAMES Saya S. Hynson J. Horwood A. Buscombe S. Hodgson J. AUTHOR ADDRESSES (Saya S.; Hodgson J.) Paediatrics, University of Melbourne, Australia. (Hynson J.) Royal Children's Hospital, Melbourne, Australia. (Horwood A.) Royal Melbourne Hospital, Melbourne, Australia. (Buscombe S.) Peter MacCallum Familial Cancer Centre, Melbourne, Australia. (Hodgson J.) Genetics Education and Health Research, Murdoch Childrens Research Institute, Melbourne, Australia. CORRESPONDENCE ADDRESS S. Saya, Paediatrics, University of Melbourne, Australia. SOURCE Twin Research and Human Genetics (2010) 13:6 (661). Date of Publication: December 2010 CONFERENCE NAME 34th HGSA Annual Scientific Meeting CONFERENCE LOCATION Melbourne, VIC, Australia CONFERENCE DATE 2010-11-16 to 2010-11-18 ISSN 1832-4274 BOOK PUBLISHER Australian Academic Press ABSTRACT Following prenatal diagnosis of a life-limiting condition in their baby, parents may choose to continue their pregnancy aware that their baby will die before or shortly after birth. Perinatal Hospice Care is a structured program of care that is provided in some countries. This program cares for families in this situation by utilizing a multidisciplinary team and providing the opportunity for families to spend the time that they have with their baby in whatever way they wish. Worldwide, little is known about families' experiences after continuing a pregnancy with such a diagnosis and there is no published Australasian data. This exploratory project examines Victorian families' experiences of their baby's life-limiting diagnosis, birth and death. It aims to capture their views on the care and support received at that time, services they found useful and the perceived utility of a perinatal hospice program. Participants were recruited from hospital records and support groups in Victoria, Australia. In-depth, qualitative interviews were conducted with ten parents. Thematic analysis was utilized to identify common themes. Preliminary data analysis reveals that the uncertainty associated with many diagnoses and the responses from health professionals, family and friends has a large impact on families' experiences at this time. Showing respect for the life of the baby is a key theme. All participants were supportive of all aspects of the Perinatal Hospice model. Participants showed great willingness to participate in sensitive research about their experiences. The final results of this study will be presented and the implications for future care provision will be discussed. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) baby diagnosis parent pregnancy EMTREE MEDICAL INDEX TERMS Australia data analysis death friend health practitioner hospice hospice care interview medical record model prenatal diagnosis support group thematic analysis LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70318351 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 235 TITLE Sex-dependent behavioral effects and morphological changes in the hippocampus after prenatal invasive interventions in rats: Implications for animal models of schizophrenia AUTHOR NAMES von Wilmsdorff M. Sprick U. Bouvier M.-L. Schulz D. Schmitt A. Gaebel W. AUTHOR ADDRESSES (von Wilmsdorff M., martina.wilmsdorff@lvr.de; Bouvier M.-L.; Gaebel W.) LVR-Klinikum Düsseldorf, Kliniken der Heinrich-Heine-Universität, Düsseldorf, Germany. (Sprick U.) LWL-Klinik Dortmund, Dortmund, Germany. (Schulz D.) Medical Department, Brookhaven National Laboratory, Upton, NY, United States. (Schmitt A.) Department of Psychiatry, University of Göttingen, Göttingen, Germany. CORRESPONDENCE ADDRESS M. von Wilmsdorff, LVR-Klinikum Düsseldorf, Kliniken der Heinrich-Heine-Universität, Düsseldorf, Germany. Email: martina.wilmsdorff@lvr.de SOURCE Clinics (2010) 65:2 (209-220). Date of Publication: 2010 ISSN 1807-5932 BOOK PUBLISHER Universidade de Sao Paulo, Av.Dr.Arnaldo 455-Cerqueira Cesar, Sao Paulo, Brazil. ABSTRACT Objectives: Although schizophrenia affects both human genders, there are gender-dependent differences with respect to age of onset, clinical characteristics, course and prognosis of the disease. Methods: To investigate sex-dependent differences in motor coordination and activity as well as in cognitive and social behavior, we repeatedly tested female (n = 14) and male (n = 12) Fisher rats (postnatal days, PD 56-174) that had received intracerebroventricular injections of kainic acid as well as female (n = 15) and male (n = 16) control animals. The hippocampus was examined histologically. Results: Compared to male controls, in the alcove test both female controls and female animals with prenatal intervention spent less time in a dark box before entering an unknown illuminated area. Again, animals that received prenatal injection (particularly females) made more perseveration errors in the T-maze alternation task compared to controls. Female rats exhibited a higher degree of activity than males, suggesting these effects to be sex-dependent. Finally, animals that received prenatal intervention maintained longer lasting social contacts. Histological analyses showed pyramidal cells in the hippocampal area CA3 (in both hemispheres) of control animals to be longer than those found in treated animals. Sex-dependent differences were found in the left hippocampi of control animals and animals after prenatal intervention. Conclusion: These results demonstrate important differences between males and females in terms of weight gain, response to fear, working memory and social behavior. We also found sex-dependent differences in the lengths of hippocampal neurons. Further studies on larger sample sets with more detailed analyses of morphological changes are required to confirm our data. EMTREE DRUG INDEX TERMS amino acid receptor stimulating agent kainic acid EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) hippocampus motor activity prenatal exposure schizophrenia social behavior EMTREE MEDICAL INDEX TERMS animal article chemically induced disorder disease model drug effect female Fischer 344 rat intracerebroventricular drug administration male maze test pathophysiology pregnancy prenatal development rat sex difference CAS REGISTRY NUMBERS kainic acid (487-79-6) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 20186306 (http://www.ncbi.nlm.nih.gov/pubmed/20186306) PUI L359374271 DOI 10.1590/S1807-59322010000200014 FULL TEXT LINK http://dx.doi.org/10.1590/S1807-59322010000200014 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 236 TITLE Prenatal depression effects and interventions: A review AUTHOR NAMES Field T. Diego M. Hernandez-Reif M. AUTHOR ADDRESSES (Field T., tfield@med.miami.edu; Diego M.) Touch Research Institutes, University of Miami Medical School, United States. (Field T., tfield@med.miami.edu) Fielding Graduate University, United States. (Hernandez-Reif M.) University of Alabama, United States. CORRESPONDENCE ADDRESS T. Field, Touch Research Institute, University of Miami School of Medicine, Department of Pediatrics (D-820), P.O. 016820, Miami, FL 33101, United States. Email: tfield@med.miami.edu SOURCE Infant Behavior and Development (2010) 33:4 (409-418). Date of Publication: December 2010 ISSN 0163-6383 BOOK PUBLISHER Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom. ABSTRACT 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. © 2010 Elsevier Inc. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) hydrocortisone (endogenous compound) EMTREE DRUG INDEX TERMS dopamine (endogenous compound) serotonin (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) major depression (prevention, therapy) pregnancy outcome prenatal period EMTREE MEDICAL INDEX TERMS anxiety disorder article comorbidity dopamine blood level dysthymia educational status emotion fetus growth fetus outcome gestational age growth retardation hormone response human hydrocortisone blood level low birth weight massage maternal age prematurity priority journal psychotherapy puerperium risk assessment risk factor serotonin blood level sleep disorder substance abuse CAS REGISTRY NUMBERS dopamine (51-61-6, 62-31-7) hydrocortisone (50-23-7) serotonin (50-67-9) EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2010672163 MEDLINE PMID 20471091 (http://www.ncbi.nlm.nih.gov/pubmed/20471091) PUI L50908303 DOI 10.1016/j.infbeh.2010.04.005 FULL TEXT LINK http://dx.doi.org/10.1016/j.infbeh.2010.04.005 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 237 TITLE Birth and beyond california: Before and after a hospital continuous quality improvement project to support breastfeeding AUTHOR NAMES Haydu S. Shields L.K. Saraiva C. Ramstrom K. Fahey C. Peters K.A. AUTHOR ADDRESSES (Haydu S.; Shields L.K.; Saraiva C.; Ramstrom K.) California Department of Public Health: Maternal, Child and Adolescent Health Division, Sacramento, United States. (Fahey C.; Peters K.A.) Perinatal Advisory Council: Leadership Advocacy and Consultation, Los Angeles, United States. CORRESPONDENCE ADDRESS K. Ramstrom, California Department of Public Health: Maternal, Child and Adolescent Health Division, Sacramento, United States. SOURCE Breastfeeding Medicine (2010) 5:6 (328). Date of Publication: 1 Dec 2010 CONFERENCE NAME 15th Annual International Meeting of the Academy of Breastfeeding Medicine - Breastfeeding: A Bridge to the Gold Standard CONFERENCE LOCATION San Francisco, CA, United States CONFERENCE DATE 2010-10-27 to 2010-10-30 ISSN 1556-8253 BOOK PUBLISHER Mary Ann Liebert Inc. ABSTRACT Background: Exclusive breastfeeding is the optimalmode of infant feeding for the first 6 months of life. According to 2007 data published by California Department of Public Health (CDPH), out of 87% planning to breastfeed, less than 43% of women exclusively breastfeed their infants while in the hospital. In 2008, the Maternal, Child, and Adolescent Health Division, CDPH began piloting Birth and Beyond California (BBC) to improve exclusive breastfeeding rates by assisting participating birthing hospitals to adopt evidence-based breastfeeding policies and Model Hospital Policy Recommendations. Selected Regional Perinatal Programs of California partnered with hospitals to develop and utilize interdisciplinary continuous quality improvement (CQI) teams to implement these policies. Objective: Collaborate with California birthing hospitals with the lowest exclusive breastfeeding initiation rates to develop CQI that implements the Model Hospital Policy Recommendations. Methods: Hospitals completed a Breastfeeding Policy Self- Appraisal before and after interventions to track their progress in policy implementation. Pre-post tests measured staff knowledge and self efficacy. Results: In 23 participating hospitals, 685 staff completed BBC training leading to increased staff knowledge and self-efficacy. CQI strategies found imperative to implement evidence-based maternity policies and practices included: obtaining early administrative buy-in, creating a multidisciplinary hospital CQI team to develop and monitor breastfeeding policies, training staff to initiate skin-to-skin and attachment, and initiating a network among birthing hospitals. Educational materials developed and tested by BBC are available at the CDPH Breastfeeding and Healthy Living website. Conclusions: CQI is essential in overcoming barriers to a mother's choice to initiate exclusive breastfeeding in the hospital. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) gold standard hospital total quality management United States EMTREE MEDICAL INDEX TERMS adolescent health child evidence based practice female hospital policy infant infant feeding model mother planning policy public health self concept skin LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70317056 DOI 10.1089/bfm.2010.9982 FULL TEXT LINK http://dx.doi.org/10.1089/bfm.2010.9982 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 238 TITLE The Internet: One important source for pregnancy and childbirth information among prospective fathers AUTHOR NAMES Johansson M. Rubertsson C. Rådestad I. Hildingsson I. AUTHOR ADDRESSES (Johansson M., margareta.johansson@miun.se; Hildingsson I.) Department of Health Sciences, Mid Sweden University, SE-851 70 Sundsvall, Sweden. (Rubertsson C.) Department of Women's and Children's Health, Uppsala University, SE-751 85 Uppsala, Sweden. (Rådestad I.) Department of Caring Sciences, Sophiahemmet University College, SE-114 86 Stockholm, Sweden. (Hildingsson I.) Department of Women's and Children's Health, Karolinska Institutet, SE-171 77 Stockholm, Sweden. CORRESPONDENCE ADDRESS M. Johansson, Department of Health Sciences, Mid Sweden University, SE-851 70 Sundsvall, Sweden. Email: margareta.johansson@miun.se SOURCE Journal of Men's Health (2010) 7:3 (249-258). Date of Publication: October 2010 ISSN 1875-6867 1875-6859 (electronic) BOOK PUBLISHER Elsevier, P.O. Box 211, Amsterdam, Netherlands. ABSTRACT Background: Fathers' involvement in pregnancy and childbirth has increased, and this can benefit their own health as well as their partners' and children's health. The objective of this study was to investigate the sources of pregnancy and childbirth information that expectant fathers used in pregnancy, with a specific focus on the Internet. Methods: This was a cross-sectional study of 1105 prospective fathers in Sweden. Data were collected in a single year by means of a questionnaire in mid-pregnancy. Results: The Internet was used by 58% of the fathers. The Internet as a source of information was more often used by fathers expecting their first child (relative risk (RR) = 1.4; range = 1.2-1.7), fathers with a high level of education (RR = 1.3; range = 1.2-1.5) and those who had a previous experience of caesarean section (RR = 1.3; range = 1.1-1.6). Other important sources for pregnancy and childbirth information were the midwife and the pregnant partner. Conclusions: The Internet is, in addition to the midwife and the pregnant partner, a common source of pregnancy and childbirth information for prospective fathers. Antenatal caregivers need to be updated about preferable web sites for pregnancy and childbirth information, and give the couple a chance to reflect and talk about what they retrieve from the Internet. © 2010 WPMH GmbH. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education expectant father medical information pregnancy EMTREE MEDICAL INDEX TERMS adult article cesarean section cross-sectional study educational status employment status human Internet major clinical study male male infertility marriage midwife parenting education personal experience priority journal smoking Sweden EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2012562572 PUI L51069549 DOI 10.1016/j.jomh.2010.04.004 FULL TEXT LINK http://dx.doi.org/10.1016/j.jomh.2010.04.004 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 239 TITLE Effects of family foundations on parents and children: 3.5 years after baseline AUTHOR NAMES Feinberg M.E. Jones D.E. Kan M.L. Goslin M.C. AUTHOR ADDRESSES (Feinberg M.E., mef11@psu.edu; Jones D.E.) Prevention Research Center, Pennsylvania State University, United States. (Kan M.L.) RTI International, Research Triangle Park, NC, United States. (Goslin M.C.) Yale Child Study Center, New Haven, CT, United States. CORRESPONDENCE ADDRESS M.E. Feinberg, Prevention Research Center, S-109 Henderson Building, University Park, PA 16802, United States. Email: mef11@psu.edu SOURCE Journal of Family Psychology (2010) 24:5 (532-542). Date of Publication: October 2010 ISSN 0893-3200 BOOK PUBLISHER American Psychological Association Inc., 750 First Street NE, Washington, United States. ABSTRACT This study investigated the ability of a psychosocial prevention program implemented through childbirth education programs to enhance the coparental and couple relationship, parental mental health, the parent-child relationship, and child outcomes. A sample of 169 heterosexual, adult couples expecting their first child was randomized to intervention and control conditions. The intervention families participated in Family Foundations, a series of eight classes delivered before and after birth, which was designed as a universal prevention program (i.e., applicable to all couples, not just those at high risk). Intent-to-treat analyses utilizing data collected from child age 6 months through 3 years indicated significant program effects on parental stress and self-efficacy, coparenting, harsh parenting, and children's emotional adjustment among all families, and maternal depression among cohabiting couples. Among families of boys, program effects were found for child behavior problems and couple relationship quality. These results indicate that a universal prevention approach at the transition to parenthood focused on enhancing family relationships can have a significant and substantial positive impact on parent and child well-being. © 2010 American Psychological Association. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child behavior family relation health education parent EMTREE MEDICAL INDEX TERMS adaptive behavior adult article child child parent relation clinical trial controlled clinical trial controlled study family female follow up health care quality human infant male mental health mental stress (prevention) methodology preschool child psychological aspect questionnaire randomized controlled trial self concept statistics United States LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 20954763 (http://www.ncbi.nlm.nih.gov/pubmed/20954763) PUI L359882984 DOI 10.1037/a0020837 FULL TEXT LINK http://dx.doi.org/10.1037/a0020837 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 240 TITLE Working with fathers and mothers attending childbirth classes. Proposal for a model to enhance parenthood AUTHOR NAMES Nicoletta P. Donatella D. Tulliola F. AUTHOR ADDRESSES (Nicoletta P.; Donatella D.; Tulliola F.) Dept. of Gynaecology and Human Reproduction, University of Padua, Italy. CORRESPONDENCE ADDRESS P. Nicoletta, Dept. of Gynaecology and Human Reproduction, University of Padua, Italy. SOURCE Journal of Psychosomatic Obstetrics and Gynecology (2010) 31 SUPPL. 1 (119). Date of Publication: October 2010 CONFERENCE NAME Abstract of 15th International Congress of ISPOG CONFERENCE LOCATION Venezia, Italy CONFERENCE DATE 2010-10-28 to 2010-10-30 ISSN 0167-482X BOOK PUBLISHER Informa Healthcare ABSTRACT Social and cultural changes introduce the need to actively involve fathers in the birth path. When a child is born there is a concentration of emotional expectations which also affect the father figure. To include the father in preparation for birth means to give him room for expressing himself within the interaction with the motherly figure. The space of reflection specifically activated in the group classes, with other couples involved, strengthens the parental couple to share assumption of responsibility in generating and educating through cooperation. The coexistence and the comparison between the affective code connected with Maternity and the code for normative-ethics related to Paternity stimulates, even before birth, the integration of mutual differences and cooperation thus aiming to achieve the welfare of the Family System as a whole. Presently, Society is searching a new balance between maternal and paternal codes in an attempt to conjugate authoritativeness with family intimacy. The authors present their experience in birth preparation sessions for parents- to-be at the Servizio di Psicoprofilassi Ostetrica, Department of Gynaecology and Human Reproduction, University of Padua. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth father model mother parenthood EMTREE MEDICAL INDEX TERMS child conjugate ethics gynecology intimacy parent paternity reproduction responsibility society university welfare LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70302299 DOI 10.3109/0167482x.2010.536387 FULL TEXT LINK http://dx.doi.org/10.3109/0167482x.2010.536387 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 241 TITLE Triple X syndrome: Characteristics of 42 Italian girls and parental emotional response to prenatal diagnosis AUTHOR NAMES Lalatta F. Quagliarini D. Folliero E. Cavallari U. Gentilin B. Castorina P. Forzano F. Forzano S. Grosso E. Viassolo V. Naretto V.G. Gattone S. Ceriani F. Faravelli F. Gargantini L. AUTHOR ADDRESSES (Lalatta F., f.lalatta@policlinico.mi.it; Folliero E.; Gentilin B.; Castorina P.) UOD Genetica Medica, Dipartimento Area Salute della Donna Del Bambino e Del Neonato Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy. (Quagliarini D.; Ceriani F.) Clinica Ostetrico-ginecologica, Dipartimento Area Salute della Donna Del Bambino e Del Neonato Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy. (Cavallari U.) Centro Malattie Rare Cardiologiche, UO Cardiologia AO Sacco, Milan, Italy. (Forzano F.; Viassolo V.; Gattone S.; Faravelli F.) SSD Genetica Medica E.O. Ospedali Galliera, Genoa, Italy. (Forzano S.) Genetica Medica, AOU San Giovanni Battista di Torino and Dipartimento di Pediatria, Università di Torino, Turin, Italy. (Grosso E.; Naretto V.G.) Genetica Medica AOU San Giovanni Battista di Torino, Turin, Italy. (Viassolo V.) Centro Tumori Ereditari IST Genova, Genoa, Italy. (Gargantini L.) U.O. Pediatria, A. O. Treviglio, Treviglio, Italy. CORRESPONDENCE ADDRESS F. Lalatta, UOD Genetica Medica, Dipartimento Area Salute della Donna Del Bambino e Del Neonato Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy. Email: f.lalatta@policlinico.mi.it SOURCE European Journal of Pediatrics (2010) 169:10 (1255-1261). Date of Publication: October 2010 ISSN 0340-6199 BOOK PUBLISHER Springer Verlag, Tiergartenstrasse 17, Heidelberg, Germany. ABSTRACT We report clinical and behavioural evaluation data in 42 Italian girls with triple X syndrome whose diagnosis was made prenatally between 1998 and 2006 in three Italian centres. At initial evaluation, reproductive and medical histories were collected. Clinical assessment of the child was performed by a clinical geneticist and included a detailed personal history, physical evaluation and auxological measurements. To analyse how parents coped with specific events in the prenatal and postnatal periods, we conducted an interview that included 35 specific questions designed to elicit retrospective judgements on prenatal communication, present and future worries, needs and expectations. In a subset of probands, we also administered the formal Italian Temperament Questionnaire assessment test that investigates adaptation, general environment and socialisation. This test also assesses the emotional component of temperament. Clinical results in the affected children are similar to those previously reported with evidence of increased growth in the pre-puberal age and an average incidence of congenital malformation and health needs. Median age for the time first words were pronounced was 12 months, showing a slight delay in language skills, which tended to improve by the time they reached school age. Parental responses to the interview demonstrated residual anxiety but with a satisfactory adaptation to and a positive recall of the prenatal counselling session. Parental adaptation of the 47,XXX girls require indeed a proper educational support. This support seems to be available in Italy. An integrated approach to prenatal counselling is the best way to manage the anxiety and falsely imagined consequences that parents feel after being told that their foetus bears such a genetic abnormality. © 2010 Springer-Verlag. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) karyotype 47,XXX (epidemiology, etiology) EMTREE MEDICAL INDEX TERMS article child clinical article clinical feature congenital malformation (epidemiology) emotion female genetic disorder human incidence interview Italy language parental behavior perinatal period prenatal diagnosis prenatal period preschool child priority journal questionnaire EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) Human Genetics (22) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2010471472 MEDLINE PMID 20473517 (http://www.ncbi.nlm.nih.gov/pubmed/20473517) PUI L50913670 DOI 10.1007/s00431-010-1221-8 FULL TEXT LINK http://dx.doi.org/10.1007/s00431-010-1221-8 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 242 TITLE Triple X syndrome ascertained through prenatal diagnosis: Characteristics of 42 young Italian girls and parental emotional response to prenatal diagnosis and counselling AUTHOR NAMES Lalatta F. Quagliarini D. Folliero E. Cavallari U. Gentilin B. Castorina P. Forzano F. Forzano S. Grosso E. Viassolo V. Naretto V.G. Gattone S. Ceriani F. Faravelli F. Gargantini L. AUTHOR ADDRESSES (Lalatta F.; Folliero E.; Gentilin B.; Castorina P.) UOD Genetica Medica, Dipartimento Area Salute della Donna del Bambino e del Neonato Fondazione, IRCCS Cà Granda, Milano, Italy. (Quagliarini D.; Ceriani F.) Clinica Ostetrico-Ginecologica, Dipartimento Area Salute della Donna del Bambino e del Neonato Fondazione, Ospedale Maggiore Policlinico, Italy. (Cavallari U.) Centro Malattie Rare Cardiologiche, UO Cardiologia AO Sacco, Milano, Italy. (Forzano F.; Viassolo V.; Gattone S.; Faravelli F.) SSD Genetica Medica, E. O. Ospedali Galliera, Genova, Italy. (Forzano S.) Genetica Medica, AOU San Giovanni Battista di Torino and Dipartimento di Pediatria, Università di Torino, Italy. (Grosso E.; Naretto V.G.) Genetica Medica, AOU San Giovanni Battista di Torino, Italy. (Viassolo V.) Centro Tumori Ereditari IST, Genova, Italy. (Gargantini L.) U.O. Pediatria, A. O. Treviglio, Treviglio, Italy. CORRESPONDENCE ADDRESS F. Lalatta, UOD Genetica Medica, Dipartimento Area Salute della Donna del Bambino e del Neonato Fondazione, IRCCS Cà Granda, Milano, Italy. SOURCE Journal of Intellectual Disability Research (2010) 54:10 (887). Date of Publication: October 2010 CONFERENCE NAME 13th International Symposium of the Society for the Study of Behavioural Phenotypes, SSBP 2010 CONFERENCE LOCATION Pavia, Italy CONFERENCE DATE 2010-10-23 to 2010-10-25 CONFERENCE EDITORS Verri A. Oliver C. ISSN 0964-2633 BOOK PUBLISHER Blackwell Publishing Ltd ABSTRACT Background: 47, XXX karyotype is present in about 1/1000 females, often diagnosed incidentally. Clinical features are subtle and can include tall stature, increased incidence of speech delay, mild intellectual disability and poor motor coordination. Behavioural problems have been reported but not fully confirmed. The diagnosis during pregnancy can represent a dilemma for prospective parents. An unresolved anxiety might adversely alter their psychological relationship to their pregnancy and their child. The purpose of our study was to gather clinical data from the carrier girls and to analyze the psychological outcomes of the families on a large Italian cohort, which is represented by 42 triple X prenatal diagnoses between 1998 and 2006 in three Italian Centre's. Method: Clinical assessment included: personal history, physical evaluation, auxological measurements and, in a subset, the formal Italian Temperament Questionnaire assessment test. To analyze how parents coped with the diagnosis in the prenatal and postnatal periods, we conducted a structured interview with 35 items designed to elicit judgements on prenatal communication, present and future worries, and needs and expectations. Results: Girls with triple X in our cohort showed: median age for the first words at 12 months, slight delay in language skills, increased growth in the pre-puberal age, average incidence of congenital malformation and health needs. Parental responses to the interview demonstrated residual anxiety but with a satisfactory adaptation and a positive recall of the prenatal counselling session. Conclusion: Girls of our cohort do not present significant differences in physical development compared with their siblings and with other children of the same age. The assessment of the temperament in our paediatric cohort showed a normal functional adaptation in most girls. An integrated approach to prenatal counselling is the best way to manage the anxiety and false expectations which parents feel after being told that their foetus bears this chromosomal abnormality. EMTREE DRUG INDEX TERMS pyrethrin EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adaptation counseling emotion female genetic counseling girl human karyotype 47,XXX phenotype prenatal diagnosis society EMTREE MEDICAL INDEX TERMS anxiety child chromosome aberration clinical assessment clinical feature clinical study congenital malformation decision making diagnosis disability fetus health interpersonal communication interview karyotype language motor coordination parent perinatal period physical development pregnancy questionnaire recall sibling skill speech structured interview tall stature temperament LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70560124 DOI 10.1111/j.1365-2788.2010.01329.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1365-2788.2010.01329.x COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 243 TITLE Seroprevalence of cytomegalovirus in Lagos prepregnancy class population 1997 to 2009 AUTHOR NAMES Ajayi G. Omilabu S. Ogunsola O. Alamu A. AUTHOR ADDRESSES (Ajayi G.; Ogunsola O.; Alamu A.) College of Medicine, University of Lagos, Department of Obstetrics and Gynaecology, Lagos, Nigeria. (Omilabu S.) College of Medicine, University of Lagos, Microbiology, Lagos, Nigeria. CORRESPONDENCE ADDRESS G. Ajayi, College of Medicine, University of Lagos, Department of Obstetrics and Gynaecology, Lagos, Nigeria. SOURCE Archives of Gynecology and Obstetrics (2010) 282 SUPPL. 1 (S224-S225). Date of Publication: October 2010 CONFERENCE NAME 58th Congress of the German Society for Gynecology and Obstetrics (Deutsche Gesellschaft fur Gynakologie und Geburtshilfe, DGGG) CONFERENCE LOCATION Munich, Germany CONFERENCE DATE 2010-10-05 to 2010-10-08 ISSN 0932-0067 BOOK PUBLISHER Springer Verlag ABSTRACT Objective: There is a little information on the incidence and prevalence of Cytomegalovirus (CMV) Infection in Lagos/Nigeria. The risk of congenital cytomegalovirus in sero-positive pregnant women has been found to produce congenital abnormalities even in developed countries. The aim of the study is to determine the seroprevalence of cytomegalovirus antibody in prepregnancy class population of men and women. Setting: A Prenatal Diagnosis and Therapy Centre of a Tertiary Hospital in Lagos. Study and Design: This is a cross sectional study of men and women attending the prepregnancy class facilities in the centre. Materials and methods: Between June 1997 and December 2009, the seroprevalence of Cytomegalovirus was determined in this study from 2,857 men and women. A total of 1,547 CMV IgG sero-positives, were screened for IgM seropositivity using ELISA kits. Results: A total of 190 (22.1%) males out of 860, 388 (19.8%) females out of 964 and 7 (21.2%) unknown sex out of 33 were found to be susceptible to CMV infection. The infection seropositivity rate related to prior infection were 77.9% (670) in males, 80.1% (1,576) females and 78.8% (26) unknown sex. CMV IgM seropositivity was found in 23.8% (99) out of 416 males, 32% (353) out of 1,103 females and 21.4% (6) out of 28 unknown sexes. Conclusions: This prevalence of CMV antibody in prepregnancy class population of men and women shows high susceptibility and reinfection or active infection rates, leading to a high risk of transmission among couples. EMTREE DRUG INDEX TERMS antibody Cytomegalovirus antibody immunoglobulin G immunoglobulin M EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Cytomegalovirus gynecology obstetrics population seroprevalence society EMTREE MEDICAL INDEX TERMS congenital disorder cross-sectional study cytomegalovirus infection developed country enzyme linked immunosorbent assay female infection infection rate male pregnant woman prenatal diagnosis prevalence reinfection risk tertiary health care therapy LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70290079 DOI 10.1007/s00404-010-1634-7 FULL TEXT LINK http://dx.doi.org/10.1007/s00404-010-1634-7 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 244 TITLE Seroprevalence of Chlamydia trachomatis in Lagos prepregnancy class population 1997 to 2009 AUTHOR NAMES Alamu A. Ajayi G. Omilabu S. Badaru S. Ogunsola O. AUTHOR ADDRESSES (Alamu A.; Ajayi G.; Ogunsola O.) College of Medicine, University of Lagos, Prenatal Diagnosis and Therapy Centre, Lagos, Nigeria. (Omilabu S.; Badaru S.) College of Medicine, University of Lagos, Microbiology, Lagos, Nigeria. CORRESPONDENCE ADDRESS A. Alamu, College of Medicine, University of Lagos, Prenatal Diagnosis and Therapy Centre, Lagos, Nigeria. SOURCE Archives of Gynecology and Obstetrics (2010) 282 SUPPL. 1 (S74-S75). Date of Publication: October 2010 CONFERENCE NAME 58th Congress of the German Society for Gynecology and Obstetrics (Deutsche Gesellschaft fur Gynakologie und Geburtshilfe, DGGG) CONFERENCE LOCATION Munich, Germany CONFERENCE DATE 2010-10-05 to 2010-10-08 ISSN 0932-0067 BOOK PUBLISHER Springer Verlag ABSTRACT Objective: There is a little information on the incidence and prevalence of Chlamydia trachomatis infection in Lagos/Nigeria. The risk of infection in sero-positive women has been found to produce tubal factor, spontaneous abortion and spontaneous infection of membrane even in developed countries. The aim of the study is to determine the seroprevalence of Chlamydia trachomatis antibody in prepregnancy class population of men and women. Setting: A Prenatal Diagnosis and Therapy Centre of a Tertiary Hospital in Lagos. This is a cross sectional study of men and women attending the prepregnancy class facilities in the centre. Materials and methods: Between June 1997 and December 2009, the seroprevalence of Chlamydia trachomatis was determined in this study in 2,450 men and women. A total of 729 Chlamydia trachomatis IgG sero-positive, were screened for IgM seropositivity using ELISA kits. Results: A total of 407 (55.3%) males out of 736, 866 (50.5%) females out of 1,714 were found to be susceptible to Chlamydia trachomatis. The infection seropositivity rate related to prior infection was 44.7% (329) males and 49.5% (848) in females. Chlamydia trachomatis IgM seropositivity was found in 34.6% (75) out of 217 males and 41.2% (211) out of 512 females. Conclusions: This prevalence of Chlamydia antibody in prepregnancy class population of men and women shows high susceptibility and reinfection or active infection rates leading to high risk of transmission among couples. EMTREE DRUG INDEX TERMS antibody immunoglobulin G immunoglobulin M EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Chlamydia trachomatis gynecology obstetrics population seroprevalence society EMTREE MEDICAL INDEX TERMS Chlamydia chlamydiasis cross-sectional study developed country enzyme linked immunosorbent assay female infection infection rate male membrane prenatal diagnosis prevalence reinfection risk spontaneous abortion tertiary health care therapy LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70289608 DOI 10.1007/s00404-010-1634-7 FULL TEXT LINK http://dx.doi.org/10.1007/s00404-010-1634-7 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 245 TITLE Seroprevalence of toxoplasmosis in Lagos prepregnancy class population 1997 to 2009 AUTHOR NAMES Ajayi G. Omilabu S. Badaru S. Ogunsola O. Alamu A. AUTHOR ADDRESSES (Ajayi G.; Ogunsola O.; Alamu A.) College of Medicine, University of Lagos, Department of Obstetrics and Gynaecology, Lagos, Nigeria. (Omilabu S.; Badaru S.) College Of Medicine, University of Lagos, Microbiology, Lagos, Nigeria. CORRESPONDENCE ADDRESS G. Ajayi, College of Medicine, University of Lagos, Department of Obstetrics and Gynaecology, Lagos, Nigeria. SOURCE Archives of Gynecology and Obstetrics (2010) 282 SUPPL. 1 (S81). Date of Publication: October 2010 CONFERENCE NAME 58th Congress of the German Society for Gynecology and Obstetrics (Deutsche Gesellschaft fur Gynakologie und Geburtshilfe, DGGG) CONFERENCE LOCATION Munich, Germany CONFERENCE DATE 2010-10-05 to 2010-10-08 ISSN 0932-0067 BOOK PUBLISHER Springer Verlag ABSTRACT Objective: There is a little information on the incidence and prevalence of Toxoplasmosis infection in Lagos/Nigeria. The risk of congenital infection in sero-positive pregnant women has been found to produce congenital abnormalities and spontaneous abortion even in developed countries. The aim of the study is to determine the seroprevalence of Toxoplasmosis antibody in prepregnancy class population of men and women. Setting: A Prenatal Diagnosis and Therapy Centre of a Tertiary Hospital in Lagos. Study and design: This is a cross sectional study of men and women attending the prepregnancy class facilities in the centre. Materials and methods: Between June 1997 and December 2009, the seroprevalence of Toxoplasmosis was determined in this study in 2,273 men and women. A total of 803 Toxoplasmosis IgG seropositive, were screened for IgM seropositivity using ELISA kits. Results: A total of 344 (52.4%) males out of 656, 796 (49.2%) females out of 1,617 were found to be susceptible to Toxoplasmosis. The infection seropositivity rate related to prior infection was 47.6% (312) males and 50.8% (821) in females. CMV IgM seropositivity was found in 17.6% (40) out of 227 males and 22% (127) out of 576 females. Conclusions: This prevalence of Toxoplasmosis antibody in prepregnancy class population of men and women shows high susceptibility and reinfection or active infection rates leading to high risk of transmission among couples. EMTREE DRUG INDEX TERMS antibody immunoglobulin G immunoglobulin M EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) gynecology obstetrics population seroprevalence society toxoplasmosis EMTREE MEDICAL INDEX TERMS congenital disorder congenital infection cross-sectional study developed country enzyme linked immunosorbent assay female infection infection rate male pregnant woman prenatal diagnosis prevalence reinfection risk spontaneous abortion tertiary health care therapy LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70289631 DOI 10.1007/s00404-010-1634-7 FULL TEXT LINK http://dx.doi.org/10.1007/s00404-010-1634-7 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 246 TITLE Screening for postnatal in Italy: Self exclusion by women who use the public hospital AUTHOR NAMES Maria Q.R. Erika R. Alice C. Adriano C. Pietro G. AUTHOR ADDRESSES (Maria Q.R.; Erika R.; Alice C.; Adriano C.; Pietro G.) CORRESPONDENCE ADDRESS Q.R. Maria, SOURCE Journal of Psychosomatic Obstetrics and Gynecology (2010) 31 SUPPL. 1 (120). Date of Publication: October 2010 CONFERENCE NAME Abstract of 15th International Congress of ISPOG CONFERENCE LOCATION Venezia, Italy CONFERENCE DATE 2010-10-28 to 2010-10-30 ISSN 0167-482X BOOK PUBLISHER Informa Healthcare ABSTRACT Women at risk of postnatal depression are inclined not to get involved in preventive programmes. This retrospective study highlights the psycho-social features of these women who refuse to fill the screening questionnaire sent them by Hospital Psychology Unit, ULSS n. 6 Vicenza. These primipara women (502 on 1262 participants) were entirely voluntary and free of charge. The screening project was structured in two parts: at 3 days after delivery every mother was visited by a psychologist and filled the Edinburgh Postnatal Depression Scale (EPDS), the 12-item General Health Questionnaire (GHQ12) and the Postpartum Depression Predictors Inventory-Revised form (PDPI- Revised); at 6/8 weeks after delivery the EPDS and GHQ12, used as follow-up, were sent to every woman. We found that the women who refuse to fill the second questionnaire were more frequently unemployed and not married, they experienced more financial and couple distress and a lack of emotional support and care from their partners. They also did not participate at the ante-natal classes or not find it to be worthwhile. Last but not least these women got the higher scores in the EPDS test, and especially in the anxious items (3rd and 5th of the EPDS and 2nd of GHQ12). The knowledge and awareness of these characteristics is a big step to provide new and more efficient programs to take care of these women not letting them slip in the solitude that the post partum period can take them. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) female Italy public hospital screening EMTREE MEDICAL INDEX TERMS Edinburgh Postnatal Depression Scale follow up General Health Questionnaire hospital mother primipara psychologist psychology puerperal depression puerperium questionnaire retrospective study risk social isolation LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70302301 DOI 10.3109/0167482x.2010.536387 FULL TEXT LINK http://dx.doi.org/10.3109/0167482x.2010.536387 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 247 TITLE Long range outcome of prenatal treatment for congenital adrenal hyperplasia AUTHOR NAMES New M. Parsa A.A. AUTHOR ADDRESSES (New M.; Parsa A.A.) Mount Sinai School of Medicine, Adrenal Steroid Disorders Program, New York, United States. CORRESPONDENCE ADDRESS M. New, Mount Sinai School of Medicine, Adrenal Steroid Disorders Program, New York, United States. SOURCE Hormone Research in Paediatrics (2010) 74 SUPPL. 3 (120). Date of Publication: September 2010 CONFERENCE NAME 49th Annual Meeting of the European Society for Paediatric Endocrinology, ESPE 2010 CONFERENCE LOCATION Prague, Czech Republic CONFERENCE DATE 2010-09-22 to 2010-09-25 CONFERENCE EDITORS Lebl J. ISSN 1663-2818 BOOK PUBLISHER S. Karger AG ABSTRACT Prenatal diagnosis and treatment of Congenital Adrenal Hyperplasia (CAH) first began in France in 1987. The diagnosis was based on DNA analysis of fetal tissue obtained by amniocentesis or chorionic villus sampling. Since treatment must be initiated prior to the 9th week gestation and genetic analysis is usually not available before the 11th week, treatment with low dose dexamethasone is administered prior to confirming the diagnosis. CAH is an autosomal recessive trait affecting both males and females. As only affected female fetuses require treatment, 7 of 8 fetuses are temporarily treated unnecessarily. We have evaluated the long range effect (> than 12 years post-prenatal therapy) of prenatal low dose dexamethasone treatment in 149 male and female fetuses affected and unaffected with CAH. The following parameters evaluated were: 1) medical outcome including diabetes, hypertension and fractures, 2) psychoendocrine outcome including cognition, gender, behavior and performance. A marginal difference between dex-exposed vs dex-unexposed affected females showed a more feminine hobby preference and gender behavior in the dex-exposed group (p<0.095, p<0.07 respectively). There were no significant psychoendocrine differences in dex-exposed vs dex-unexposed males whether affected with CAH or not. Based on the Behavior Problem Scale, no significant changes between dex-exposed and dex-unexposed affected males or females were seen except that the dex-unex- posed patients had significantly higher attention problems (p<0.02) and were marginally more aggressive (p<0.095). There were no differences in educational outcome between those dex-treated vs untreated affected or not. No apparent difference in medical outcome of those dex-treated vs untreated was seen. These preliminary data show no detrimental effects in patients treated with low dose dexamethasone prenatally compared to those not treated. This study is being continued to increase the number of subjects. EMTREE DRUG INDEX TERMS ciprofloxacin dexamethasone DNA EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) congenital adrenal hyperplasia endocrinology society EMTREE MEDICAL INDEX TERMS amniocentesis autosomal recessive inheritance behavior disorder chorion villus sampling cognition diabetes mellitus diagnosis DNA determination female fetus fetus (anatomy) fracture France gender genetic analysis hypertension leisure low drug dose male patient pregnancy prenatal diagnosis therapy LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70462126 DOI 10.1159/000321348 FULL TEXT LINK http://dx.doi.org/10.1159/000321348 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 248 TITLE Fathers' educational needs for perinatal care in urban Iran: a qualitative approach. AUTHOR NAMES Simbar M. Nahidi F. Tehrani F.R. Ramezankhani A. AUTHOR ADDRESSES (Simbar M.) Department of Midwifery and Reproductive Health, Shahid Beheshti Medical Science University, Iran. (Nahidi F.; Tehrani F.R.; Ramezankhani A.) CORRESPONDENCE ADDRESS M. Simbar, Department of Midwifery and Reproductive Health, Shahid Beheshti Medical Science University, Iran. SOURCE Journal of biosocial science (2010) 42:5 (633-641). Date of Publication: Sep 2010 ISSN 1469-7599 (electronic) ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father maternal welfare needs assessment perinatal care urban population EMTREE MEDICAL INDEX TERMS adult article attitude to health emotion female health service human information processing Iran male methodology pregnancy psychological aspect qualitative research questionnaire social support statistics LANGUAGE OF ARTICLE English MEDLINE PMID 20470446 (http://www.ncbi.nlm.nih.gov/pubmed/20470446) PUI L360272605 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 249 TITLE Maternal perinatal undernutrition programs a "brown-like" phenotype of gonadal white fat in male rat at weaning AUTHOR NAMES Delahaye F. Lukaszewski M.-A. Wattez J.-S. Cisse O. Dutriez-Casteloot I. Fajardy I. Montel V. Dickes-Coopman A. Laborie C. Lesage J. Breton C. Vieau D. AUTHOR ADDRESSES (Delahaye F.; Lukaszewski M.-A.; Wattez J.-S.; Cisse O.; Dutriez-Casteloot I.; Fajardy I.; Montel V.; Dickes-Coopman A.; Laborie C.; Lesage J.; Breton C.; Vieau D., didier.vieau@univ-lille1.fr) Unité Environnement Périnatal et Croissance (EA 4489), Université Lille-Nord de France, Université de Lille 1, 59655 Villeneuve d'Ascq, France. CORRESPONDENCE ADDRESS D. Vieau, Unité Environnement Périnatal et Croissance (EA 4489), Université Lille-Nord de France, Université de Lille 1, 59655 Villeneuve d'Ascq, France. Email: didier.vieau@univ-lille1.fr SOURCE American Journal of Physiology - Regulatory Integrative and Comparative Physiology (2010) 299:1 (R101-R110). Date of Publication: July 2010 ISSN 0363-6119 1522-1490 (electronic) BOOK PUBLISHER American Physiological Society, 9650 Rockville Pike, Bethesda, United States. ABSTRACT 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. Copyright © 2010 the American Physiological Society. EMTREE DRUG INDEX TERMS leptin (endogenous compound) neuropeptide Y (endogenous compound) proopiomelanocortin (endogenous compound) uncoupling protein 1 (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) weaning white adipose tissue EMTREE MEDICAL INDEX TERMS adipocyte animal experiment animal model animal tissue article body weight brain brown adipose tissue controlled study developmental stage diet restriction energy metabolism gene expression gene overexpression hyperphagia immunohistochemistry male malnutrition metabolic regulation newborn nonhuman nucleotide sequence obesity perinatal period phenotype priority journal progeny quantitative analysis rat reverse transcription polymerase chain reaction CAS REGISTRY NUMBERS neuropeptide Y (82785-45-3, 83589-17-7) proopiomelanocortin (66796-54-1) MOLECULAR SEQUENCE NUMBERS GENBANK (NM012512, NM012513, NM012546, NM012547, NM012589, NM012614, NM012659, NM012682, NM012688, NM012707, NM012719, NM012728, NM012737, NM012765, NM012829, NM013047, NM013071, NM013076, NM013123, NM013196, NM016994, NM017101, NM017110, NM017338, NM019129, NM019130, NM019150, NM020100, NM022239, NM031019, NM031347, NM031758, NM032075, NM033237, NM144744, NM172092) EMBASE CLASSIFICATIONS General Pathology and Pathological Anatomy (5) Developmental Biology and Teratology (21) Human Genetics (22) Clinical and Experimental Biochemistry (29) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2010379569 MEDLINE PMID 20463183 (http://www.ncbi.nlm.nih.gov/pubmed/20463183) PUI L359141059 DOI 10.1152/ajpregu.00604.2009 FULL TEXT LINK http://dx.doi.org/10.1152/ajpregu.00604.2009 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 250 TITLE Factors associated with smoking in pregnancy. AUTHOR NAMES da Motta G.C. Echer I.C. Lucena A.F. AUTHOR ADDRESSES (da Motta G.C.) Hospital de Alvorada, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil. (Echer I.C.; Lucena A.F.) CORRESPONDENCE ADDRESS G.C. da Motta, Hospital de Alvorada, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil. Email: giordanamotta@yahoo.com.br SOURCE Revista latino-americana de enfermagem (2010) 18:4 (809-815). Date of Publication: 2010 Jul-Aug ISSN 0104-1169 ABSTRACT The aim of this cross-sectional study was to identify factors related to smoking during pregnancy. The sample included 267 puerperae hospitalized in the maternity unit of a university hospital in Porto Alegre/RS. The data were collected through a self-applied instrument and statistically analyzed. The majority of the puerperae (51.3%) were between 18 and 25 years old, 55.4% were nonsmokers, 25.5% were smokers, 19.1% had recently ceased smoking (in abstinence). The nonsmokers had more consultations than the smokers and the abstinent smokers (p=0.025). The number of women who had more than one child was higher among smokers than among nonsmokers and abstinent smokers (p=0.002). Women were more likely to stop smoking before pregnancy when they had a partner who was a nonsmoker (p=0.007). Several factors influence smoking and smoking cessation and these are important in prenatal interventions aimed at pregnant women and their partners. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) pregnancy prenatal care smoking (adverse drug reaction, epidemiology, prevention) smoking cessation EMTREE MEDICAL INDEX TERMS adolescent adult article Brazil child cross-sectional study education epidemiology evaluation study female human male newborn prevalence questionnaire sexuality LANGUAGE OF ARTICLE English MEDLINE PMID 20922330 (http://www.ncbi.nlm.nih.gov/pubmed/20922330) PUI L359958617 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 251 TITLE Does partner relationship context and adjustment during the transition to parenthood differ according to maternal age and mode of conception? AUTHOR NAMES McMahon C. Gibson F. Fisher J. Hammarberg K. Boivin J. Saunders D. AUTHOR ADDRESSES (McMahon C.) Macquarie University, Psychology, Sydney, Australia. (Gibson F.) Macquarie University, Institute of Early Childhood, Sydney, Australia. (Fisher J.; Hammarberg K.) University of Melbourne, Key Centre for Women's Health in Society, Melbourne, Australia. (Boivin J.) Cardiff University, Psychology, Cardiff, United Kingdom. (Saunders D.) IVF AUS, Research and Development Committee, Sydney, Australia. CORRESPONDENCE ADDRESS C. McMahon, Macquarie University, Psychology, Sydney, Australia. SOURCE Human Reproduction (2010) 25 SUPPL. 1 (i283-i284). Date of Publication: June 2010 CONFERENCE NAME 26th Annual Meeting of the European Society of Human Reproduction and Embryology, ESHRE CONFERENCE LOCATION Rome, Italy CONFERENCE DATE 2010-06-27 to 2010-06-30 ISSN 0268-1161 BOOK PUBLISHER Oxford University Press ABSTRACT Introduction: The birth of a first child poses significant challenges to the couple relationship. In the context of a new well established trend to older maternal age at first birth, this paper had two objectives: 1) To describe the relationship context during the transition to parenthood for mothers of different ages and 2) to examine the impact of the transition to parenthood on relationship satisfaction and whether this differed according to age and mode of conception. Materials and Methods: Participants were 619 nulliparous pregnant women (48%, n = 298, conceiving through ART), aged from 20-51 years, recruited between 2007 and 2009 from IVF clinics, antenatal clinics and antenatal classes. They were categorized into three age-groups < 30 years (“young” n = 188, 30%); 31-36 years (“mid” n = 226, 38%); > 37 years (“older” n = 205, 33%). Four months after birth 568[OU1] women (91%) participated in a follow-up assessment. Women were interviewed about their current relationship context and history and completed the Intimate Bonds Measure (IBM) in pregnancy and at 4 months postpartum. The Measure yields two subscales, Care (the extent to which partner shows warmth, affection) and Control (the extent to which partner tries to control or is critical of behaviour). High scores on Care and low scores on Control, respectively, indicate more optimal relationship adjustment. Results: The relationship context prior to birth of a first child differed by age and mode of conception. Older mothers were less likely to be married (69% vs. 85% in both the middle and younger age-groups, P = .000, but more likely to have been married before (40% vs. 22% for the middle, 7% for the younger age-groups, respectively, P = .000). IVF women were more likely than spontaneously conceiving (SC) women to be married (82% vs. 76%), P = .02. Five of the six women in same sex-relationships were in the older age-group and all conceived through IVF. Older mothers and mothers conceiving through IVF had been longer with their partners prior to pregnancy, (Mean months: older = 94, mid = 77, young = 66, P = .000; IVF = 50, SC = 45, P = .000). A three (age-group) × two (mode of conception) × two (time) factorial analysis of variance examined relationship adjustment, controlling for duration of relationship, and relationship status. There was significant time effects for both Care, P = .000, and Control, P = .000, with higher scores for Control and lower scores for Care after the birth. There was also a significant age-group effect for Care, P = .000, but not for Control. Compared to mothers in the young agegroup, older mothers rated their partners lower on Care on both occasions. The mid- age group did not differ from the younger and older age-groups. There were no significant interaction effects with a similar pattern of declining marital satisfaction (lower care and higher control) across age-groups, and according to mode of conception. Conclusions: The overall decline in relationship satisfaction across the transition to parenthood is consistent with a large body of research, but few studies to date have examined age differences. Our results show that compared to their younger counterparts, older frst-time mothers report lower perceived care, both in pregnancy and postnatally, and even after controlling for relationship duration. In other words, older mothers start childbearing at a relational disadvantage that persists through the first months postpartum. The mechanisms to explain this effect and directions for future research will be discussed taking account of a range of other contextual factors including marital status, employment, child characteristics, child care and social support. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) embryology maternal age parenthood reproduction society EMTREE MEDICAL INDEX TERMS analysis of variance child child care employment factor analysis female follow up groups by age hospital marriage mother pregnancy pregnant woman satisfaction social support LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70246128 DOI 10.1093/humrep/de.25.s1.425 FULL TEXT LINK http://dx.doi.org/10.1093/humrep/de.25.s1.425 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 252 TITLE Gender-dependent effect of prenatal dexamethasone treatment on the concentration of selected hormones, bone alkaline phosphatase, osteocalcin and insulin-like growth factor-1 in serum obtained from male and female piglets at the age of 35 days AUTHOR NAMES Puzio I. ͆liwa E. Dobrowolski P. AUTHOR ADDRESSES (Puzio I.; ͆liwa E.) Department of Animal Physiology, University of Life Sciences in Lublin, Lublin, Poland. (Dobrowolski P.) Department of Comparative Anatomy and Anthropology, Maria Curie-Skłodowska University, Lublin, Poland. CORRESPONDENCE ADDRESS I. Puzio, Department of Animal Physiology, University of Life Sciences in Lublin, Lublin, Poland. SOURCE Bone (2010) 47 SUPPL. 1 (S241). Date of Publication: June 2010 CONFERENCE NAME 37th European Symposium on Calcified Tissues, ECTS 2010 CONFERENCE LOCATION Glasgow, United Kingdom CONFERENCE DATE 2010-06-26 to 2010-06-30 ISSN 8756-3282 BOOK PUBLISHER Elsevier Inc. ABSTRACT Animal studies show that adverse effect of prenatal exposure to excess of glucocorticoids results in offspring with retarded growth. The aim of the study was to follow up postnatal effects of a potent synthetic glucocorticoid, dexamethasone administered to sows during the last gestational trimester on the gender-related differences in the concentration of selected hormones, bone alkaline phosphatase, osteocalcin and insulin-like growth factor-1 in serum obtained from male and female piglets at the age of 35 days. Five sows (DEX-sows) received dexamethasone (DEX, i.m. at the dosage of 3 mg/sow/48 h) during the last 45 days of pregnancy, while the other control sows (N=5) received PhS. Piglets born by control sows belonged to the control group of males (N=10) and females (N=10), and piglets born by DEX-treated sows belonged to Dex/PhS group of males (N=10) and females (N=10). Blood samples were collected from 35-day-old piglets. Serum concentration of growth hormone, insulin, leptin, bone alkaline phosphates, osteocalcin and insulin-like growth factor-1 was determined using commercially available kits. At the age of 35 days the mean body weight of prenatally DEXtreated females did not differ from the mean body weight of control females. Prenatally DEX-treated males (6181±595 g) weighed significantly less than control males (8445±329 g), P<0.01. There was significant decrease of the concentrations of GH and insulin in prenatally DEX-treated group of the male piglets. Moreover, prenatal DEX administration to male piglets via their mothers significantly enhanced the concentration of leptin compared with the control male group. In prenatally DEX-treated group of females significantly increased the concentrations of OC, leptin and insulin. Comparable level of insulin-like growth factor-1 and bone alkaline phosphatase with control group was observed. The current finding indicated that there may be prenatal programming of endocrine system. Gender difference in piglets with males born by DEX-treated sows having higher concentration of leptin than controls did not correlate with their body weight. The lack of a relationship between leptin and body fat in males with a deficiency in fat deposition suggested short-term effect of prenatal exposure to glucocorticoids resulted in up regulation of leptin. It was possible that leptin might be involved in the mechanisms of reduced growth caused by prenatal treatment with dexamethasone. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) alkaline phosphatase bone isoenzyme dexamethasone glucocorticoid hormone osteocalcin somatomedin C EMTREE DRUG INDEX TERMS growth hormone insulin leptin phosphate EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) European female gender male pig piglet serum tissues EMTREE MEDICAL INDEX TERMS adverse drug reaction animal experiment blood level blood sampling body fat body weight bone control group endocrine system follow up human lipid storage mother pregnancy prenatal exposure progeny sex difference upregulation LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L71732887 DOI 10.1016/j.bone.2010.04.581 FULL TEXT LINK http://dx.doi.org/10.1016/j.bone.2010.04.581 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 253 TITLE Perinatal outcomes among foreign-born and US-born Chinese Americans, 1995-2000. AUTHOR NAMES Li Q. Keith L.G. Kirby R.S. AUTHOR ADDRESSES (Li Q.) Department of Maternal and Child Health, School of Public Health, University of Alabama at Birmingham, 1665 University Boulevard, Birmingham, AL 35294, USA. (Keith L.G.; Kirby R.S.) CORRESPONDENCE ADDRESS Q. Li, Department of Maternal and Child Health, School of Public Health, University of Alabama at Birmingham, 1665 University Boulevard, Birmingham, AL 35294, USA. Email: youliqing@hotmail.com SOURCE Journal of immigrant and minority health / Center for Minority Public Health (2010) 12:3 (282-289). Date of Publication: Jun 2010 ISSN 1557-1920 (electronic) ABSTRACT This paper examines nativity differences in adverse perinatal outcomes of Chinese-American mothers. Singleton live births to US-resident Chinese women (150,620 foreign-born, 15,040 US-born) and a random sample of 150,620 non-Hispanic White mothers were selected from 1995 to 2000 national linked birth/infant death certificate files. Associations between maternal nativity status and adverse perinatal outcomes were assessed using multivariable logistic regressions. Compared to US-born Chinese mothers, foreign-born Chinese mothers were less likely to be unmarried, teen mothers, have a non-Hispanic White or other race partner, be rural residents, and more likely to be less educated, or utilize prenatal care inadequately. Controlling for these factors, foreign-born Chinese-American mothers had significantly lower risks for low birth weight, preterm birth, and small-for-gestational age, whereas risks for infant mortality, neonatal mortality, and post-neonatal mortality did not differ significantly from those of infants of US-born Chinese mothers. Chinese Americans exhibited clear nativity differentials for adverse birth outcomes. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Asian American mother pregnancy outcome EMTREE MEDICAL INDEX TERMS adolescent adult article Caucasian China comparative study confidence interval ethnology female human international cooperation low birth weight multivariate analysis newborn patient attitude patient satisfaction pregnancy prenatal care risk statistical model statistics United States LANGUAGE OF ARTICLE English MEDLINE PMID 18825499 (http://www.ncbi.nlm.nih.gov/pubmed/18825499) PUI L360292157 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 254 TITLE Do children of parents with mental illness have lower survival rate? A population-based study AUTHOR NAMES Liu T.-C. Chen C.-S. Loh C.P.A. AUTHOR ADDRESSES (Liu T.-C., tching@mail.ntpu.edu.tw) Department of Public Finance, National Taipei University, Taipei, Taiwan. (Chen C.-S.) Department of Economics, National Taipei University, Taipei, Taiwan. (Loh C.P.A.) Department of Economics and Geography, University of North Florida, Jacksonville, FL, United States. CORRESPONDENCE ADDRESS T.-C. Liu, Department of Public Finance, National Taipei University, Taipei, Taiwan. Email: tching@mail.ntpu.edu.tw SOURCE Comprehensive Psychiatry (2010) 51:3 (250-255). Date of Publication: May 2010/June 2010 ISSN 0010-440X BOOK PUBLISHER W.B. Saunders, Independence Square West, Philadelphia, United States. ABSTRACT Objective: The objective of this study was to investigate the incidence of mortality risk among children of parents with mental illness. Method: The study sample comprised all women giving birth in Taiwan between 1999 and 2001; the dataset was created by linking birth certificate, death certificate, and National Health Insurance research databases. The deaths of the subjects were classified into 5 groups: stillbirths, early neonatal death, late neonatal death, postneonatal death, and early childhood death. A Cox proportional hazard regression was then performed on a pooled 3-year population-based dataset to examine the relationship between parental mental status and survival rates for children younger than 3 years, with the crude and adjusted hazard ratios (HRs) being calculated. Results: Around 2316 affected children were compared with a general population of 605 107. No stillbirths were observed among any children of parents with schizophrenia or affective disorder. Mothers with affective disorder are prone to higher risk of child death, with a crude HR of 4.86 (95% confidence interval, 3.06-7.73), and a reduced adjusted HR of 3.51 (95% confidence interval, 2.22-5.57). However, fathers with affective disorder played no role. Children born to schizophrenic women have a significant higher risk of child death with a crude HR of 2.47, whereas those born to schizophrenic fathers have a similarly high risk with a crude HR of 2.69. Conclusion: A focus needs to be placed on the identification and treatment of parental schizophrenia and affective disorder through antenatal and postnatal intervention, so as to reduce mortality risks for children exposed to risk during their first 3 years of life. © 2010 Elsevier Inc. All rights reserved. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) mental disease survival rate EMTREE MEDICAL INDEX TERMS accidental death adult article controlled study death certificate female high risk patient homicide human major clinical study male mood disorder (epidemiology) mortality newborn death newborn mortality schizophrenia (epidemiology) stillbirth EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2010214185 MEDLINE PMID 20399334 (http://www.ncbi.nlm.nih.gov/pubmed/20399334) PUI L50623081 DOI 10.1016/j.comppsych.2009.07.004 FULL TEXT LINK http://dx.doi.org/10.1016/j.comppsych.2009.07.004 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 255 TITLE Effects of gender on respiratory morbidity in preterm neonates AUTHOR NAMES Shinwell E.S. AUTHOR ADDRESSES (Shinwell E.S.) Neonatology, Kaplan Medical Center, Israel. CORRESPONDENCE ADDRESS E.S. Shinwell, Neonatology, Kaplan Medical Center, Israel. SOURCE Journal of Maternal-Fetal and Neonatal Medicine (2010) 23 SUPPL. 1 (70). Date of Publication: May 2010 CONFERENCE NAME 22nd European Congress of Perinatal Medicine, 2010 CONFERENCE LOCATION Granada, Spain CONFERENCE DATE 2010-05-26 to 2010-05-29 ISSN 1476-7058 BOOK PUBLISHER Informa Healthcare ABSTRACT Gender-specific medicine is one of the fastest growing areas of medical research and improved understanding of gender effects may lead to gender-targeted interventions. Significant gender effects are seen from conception, through pregnancy and into the neonatal period. Male fetuses are more numerous from the stages of fertilization and implantation onwards. From the blastocyst stage onwards, male fetuses have higher metabolic rate and faster growth. Males have higher neonatal mortality, particularly among premature infants. Increased morbidity in males is seen particularly in the respiratory and neurologic systems with both acute and long term effects, seen both in pathophysiology and in differential response to pharmacologic interventions such as antenatal steroids and indomethacin. This “male disadvantage” is transferred from males to females in unlike-sex twin pairs, suggesting a transchorionic paracrine effect. EMTREE DRUG INDEX TERMS indometacin steroid EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) gender morbidity newborn perinatal care EMTREE MEDICAL INDEX TERMS blastocyst female fertilization fetus implantation male medical research metabolic rate newborn mortality newborn period pathophysiology pregnancy prematurity twins LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70200154 DOI 10.3109/14767051003802495 FULL TEXT LINK http://dx.doi.org/10.3109/14767051003802495 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 256 TITLE Life threatening pulmonary artery embolism in an infant at time of birth, with pulmonary infarction and hypoplasia: Successful treatment with ECMO and embolectomy AUTHOR NAMES Krupp N. AUTHOR ADDRESSES (Krupp N., hussain@nso1.uchc.edu) Indiana University, School of Medicine, Indianapolis, United States. CORRESPONDENCE ADDRESS N. Krupp, Indiana University, School of Medicine, Indianapolis, United States. Email: hussain@nso1.uchc.edu SOURCE American Journal of Respiratory and Critical Care Medicine (2010) 181:1 MeetingAbstracts. Date of Publication: 1 May 2010 CONFERENCE NAME American Thoracic Society International Conference, ATS 2010 CONFERENCE LOCATION New Orleans, LA, United States CONFERENCE DATE 2010-05-14 to 2010-05-19 ISSN 1073-449X BOOK PUBLISHER American Thoracic Society ABSTRACT Introduction Pulmonary artery thromboembolism has been described in the neonatal period. However, patients who have been successfully treated in previous reports presented at several days of age, and most had an identified thrombophilia. This is the first case of a critically ill infant at delivery without a thrombophilia, who was successfully treated with extracorporeal mechanical oxygenation (ECMO) and embolectomy. Case The patient is a 36+4 week male infant whose prenatal course was complicated by maternal Enterobacter pyelonephritis at 29 weeks. The mother developed sepsis and ARDS, requiring intubation for 3 weeks. She recovered prior to delivery. At birth, the infant was limp, cyanotic and apneic, and intubated in the delivery room. Initial arterial blood gas was 7.16/78/70/-3 on FiO2 100%. Apgar scores were 1, 3, and 7 (at 1, 5 and 10 minutes). The infant was transferred to our institution and placed on high frequency ventilation. Chest radiograph is shown in Figure 1. Echocardiogram showed an occlusive right pulmonary artery thrombus, with suprasystemic right ventricular pressures and a nonocclusive intrahepatic inferior vena cava thrombus. The patient was placed on ECMO at 12 hours of age. After stabilization, pulmonary artery thrombectomy was performed at 30 hours of age. He spent 5 days on ECMO, and was extubated to vapotherm at 23 days of life. He was discharged home on enoxaparin and nasal cannula oxygen at 52 days of age. Before discharge, a chest CT (Figure 2) was notable for right pulmonary hypoplasia with cavitation and calcification, suggestive of evolving chronic pulmonary infarction. Antithrombin III, Protein C and S levels were normal. MTHFR, PT 20210G>A, and Factor V Leiden mutations were negative. Maternal antiphospholipid antibodies were insignificant. There was no family history of thrombosis. Polysomnography at 2 months of age showed desaturation with hypoventilation (mean ETCO2 55, peak 71). At 3.5 months of age, hypoventilation had resolved (mean ETCO2 40 torr) and desaturations had improved. Discussion This is the first case of a pulmonary artery embolism causing critical illness at birth treated successfully with ECMO and pulmonary embolectomy. Furthermore, no thrombophilia was identified in the patient or family. The only risk factor for this infant was the maternal prenatal illness, when the thromboembolic event presumably occurred. Interruption of the right pulmonary artery blood supply likely caused hypoplasia and segmental infarction of the right lung. It is unknown whether alveolarization of the remaining right lung is normal or stunted due to hypoperfusion. EMTREE DRUG INDEX TERMS antithrombin III blood clotting factor 5 Leiden enoxaparin oxygen phospholipid antibody protein C EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) artery embolism embolectomy hypoplasia infant lung infarction pulmonary artery society EMTREE MEDICAL INDEX TERMS adult respiratory distress syndrome Apgar score arterial blood arterial gas artery thrombosis boy calcification critical illness critically ill patient delivery room diseases echocardiography Enterobacter family history fatty acid desaturation female heart right ventricle pressure high frequency ventilation human hypoventilation infarction inferior cava vein intubation lung lung hypoplasia male mother mutation nasogastric tube newborn period oxygenation patient perfusion polysomnography pyelonephritis risk factor sepsis thorax thorax radiography thrombectomy thromboembolism thrombophilia thrombosis thrombus vascularization LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70844468 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 257 TITLE Types and timing of breastfeeding support and its impact on mothers' behaviours AUTHOR NAMES Kervin B.E. Kemp L. Pulver L.J. AUTHOR ADDRESSES (Kervin B.E.; Kemp L., l.kemp@unsw.edu.au) Centre for Health Equity Training Research and Evaluation (CHETRE), University of NSW, Liverpool Hospital, Locked Bag 7103, Liverpool BC, NSW 1871, Australia. (Pulver L.J.) Muru Marri Indigenous Health Unit, School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia. CORRESPONDENCE ADDRESS L. Kemp, Centre for Health Equity Training Research and Evaluation (CHETRE), University of NSW, Liverpool Hospital, Locked Bag 7103, Liverpool BC, NSW 1871, Australia. Email: l.kemp@unsw.edu.au SOURCE Journal of Paediatrics and Child Health (2010) 46:3 (85-91). Date of Publication: March 2010 ISSN 1034-4810 1440-1754 (electronic) BOOK PUBLISHER Blackwell Publishing, 550 Swanston Street, Carlton South, Australia. ABSTRACT Aim: To determine the types and timing of breastfeeding support for mothers of newborn babies and the extent to which this affects breastfeeding intentions and behaviours in a region with low rates of breastfeeding initiation and duration. Methods: A cross-sectional study by interviewer-administrated questionnaire was undertaken of women birthing at a large teaching hospital in South Western Sydney, between August and October 2006 (n = 164), with a 2-week follow-up of breastfeeding or breastfeeding-intending women (n = 107). Types, timing and satisfaction with personal and professional sources of support (e.g. antenatal classes, help at birth, practical lessons on how to breastfeed, providing information, and attitude towards breastfeeding) and the impact of these on breastfeeding intention and behaviours were assessed. Results: Most women had intended to breastfeed (76.2%), and, within the first 24 hours, 77.4% of babies were breastfed to some extent (45.1% exclusively), and at 2 weeks 65.9% were breastfed (9.7% exclusively). Women felt most supported by their partners and least supported by their health-care team. Antenatal classes, breastfeeding help within half an hour of birth and positive health-care team attitudes were related to improved breastfeeding intentions and behaviours. However, these supports were infrequently reported. Personal support was commonly reported although support delivered by professionals was related to better breastfeeding behaviours. Conclusion: Despite the effectiveness of professional support interventions, particularly those delivered in the antenatal and immediate post-natal period, access to these sources of support was very low. For breastfeeding outcomes to be improved, effective professional support strategies need to be much more widely available. © 2010 Paediatrics and Child Health Division (Royal Australasian College of Physicians). EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding education maternal behavior EMTREE MEDICAL INDEX TERMS adult article birth clinical assessment cross-sectional study feeding behavior female follow up health care health care personnel human major clinical study newborn perinatal period prenatal care priority journal questionnaire teaching hospital EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2010182225 MEDLINE PMID 20136700 (http://www.ncbi.nlm.nih.gov/pubmed/20136700) PUI L358497048 DOI 10.1111/j.1440-1754.2009.01643.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1440-1754.2009.01643.x COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 258 TITLE Women's experiences of being induced for post-date pregnancy AUTHOR NAMES Gatward H. Simpson M. Woodhart L. Stainton M.C. AUTHOR ADDRESSES (Gatward H., hgatward@nursing.usyd.edu.au; Stainton M.C.) Faculty of Nursing and Midwifery, University of Sydney, NSW 2006, Australia. (Simpson M.) Outpatients Department, Royal Hospital for Women, Randwick, NSW 2031, Australia. (Woodhart L.) Antenatal Unit, Royal Hospital for Women, Randwick, NSW 2031, Australia. (Simpson M.; Stainton M.C.) Centre for Women's Health Nursing, Royal Hospital for Women, Australia. CORRESPONDENCE ADDRESS H. Gatward, Faculty of Nursing and Midwifery, University of Sydney, NSW 2006, Australia. Email: hgatward@nursing.usyd.edu.au SOURCE Women and Birth (2010) 23:1 (3-9). Date of Publication: March 2010 ISSN 1871-5192 BOOK PUBLISHER Elsevier, P.O. Box 211, Amsterdam, Netherlands. ABSTRACT Aim: To explore the women's experiences of being booked for induction of labour for a pregnancy greater than 41 weeks gestation. Participants: 23 primigravidae who were booked for induction: 18 were induced (induction group) and 5 went into spontaneous labour (comparison group). Method: Data were collected by a series of interviews from booking to after birthing: interpretative techniques analysed verbatim transcriptions. Findings: Two dimensions of being in the process of induction were identified: (1) a sense of "Time's Up," when the natural, temporal aspects of pregnancy end with an imposed birth date and sequenced induction procedures and, (2) a required "Shift in Expectations" from the women's original plan for labour and birth. The women varied in their responses from welcoming the end of pregnancy to feeling that their body or their baby was not ready for birth. A lack of meaningful information regarding the process of induction was also identified. The comparison group focused their worry on the impact of induction on the baby whereas the induction group expressed concern about the effect on themselves and loss of a natural birth. Worries in both groups were dissipated by successfully birthing a healthy baby. Implications and outcomes: The findings sensitise midwives to women's possible responses to being booked for induction. Antenatal educators can use this knowledge to prepare women and their partners for required shifts in their birthing plan when induction is deemed necessary. Midwives can help women adapt their birth plans during the induction process. Crown Copyright © 2009. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) labor induction personal experience puerperium EMTREE MEDICAL INDEX TERMS adult article birth controlled study expectation female gestation period human human experiment maternal behavior medical information midwife normal human outcome assessment pregnancy prenatal period primigravida priority journal EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2010085335 MEDLINE PMID 19647506 (http://www.ncbi.nlm.nih.gov/pubmed/19647506) PUI L50597388 DOI 10.1016/j.wombi.2009.06.002 FULL TEXT LINK http://dx.doi.org/10.1016/j.wombi.2009.06.002 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 259 TITLE Enhancing coparenting, parenting, and child self-regulation: Effects of family foundations 1 year after birth AUTHOR NAMES Feinberg M.E. Kan M.L. Goslin M.C. AUTHOR ADDRESSES (Feinberg M.E., mef11@psu.edu; Goslin M.C.) Prevention Research Center, The Pennsylvania State University, S-109 Henderson Building, University Park, PA 16802, United States. (Kan M.L.) Risk Behavior and Family Research, RTI International, P.O. Box 12194, Research Triangle Park, NC 27709, United States. (Goslin M.C.) Department of Psychology, The Pennsylvania State University, S-109 Henderson Building, University Park, PA 16802, United States. CORRESPONDENCE ADDRESS M. E. Feinberg, Prevention Research Center, The Pennsylvania State University, S-109 Henderson Building, University Park, PA 16802, United States. Email: mef11@psu.edu SOURCE Prevention Science (2009) 10:3 (276-285). Date of Publication: 2009 ISSN 1389-4986 BOOK PUBLISHER Springer New York, 233 Springer Street, New York, United States. ABSTRACT This study investigated whether a psycho-educational program with modest dosage (eight sessions), delivered in a universal framework through childbirth education programs and targeting the coparenting relationship would have a positive impact on observed family interaction and child behavior at 6-month follow-up (child age 1 year). One hundred sixty-nine couples, randomized to intervention and control conditions, participated in videotaped family observation tasks at pretest (during pregnancy) and at child age 1 year (2003-2007). Coparenting, parenting, couple relationship, and child self-regulatory behaviors were coded by teams of raters. Intent-to-treat analyses of program effects controlled for age, education, and social desirability. Evidence of significant (p<0.05) program effects at follow-up emerged in all four domains. Effect sizes ranged from 0.28 to 1.01. Targeting the coparenting relationship at the transition to parenthood represents an effective, non-stigmatizing means of promoting parenting quality and child adjustment. © 2009 Society for Prevention Research. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child behavior child parent relation family relation EMTREE MEDICAL INDEX TERMS adult article clinical trial controlled clinical trial controlled study female human infant interview male mental disease (prevention) preschool child questionnaire randomized controlled trial LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 19381809 (http://www.ncbi.nlm.nih.gov/pubmed/19381809) PUI L50493575 DOI 10.1007/s11121-009-0130-4 FULL TEXT LINK http://dx.doi.org/10.1007/s11121-009-0130-4 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 260 TITLE Randomized controlled trial of hypnobirthing versus standard childbirth classes patient satisfaction and attitudes towards labor AUTHOR NAMES Fisher B. Esplin S. Stoddard G. Silver R. AUTHOR ADDRESSES (Fisher B.) University of Colorado at Denver, Aurora, United States. (Esplin S.) Intermountain Healthcare, Salt Lake City, United States. (Stoddard G.) University of Utah, United States. (Silver R.) University of Utah, Salt Lake City, United States. CORRESPONDENCE ADDRESS B. Fisher, University of Colorado at Denver, Aurora, United States. SOURCE American Journal of Obstetrics and Gynecology (2009) 201:6 SUPPL. 1 (S61-S62). Date of Publication: December 2009 CONFERENCE NAME 2010 30th Annual Meeting of the Society for Maternal-Fetal Medicine, SMFM CONFERENCE LOCATION Chicago, IL, United States CONFERENCE DATE 2010-02-01 to 2010-02-06 ISSN 0002-9378 BOOK PUBLISHER Mosby Inc. ABSTRACT OBJECTIVE: Labor often results in severe pain and thus the anticipation of labor itself may create anxiety for many patients. Hypnobirthing is a preparatory method which prepares women to cope with the pain of childbirth using hypnosis during labor. We sought to determine if a Hypnobirthing course positively affects patient satisfaction with the childbirth experience and caregivers and decreases anxiety associated with labor. STUDY DESIGN: Prospective randomized-controlled trial of patients interested in childbirth preparatory courses. Patients were randomized to either Hypnobirthing or a standard childbirth preparation course. Patient attitudes toward coping mechanisms, role of her partner and nurse, and anxiety level over time were assessed by previously validated surveys at course completion and after delivery. RESULTS: 38 women were randomized and completed the study; 21 completed the standard classes and at least one survey, and 17 completed the Hypnobirthing course and at least one survey. The groups were similar with respect to age, parity, and gestational age at course enrollment. The Hypnobirthing group perceived a greater ability to cope during childbirth after course completion compared to the conventional group. However, after delivery, the Hypnobirthing group recalled relatively poorer intrapartum coping skills (p = 0.02). At delivery, there were no differences among groups with regard to route of delivery, birthweight, Apgar scores, or intrapartum and postpartum epidural and analgesic use. CONCLUSION: Hypnobirthing was not more effective in improving perceived coping skills during labor than conventional childbirth classes. EMTREE DRUG INDEX TERMS analgesic agent EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth patient satisfaction randomized controlled trial society EMTREE MEDICAL INDEX TERMS anxiety Apgar score birth weight caregiver coping behavior epidural drug administration female gestational age hypnosis nurse pain parity patient patient attitude skill LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70128689 DOI 10.1016/j.ajog.2009.10.140 FULL TEXT LINK http://dx.doi.org/10.1016/j.ajog.2009.10.140 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 261 TITLE Longitudinal changes in real-ear to coupler difference measurements in infants AUTHOR NAMES Bingham K. Jenstad L.M. Shahnaz N. AUTHOR ADDRESSES (Bingham K.; Jenstad L.M., ljenstad@audiospeech.ubc.ca; Shahnaz N.) School of Audiology and Speech Sciences, University of British Columbia, . CORRESPONDENCE ADDRESS L. M. Jenstad, School of Audiology and Speech Sciences, 2177 Wesbrook Mall, Vancouver, BC V6T 1Z3, Canada. Email: ljenstad@audiospeech.ubc.ca SOURCE Journal of the American Academy of Audiology (2009) 20:9 (558-568). Date of Publication: 2009 ISSN 1050-0545 BOOK PUBLISHER American Academy of Audiology, 11730 Plaza America Drive, Suite 300, Reston, United States. ABSTRACT Background: The real-ear-to-coupler difference (RECD) measurement is a commonly used clinical procedure that quantifies the difference in sound pressure level between a 2 cc coupler and an individual's ear canal. The SPL levels in infant ears are highly variable and significantly higher than the SPL levels present in average adult ears, making the quantification of SPL levels in infant ears extremely important for threshold determination and fitting of amplification. It is unknown how much the RECD changes in an individual infant over time, whether that change is within test-retest reliability of the RECD measure, and whether RECD values are predictable from other outer and middle ear measures. Purpose: The purposes of this study were to examine longitudinal changes in RECD values in newborn infants to determine whether a significant change in RECD values takes place over a one-month period, how the change in RECD relates to test-retest variability of the measure, and whether RECD values are predictable from the infant's corrected age, or measures of static admittance and equivalent ear canal volume (EECV). Study Sample: Fourteen infants (seven females, seven males) aged 7 to 25 days were recruited through community prenatal classes, physicians, hospital nurseries, and word of mouth. All infants had normal middle ear status. Data Collection and Analysis: Infants were tested on two separate visits, first when the infant was approximately two to three weeks old and then approximately one month later. Each visit lasted one to two hours, during which time otoacoustic emissions, 226 Hz and 1000 Hz probe-tone tympanometry, and two RECD measures were made for each ear. Results: A multivariate analysis of variance revealed a significant change in RECD values over a one-month interval. Regression analyses revealed that final RECD values were partially predictable from age, initial RECD value, static admittance, and EECV. RECD test-retest variability was not large but larger than longitudinal RECD changes over a one-month period. Conclusions: It may be unnecessary to remeasure an RECD to account for changes in ear canal acoustics for repeated assessments, no more than one month apart, when the same test transducer is used. The RECD should, however, be measured at one of these assessments because RECD values are not predictable from an infant's age or measures of static admittance and ear canal volume. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) clinical assessment tool real ear to coupler difference EMTREE MEDICAL INDEX TERMS acoustics article auditory canal female hearing aid human human experiment infant longitudinal study male middle ear prediction priority journal sound pressure test retest reliability tympanometry EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Otorhinolaryngology (11) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2010031425 MEDLINE PMID 19902703 (http://www.ncbi.nlm.nih.gov/pubmed/19902703) PUI L358082103 DOI 10.3766/jaaa.20.9.4 FULL TEXT LINK http://dx.doi.org/10.3766/jaaa.20.9.4 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 262 TITLE Prenatal consultation with a neonatologist for congenital anomalies: Parental perceptions AUTHOR NAMES Miquel-Verges F. Woods S.L. Aucott S.W. Boss R.D. Sulpar L.J. Donohue P.K. AUTHOR ADDRESSES (Miquel-Verges F., fmiquel1@jhmi.edu; Aucott S.W.; Boss R.D.; Sulpar L.J.; Donohue P.K.) Johns Hopkins University School of Medicine, Division of Neonatology, Department of Pediatrics, 600 N Wolfe St, Nelson 2-133, Baltimore, MD 21287, United States. (Woods S.L.) Center for Maternal and Child Health/Family Health Administration, Maryland Department of Health and Mental Hygiene, Baltimore, MD, United States. (Donohue P.K.) Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States. CORRESPONDENCE ADDRESS F. Miquel-Verges, Johns Hopkins University School of Medicine, Division of Neonatology, Department of Pediatrics, 600 N Wolfe St, Nelson 2-133, Baltimore, MD 21287, United States. Email: fmiquel1@jhmi.edu SOURCE Pediatrics (2009) 124:4 (e573-e579). Date of Publication: 2009 ISSN 0031-4005 1098-4275 (electronic) BOOK PUBLISHER American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk Grove Village, United States. ABSTRACT OBJECTIVES: To investigate parental expectations of a prenatal consultation with a neonatologist for a prenatally diagnosed congenital anomaly, to identify parents' values and unmet needs, and to obtain recommendations for improving physician - parent communication in a prenatal consultation. METHODS: Parents referred to neonatology for prenatal consultation after the diagnosis of a congenital anomaly. Completed 2 qualitative interviews: the first within 1 week of the consultation and the second 1 week after delivery. Interviews were analyzed for themes by using the constant comparative method associated with the grounded theory method. RESULTS: Thematic saturation was achieved after 42 interviews (22 women); only mothers participated. Five main themes emerged: (1) preparation; (2) knowledgeable physician; (3) caring providers; (4) allowing hope; and (5) time. Mothers believed that a consultation with a neonatologist helped them prepare for the perinatal course. They wished to know the management plan and all possible outcomes. Mothers wanted information specific to their situation and tailored to their knowledge base. Receiving conflicting information from physicians increased anxiety and eroded confidence. Seeing the NICU during the consultation was emotionally difficult but valuable. Mothers wanted realistic information, regardless of how grim, yet wanted to retain hope. All mothers would recommend a prenatal consultation with a neonatologist. CONCLUSIONS: Mothers perceived that a consultation with a neonatologist, which included a NICU tour, prepared them for the perinatal course. Parents want realistic medical information, specific to their situation, provided in an empathetic manner and want to be allowed to hope for the best possible outcome. Copyright © 2009 by the American Academy of Pediatrics. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) congenital malformation prenatal diagnosis EMTREE MEDICAL INDEX TERMS adult article consultation controlled study health care personnel human male newborn intensive care parental attitude patient counseling patient referral priority journal prognosis semi structured interview EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2009529677 MEDLINE PMID 19736266 (http://www.ncbi.nlm.nih.gov/pubmed/19736266) PUI L355385603 DOI 10.1542/peds.2008-2865 FULL TEXT LINK http://dx.doi.org/10.1542/peds.2008-2865 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 263 TITLE Adult-onset obesity reveals prenatal programming of glucose-insulin sensitivity in male sheep nutrient restricted during late gestation AUTHOR NAMES Rhodes P. Craigon J. Gray C. Rhind S.M. Loughna P.T. Gardner D.S. AUTHOR ADDRESSES (Rhodes P.; Gray C.; Loughna P.T.; Gardner D.S., david.gardner@nottingham.ac.uk) School of Veterinary Medicine and Science, University of Nottingham, Sutton, Bonington, United Kingdom. (Craigon J.) School of Biosciences, University of Nottingham, Sutton, Bonington, United Kingdom. (Rhind S.M.) Macaulay Land Use Research Institute, Craigiebuckler, Aberdeen, United Kingdom. CORRESPONDENCE ADDRESS P. Rhodes, School of Veterinary Medicine and Science, University of Nottingham, Sutton, Bonington, United Kingdom. SOURCE PLoS ONE (2009) 4:10 Article Number: e7393. Date of Publication: 14 Oct 2009 ISSN 1932-6203 (electronic) BOOK PUBLISHER Public Library of Science, 185 Berry Street, Suite 1300, San Francisco, United States. ABSTRACT Background: Obesity invokes a range of metabolic disturbances, but the transition from a poor to excessive nutritional environment may exacerbate adult metabolic dysfunction. The current study investigated global maternal nutrient restriction during early or late gestation on glucose tolerance and insulin sensitivity in the adult offspring when lean and obese. Methods/Principal Findings: Pregnant sheep received adequate (1.0M; CE, n = 6) or energy restricted (0.7M) diet during early (1-65 days; LEE, n = 6) or late (65-128 days; LEL, n = 7) gestation (term ∼147 days). Subsequent offspring remained on pasture until 1.5 years when all received glucose and insulin tolerance tests (GTT & ITT) and body composition determination by dual energy x-ray absorptiometry (DXA). All animals were then exposed to an obesogenic environment for 6-7 months and all protocols repeated. Prenatal dietary treatment had no effect on birth weight or on metabolic endpoints when animals were 'lean' (1.5 years). Obesity revealed generalised metabolic 'inflexibility' and insulin resistance; characterised by blunted excursions of plasma NEFA and increased insulin(AUC) (from 133 to 341 [s.e.d. 26] ng.ml(-1).120 mins) during a GTT, respectively. For LEL vs. CE, the peak in plasma insulin when obese was greater (7.8 vs. 4.7 [s.e.d. 1.1] ng.ml(-1)) and was exacerbated by offspring sex (i.e. 9.8 vs. 4.4 [s.e.d. 1.16] ng.ml(-1); LEL male vs. CE male, respectively). Acquisition of obesity also significantly influenced the plasma lipid and protein profile to suggest, overall, greater net lipogenesis and reduced protein metabolism. Conclusions: This study indicates generalised metabolic dysfunction with adult-onset obesity which also exacerbates and 'reveals' programming of glucose-insulin sensitivity in male offspring prenatally exposed to maternal undernutrition during late gestation. Taken together, the data suggest that metabolic function appears little compromised in young prenatally 'programmed' animals so long as weight is adequately controlled. Nutritional excess in adulthood exacerbates any programmed phenotype, indicating greater vigilance over weight control is required for those individuals exposed to nutritional thrift during gestation. © 2009 Rhodes et al. EMTREE DRUG INDEX TERMS fatty acid (endogenous compound) insulin (endogenous compound) protein (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) diet restriction gestational age glucose tolerance insulin sensitivity obesity onset age prenatal period EMTREE MEDICAL INDEX TERMS article birth weight body composition controlled study disease exacerbation dual energy X ray absorptiometry energy metabolism fatty acid blood level female glucose tolerance test lean body weight lipogenesis male maternal nutrition metabolic disorder metabolic parameters nonhuman progeny protein blood level protein metabolism sex difference sheep CAS REGISTRY NUMBERS insulin (9004-10-8) protein (67254-75-5) EMBASE CLASSIFICATIONS Developmental Biology and Teratology (21) Clinical and Experimental Biochemistry (29) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2009588251 MEDLINE PMID 19826474 (http://www.ncbi.nlm.nih.gov/pubmed/19826474) PUI L355609556 DOI 10.1371/journal.pone.0007393 FULL TEXT LINK http://dx.doi.org/10.1371/journal.pone.0007393 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 264 TITLE 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 AUTHOR NAMES Bergström M. Kieler H. Waldenström U. AUTHOR ADDRESSES (Bergström M.; Waldenström U.) Karolinska Institute, Department of Woman and Child Health, Sweden. (Kieler H.) Karolinska Institute, Centre for Pharmacoepidemiology (CPE), Sweden. CORRESPONDENCE ADDRESS M. Bergström, Karolinska Institute, Department of Woman and Child Health, Sweden. SOURCE International Journal of Gynecology and Obstetrics (2009) 107 SUPPL. 2 (S546). Date of Publication: October 2009 CONFERENCE NAME 19th FIGO World Congress of Gynecology and Obstetrics CONFERENCE LOCATION Cape Town, South Africa CONFERENCE DATE 2009-10-04 to 2009-10-09 ISSN 0020-7292 BOOK PUBLISHER Elsevier Ireland Ltd ABSTRACT Objective: To examine the effects of natural childbirth preparation with psychoprophylactic training vs 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: 16 antenatal clinics in Sweden between January 2006 and May 2007. Sample: 1,087 nulliparous women and 1,064 of their partners. sMethods: Natural group: Natural childbirth preparation with training in psychoprophylaxis. Standard care group: Standard antenatal education with no psychoprophylaxis. Both groups: Four two-hour sessions in groups of 12 during third trimester of pregnancy and one follow-up after delivery. Main outcome measures: Epidural analgesia during labour, experience of childbirth and parental stress. 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education epidural drug administration father gynecology mother natural childbirth obstetrics parental stress EMTREE MEDICAL INDEX TERMS breathing epidural anesthesia female follow up hospital parenthood pregnancy Sweden third trimester pregnancy LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70230931 DOI 10.1016/S0020-7292(09)61959-7 FULL TEXT LINK http://dx.doi.org/10.1016/S0020-7292(09)61959-7 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 265 TITLE A study of the factors affecting the duration of excusive breastfeeding AUTHOR NAMES Vehid H.E. Haciu D. Vehid S. Gökçay G. Bulut A. AUTHOR ADDRESSES (Vehid H.E.) Istanbul University, Institute of Child Health, Capa, Istanbul, Turkey. (Haciu D.) Koc University School of Health Sciences, Istanbul, Turkey. (Vehid S., vehid@istanbul.edu.tr) Istanbul University, Cerrahpaşa Medical Faculty, Department of Public Health, Cerrahpaşa, Istanbul, Turkey. (Gökçay G.; Bulut A.) Institute of Child Health, Istanbul University, Istanbul, Turkey. CORRESPONDENCE ADDRESS S. Vehid, Istanbul University, Cerrahpaşa Medical Faculty, Department of Public Health, Cerrahpaşa, Istanbul, Turkey. Email: vehid@istanbul.edu.tr SOURCE Nobel Medicus (2009) 5:3 (53-57). Date of Publication: September-December 2009 ISSN 1305-2381 BOOK PUBLISHER Nobel Medicus, Inkilap Mah. Akcakoca Sok. No: 10, Umraniye Istanbul, Turkey. ABSTRACT • Objective: This study aims to identify factors affecting the duration of exclusive breastfeeding during the first 6 months of life. • Material and Method: The study was carried out on two groups of women, a study group of 125 women who received breastfeeding counselling voluntarily between July 2002 and June 2003, and a control group of 125 women who did not receive any counselling. Hospital interventions during delivery, sociodemographic characteristics of the mother, support of the father and family members, antenatal education of the mother, are the factors evaluated for the duration of exclusive breastfeeding. The analysis was performed using the Cox regression method and significant hazard ratio values were used for analysis. The data evaluated in this study was approved by the Ethical Committee of The medical Faculty of Istanbul University (Nr. 21375). • Results: At 6 months of age 57.6% of the infants from the study group and 11.2% from the control group were exclusively breastfeeding. When the two groups were evaluated together the leading factor affecting the duration of exclusive breastfeeding was found to be antenatal education (p=0.036). Within the first 6 months of life, the risk of stopping breastfeeding among mothers who did not receive antenatal education is 1.67 times higher than in those who had antenatal education. • Conclusion: Our findings show that, the proportion of exclusive breastfeeding was significantly high in the study group. This difference became more significant among mothers who had antenatal education on breast-feeding. In conclusion, antenatal education and breast-feeding counselling seemed to be necessary for successful breast-feeding during the first 6 months of life. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding EMTREE MEDICAL INDEX TERMS article breast feeding education controlled study educational status female health care personnel human maternal care parent counseling prenatal care risk assessment EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English, Turkish EMBASE ACCESSION NUMBER 2010133828 PUI L358354399 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 266 TITLE How to improve women's and partner's participation to prenatal HIV counseling in rural and urban areas in Kivu, democratic republic of Congo? AUTHOR NAMES Schirvel C. Bahizire E. Bahati E. Bisimwa G. Dramaix M. Donnen P. AUTHOR ADDRESSES (Schirvel C.; Dramaix M.) Cemubac, SSPN, Brussels, Belgium. (Bahizire E.; Bisimwa G.) Cemubac, Bukavu, DR, Congo. (Bahati E.) CRSN Lwiro, Lwiro, DR, Congo. (Dramaix M.; Donnen P.) Université Libre de Bruxelles, Ecole de Santé Publique, Brussels, Belgium. CORRESPONDENCE ADDRESS C. Schirvel, Cemubac, SSPN, Brussels, Belgium. SOURCE Tropical Medicine and International Health (2009) 14 SUPPL. 2 (34). Date of Publication: September 2009 CONFERENCE NAME 6th European Congress on Tropical Medicine and International Health and 1st Mediterranean Conference on Migration and Travel Health CONFERENCE LOCATION Verona, Italy CONFERENCE DATE 2009-09-06 to 2009-09-10 ISSN 1360-2276 BOOK PUBLISHER Blackwell Publishing Ltd ABSTRACT Prevention of mother-to-child transmission (PMTCT) programs began in South Kivu in 2005. Our objective was to improve the womens' and their partners' participation at HIV counseling and testing sessions during prenatal care, by having community education sessions. HIV community educational sessions began in September 2008 monthly in 5 health areas in two different health districts in South Kivu, Bagira and Miti-Muresha. HIV education was given by two midwives trained on these specific HIV topics into the village communities: this two midwifes worked on PTMCT programs. The 1-h session began by general information about HIV transmission and focused finally on the importance of the partner's implication on prenatal testing and on mother-tochild transmission prevention. After the beginning of educational sessions, the percentage of women accepting HIV testing increased from 92.00% (January 2008-August 2008, N = 500) to 100.00% (September 2008-February 2009, N = 466) in Miti-Muresha (P < 0.001) and from 89.02% (N = 1575) to 91.03% (N = 1092) in Bagira (P = 0.09). For the same periods, the “return for test result” rate increased from 83.91% to 93.99% in Miti-Muresha (P < 0.001) and from 89.02% to 93.96% in Bagira (P < 0.001). Also for the same period, the number of partners tested for HIV increased from 6.09% to 7.08% in Miti-Muresha (P = 0.54) and from 1.43% to 21.03% in Bagira (P < 0.001). HIV prevalence for 2008 among pregnant women was 1.6% in Bagira and 2.7% in Lwiro. Educational sessions on HIV/AIDS in the community can lead to greater involvement of the target public. Partner participation was more significant in the urban settings, which may be due to greater stigma of HIV/AIDS in a rural community such as Miti-Muresha. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Congo counseling emporiatrics female Human immunodeficiency virus public health tropical medicine urban area EMTREE MEDICAL INDEX TERMS child community education health HIV education Human immunodeficiency virus prevalence midwife mother pregnant woman prenatal care prevention rural population LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L70252555 DOI 10.1111/j.1365-3156.2009.02353.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1365-3156.2009.02353.x COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 267 TITLE Nurse home visitation and the prevention of child maltreatment: Impact on the timing of official reports AUTHOR NAMES Zielinski D.S. Eckenrode J. Olds D.L. AUTHOR ADDRESSES (Zielinski D.S., dz17y@nih.gov) Duke University, Durham, NC, United States. (Eckenrode J.) Cornell University, Ithaca, NY, United States. (Olds D.L.) University of Colorado Health Sciences Center, Boulder, CO, United States. (Zielinski D.S., dz17y@nih.gov) National Institute of Mental Health, 6001 Executive Boulevard, Bethesda, MD 20892-9667, United States. CORRESPONDENCE ADDRESS D.S. Zielinski, National Institute of Mental Health, 6001 Executive Boulevard, Bethesda, MD 20892-9667, United States. Email: dz17y@nih.gov SOURCE Development and Psychopathology (2009) 21:2 (441-453). Date of Publication: 2009 ISSN 0954-5794 1469-2198 (electronic) BOOK PUBLISHER Cambridge University Press, Shaftesbury Road, Cambridge, United Kingdom. ABSTRACT This study examined the effects of the Nurse Family Partnership (NFP), a program of prenatal and infancy home visiting by nurses, on the timing of verified reports of child maltreatment. A sample of predominantly unmarried, low-income mothers and their first-born children were randomly assigned to receive either home visitation services by nurses beginning in pregnancy and lasting until the child was age 2, or comparison services. Previous studies have found that this program was effective in reducing the overall number of substantiated Child Protective Service reports by age 15. In the current study, survival analyses were used to assess temporal differences between nurse visited (n = 93) and comparison (n = 144) children's onset rates for maltreatment. The two groups' survival functions remained nearly identical until age 4, at which point the nurse-visited group's risk for onset began to significantly diminish. These results were more pronounced among the highest risk subgroup and among victims of neglect. The findings provide evidence that the NFP's success in reducing the number of maltreatment reports resulted in part from in its impact on the timing of the maltreatment process. © 2009 Cambridge University Press. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child abuse (prevention) nursing care professional practice EMTREE MEDICAL INDEX TERMS adult article child child neglect clinical trial controlled clinical trial controlled study female health program high risk population human lowest income group major clinical study prenatal care preschool child priority journal protection randomized controlled trial single parent survival EMBASE CLASSIFICATIONS Psychiatry (32) Forensic Science Abstracts (49) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2009387382 MEDLINE PMID 19338692 (http://www.ncbi.nlm.nih.gov/pubmed/19338692) PUI L354999407 DOI 10.1017/S0954579409000248 FULL TEXT LINK http://dx.doi.org/10.1017/S0954579409000248 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 268 TITLE 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 AUTHOR NAMES Bergström M. Kieler H. Waldenström U. AUTHOR ADDRESSES (Bergström M., malin.bergstrom@ki.se; Waldenström U.) Department of Woman and Child Health, Karolinska Institutet, Retsius väg 13, SE-171 77 Stockholm, Sweden. (Kieler H.) Centre for Pharmacoepidemiology (CPE), Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden. CORRESPONDENCE ADDRESS M. Bergström, Department of Woman and Child Health, Karolinska Institutet, Retsius väg 13, SE-171 77 Stockholm, Sweden. Email: malin.bergstrom@ki.se SOURCE BJOG: An International Journal of Obstetrics and Gynaecology (2009) 116:9 (1167-1176). Date of Publication: August 2009 ISSN 1470-0328 1471-0528 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT 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. © RCOG 2009 BJOG An International Journal of Obstetrics and Gynaecology. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education epidural anesthesia natural childbirth parental stress EMTREE MEDICAL INDEX TERMS adolescent adult article breathing exercise controlled study experience father female follow up human intermethod comparison male mother nullipara parenthood prenatal care priority journal psychological aspect questionnaire relaxation training standard third trimester pregnancy EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2009414426 MEDLINE PMID 19538406 (http://www.ncbi.nlm.nih.gov/pubmed/19538406) PUI L355060163 DOI 10.1111/j.1471-0528.2009.02144.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1471-0528.2009.02144.x COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 269 TITLE Fragmented maternal sleep is more strongly correlated with depressive symptoms than infant temperament at three months postpartum AUTHOR NAMES Goyal D. Gay C. Lee K. AUTHOR ADDRESSES (Goyal D., dgoyal@son.sjsu.edu) San Jose State University, San Jose, CA, United States. (Gay C.; Lee K.) University of California, San Francisco, San Francisco, CA, United States. CORRESPONDENCE ADDRESS D. Goyal, San Jose State University, San Jose, CA, United States. Email: dgoyal@son.sjsu.edu SOURCE Archives of Women's Mental Health (2009) 12:4 (229-237). Date of Publication: August 2009 ISSN 1434-1816 BOOK PUBLISHER Springer Wien, Sachsenplatz 4-6, P.O. Box 89, Vienna, Austria. ABSTRACT To determine the contribution of infant temperament to the relationship between maternal sleep disturbance and depressive symptoms. Utilizing a repeated measures design, 112 couples recruited from childbirth education classes were assessed in third trimester and postpartum. Instruments included Center for Epidemiologic Studies Depression Scale, General Sleep Disturbance Scale, wrist actigraphy, and an investigator-developed tool to assess infant temperament completed by mothers and fathers. Regardless of infant temperament, mothers who slept < 4 h between midnight and 6 am and mothers who napped < 60 min during the day were at increased risk for depression at three months postpartum. Infant temperament was associated with maternal sleep but was not a significant predictor of depressive symptoms after controlling for other contextual factors. Postpartum clinical visits should include questions about maternal sleep so interventions can be directed toward sufficient sleep to minimize risk of postpartum depression. © 2009 Springer-Verlag. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child behavior puerperal depression (diagnosis, epidemiology) sleep disorder temperament EMTREE MEDICAL INDEX TERMS actimetry adult article Center for Epidemiological Studies Depression Scale childbirth education clinical trial controlled clinical trial controlled study depression disease association disease duration father female general sleep disturbance scale human infant major clinical study mother prediction predictor variable priority journal prospective study puerperium randomized controlled trial rating scale risk factor third trimester pregnancy wrist EMBASE CLASSIFICATIONS Neurology and Neurosurgery (8) Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2009383547 MEDLINE PMID 19396527 (http://www.ncbi.nlm.nih.gov/pubmed/19396527) PUI L50499785 DOI 10.1007/s00737-009-0070-9 FULL TEXT LINK http://dx.doi.org/10.1007/s00737-009-0070-9 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 270 TITLE Prenatal Showers: Educational Opportunities for Undergraduate Students AUTHOR NAMES Zentz S.E. Brown J.M. Schmidt N.A. Alverson E.M. AUTHOR ADDRESSES (Zentz S.E., suzanne.zentz@valpo.edu; Brown J.M.; Schmidt N.A.; Alverson E.M.) Valparaiso University, College of Nursing, Valparaiso, IN 46383, United States. CORRESPONDENCE ADDRESS S.E. Zentz, Valparaiso University, College of Nursing, Valparaiso, IN 46383, United States. Email: suzanne.zentz@valpo.edu SOURCE Journal of Professional Nursing (2009) 25:4 (249-256). Date of Publication: July/August 2009 ISSN 8755-7223 BOOK PUBLISHER W.B. Saunders, Independence Square West, Philadelphia, United States. ABSTRACT 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. © 2009 Elsevier Inc. All rights reserved. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) community health nursing maternal care nursing education prenatal care EMTREE MEDICAL INDEX TERMS adolescent adult article education female human methodology nurse patient relationship pregnancy LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 19616194 (http://www.ncbi.nlm.nih.gov/pubmed/19616194) PUI L354885574 DOI 10.1016/j.profnurs.2009.01.011 FULL TEXT LINK http://dx.doi.org/10.1016/j.profnurs.2009.01.011 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 271 TITLE Parental and perinatal factors affecting childhood anthropometry of very-low-birth-weight premature infants: A population-based survey AUTHOR NAMES Makhoul I.R. Awad E. Tamir A. Weintraub Z. Rotschild A. Bader D. Yurman S. Reich D. Bental Y. Jammalieh J. Smolkin T. Sujov P. Hochberg Z. AUTHOR ADDRESSES (Makhoul I.R., makhoul@rambam.health.gov.il; Awad E.; Smolkin T.; Sujov P.) Department of Neonatology, Rambam Health Care Campus, Haifa, Israel. (Weintraub Z.) Department of Neonatology, Western Galilee Medical Center, Nahariya, Israel. (Rotschild A.) Department of Neonatology, Carmel Medical Center, Haifa, Israel. (Bader D.) Department of Neonatology, Bnei Zion Medical Center, Haifa, Israel. (Yurman S.) Department of Neonatology, Hillel-Yaffe Medical Center, Hadera, Israel. (Reich D.) Department of Neonatology, Haemek Medical Center, Afula, Israel. (Bental Y.) Department of Neonatology, Laniado Hospital, Netanya, Israel. (Jammalieh J.) Department of Neonatology, French Hospital, Nazareth, Israel. (Hochberg Z.) Department of Pediatric Endocrinology, Rambam Health Care Campus, Haifa, Israel. (Makhoul I.R., makhoul@rambam.health.gov.il; Awad E.; Tamir A.; Weintraub Z.; Rotschild A.; Bader D.; Yurman S.; Reich D.; Bental Y.; Smolkin T.; Sujov P.; Hochberg Z.) Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel. (Makhoul I.R., makhoul@rambam.health.gov.il) Department of Neonatology, Rambam Medical Center, Bat-Galim, Haifa 31096, Israel. CORRESPONDENCE ADDRESS I. R. Makhoul, Department of Neonatology, Rambam Medical Center, Bat-Galim, Haifa 31096, Israel. Email: makhoul@rambam.health.gov.il SOURCE Acta Paediatrica, International Journal of Paediatrics (2009) 98:6 (963-969). Date of Publication: June 2009 ISSN 0803-5253 1651-2227 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Background: The perinatal-neonatal course of very-low-birth-weight (VLBW) infants might affect their childhood growth. We evaluated the effect of parental anthropometry and perinatal and neonatal morbidity of VLBW neonates on their childhood growth. Methods: We obtained parental anthropometry, height and weight at age 6-10.5 years of 334 children born as VLBW infants. Parental, perinatal and neonatal data of these children were tested for association with childhood anthropometry. Results: (1) Maternal and paternal weight standard deviation score (SDS) and discharge weight (DW) SDS were associated with childhood weight SDS (R(2) = 0.111, p < 0.00001); (2) Maternal and paternal height SDS, corrected gestational age (GA) at discharge, maternal assisted reproduction and SGA status were associated with childhood height SDS (R(2) = 0.208, p < 0.00001); (3) paternal weight SDS, DW SDS and surfactant therapy were associated with childhood body mass index (BMI) SDS (R(2) = 0.096, p < 0.00001). 31.1% of VLBW infants had DW SDS < -1.88, and are to be considered small for gestational age ('SGA'). One quarter of these infants did not catch up by age 6-10.5 years. Conclusion: Childhood anthropometry of VLBW infants depends on parental anthropometry, postnatal respiratory morbidity and growth parameters at birth and at discharge. Almost one-third of VLBW premature infants had growth restriction at discharge from neonatal intensive care unit (NICU), a quarter of whom did not catch up by age 6-10.5 years. ©2009 Foundation Acta Pædiatrica/Acta Pædiatrica. EMTREE DRUG INDEX TERMS surfactant EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) anthropometry prematurity (epidemiology) very low birth weight (epidemiology) EMTREE MEDICAL INDEX TERMS article body height body mass body weight child child growth childhood clinical evaluation female gestational age health survey hospital discharge human major clinical study male newborn morbidity parent perinatal care population research preschool child priority journal questionnaire risk factor school child small for date infant EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2009217835 MEDLINE PMID 19243350 (http://www.ncbi.nlm.nih.gov/pubmed/19243350) PUI L354568426 DOI 10.1111/j.1651-2227.2009.01242.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1651-2227.2009.01242.x COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 272 TITLE Parental mental health, education, age at childbirth and child development from six to 18 months AUTHOR NAMES Lung F.-W. Shu B.-C. Chiang T.-L. Lin S.-J. AUTHOR ADDRESSES (Lung F.-W., forweylung@gmail.com) Department of Medicine, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan. (Lung F.-W., forweylung@gmail.com) Graduate Institute of Behavioral Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan. (Lung F.-W., forweylung@gmail.com) Department of Psychiatry, National Defense Medical Center, Taipei, Taiwan. (Lung F.-W., forweylung@gmail.com) Calo Psychiatric Center, Pingtung County, Taiwan. (Shu B.-C., shubih@mail.ncku.edu.tw) Institute of Allied Health Sciences, Department of Nursing, National Cheng Kung University, Tainan, Taiwan. (Chiang T.-L.) Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan. (Lin S.-J.) Department of Pediatrics, National Cheng Kung University, Medical School, Tainan, Taiwan. (Shu B.-C., shubih@mail.ncku.edu.tw) Institute of Allied Health Sciences, Department of Nursing, National Cheng Kung University, No. 1 Da-Hsueh Rd., Tainan, 701, Taiwan. CORRESPONDENCE ADDRESS B.-C. Shu, Institute of Allied Health Sciences, Department of Nursing, National Cheng Kung University, No. 1 Da-Hsueh Rd., Tainan, 701, Taiwan. Email: shubih@mail.ncku.edu.tw SOURCE Acta Paediatrica, International Journal of Paediatrics (2009) 98:5 (834-841). Date of Publication: May 2009 ISSN 0803-5253 1651-2227 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT 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. ©2008 Foundation Acta Pædiatrica/Acta Pædiatrica. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child development mental health parental behavior EMTREE MEDICAL INDEX TERMS adolescent adult aged article child childbirth controlled study education female health survey human infant language development major clinical study male maternal behavior motor development multiple linear regression analysis parental age paternal behavior preschool child priority journal self concept social evolution structural equation modeling EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) Developmental Biology and Teratology (21) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2009170854 MEDLINE PMID 19120038 (http://www.ncbi.nlm.nih.gov/pubmed/19120038) PUI L354444850 DOI 10.1111/j.1651-2227.2008.01166.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1651-2227.2008.01166.x COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 273 TITLE Prenatal programming of sexual partner preference: The ram model AUTHOR NAMES Roselli C.E. Stormshak F. AUTHOR ADDRESSES (Roselli C.E., rosellic@ohsu.edu) Department of Physiology and Pharmacology, Oregon Health and Sciences University, 3181 Southwest Sam Jackson Park Road, Portland, OR 97201-3098, United States. (Stormshak F.) Department of Animal Sciences, Oregon State University, Corvallis, OR, United States. CORRESPONDENCE ADDRESS C.E. Roselli, Department of Physiology and Pharmacology, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Portland, OR 97201-3098, United States. Email: rosellic@ohsu.edu SOURCE Journal of Neuroendocrinology (2009) 21:4 (359-364). Date of Publication: 2009 Steroid Hormones, Neuropeptides, and Brain Function, Book Series Title: ISSN 0953-8194 1365-2826 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT In our laboratory, the domestic ram is used as an experimental model to study the early programming of neural mechanisms underlying same-sex partner preference. This interest developed from the observation that approximately 8% of domestic rams are sexually attracted to other rams (male-oriented) in contrast to the majority of rams that are attracted to oestrous ewes (female-oriented). One prominent feature of sexual differentiation in many species is the presence of a sexually dimorphic nucleus (SDN) in the preoptic/anterior hypothalamus that is larger in males than in females. Lesion studies in rats and ferrets implicate the SDN in the expression of sexual preferences. We discovered an ovine SDN (oSDN) in the preoptic/anterior hypothalamus that is smaller in male- than in female-oriented rams and similar in size to the oSDN of ewes. Neurones of the oSDN show abundant aromatase expression that is also reduced in male-oriented compared to female-oriented rams. This observation suggests that sexual partner preferences are neurologically hard-wired and could be influenced by hormones. Aromatase-containing neurones constitute a nascent oSDN as early as day 60 of gestation, which becomes sexually dimorphic by day 135 of gestation when it is two-fold larger in males than in females. Exposure of fetal female lambs to exogenous testosterone from days 30-90 of gestation resulted in a masculinised oSDN. These data demonstrate that the oSDN develops prenatally and may influence adult sexual preferences. Surprisingly, inhibition of aromatase activity in the brain of ram foetuses during the critical period did not interfere with defeminisation of adult sexual partner preference or oSDN volume. These results fail to support an essential role for neural aromatase in the sexual differentiation of sheep brain and behaviour. Thus, we propose that oSDN morphology and male-typical partner preferences may instead be programmed through an androgen receptor mechanism not involving aromatisation. © 2009 The Authors. Journal compilation © 2009 Blackwell Publishing. EMTREE DRUG INDEX TERMS androgen (endogenous compound) androgen receptor (endogenous compound) aromatase (endogenous compound) estrogen (endogenous compound) gonadotropin (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) mate choice sexuality EMTREE MEDICAL INDEX TERMS anterior hypothalamus aromatization bisexuality breeding central nervous system function conference paper enzyme activity enzyme inhibition gestational age homosexuality hormone action masculinity nerve cell neuroanatomy neuroendocrine system nonhuman olfactory nervous system priority journal protein expression sex difference sex differentiation sexual behavior CAS REGISTRY NUMBERS aromatase (9039-48-9) gonadotropin (63231-54-9) EMBASE CLASSIFICATIONS Endocrinology (3) Neurology and Neurosurgery (8) Clinical and Experimental Biochemistry (29) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2009158629 MEDLINE PMID 19207819 (http://www.ncbi.nlm.nih.gov/pubmed/19207819) PUI L354407562 DOI 10.1111/j.1365-2826.2009.01828.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1365-2826.2009.01828.x COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 274 TITLE Parental understanding of neonatal congenital heart disease AUTHOR NAMES Williams I.A. Shaw R. Kleinman C.S. Gersony W.M. Prakash A. Levasseur S.M. Glickstein J.S. AUTHOR ADDRESSES (Williams I.A., iib6@columbia.edu; Shaw R., iib6@columbia.edu; Kleinman C.S., iib6@columbia.edu; Gersony W.M., iib6@columbia.edu; Prakash A., iib6@columbia.edu; Levasseur S.M., iib6@columbia.edu; Glickstein J.S., iib6@columbia.edu) Department of Pediatrics, Columbia University College of Physicians and Surgeons, Morgan Stanley Children's Hospital of New York, 2-North 3959 Broadway, New York, NY 10032, United States. CORRESPONDENCE ADDRESS I. A. Williams, Department of Pediatrics, Columbia University College of Physicians and Surgeons, Morgan Stanley Children's Hospital of New York, 2-North 3959 Broadway, New York, NY 10032, United States. Email: iib6@columbia.edu SOURCE Pediatric Cardiology (2008) 29:6 (1059-1065). Date of Publication: November 2008 ISSN 0172-0643 BOOK PUBLISHER Springer New York, 233 Springer Street, New York, United States. ABSTRACT Background: This study aimed to evaluate the impact of prenatal diagnosis on parental understanding of congenital heart disease (CHD) in newborns. Methods: Consenting parents of newborns with CHD answered questions about the cardiac lesion, surgical repair, follow-up management, risk for CHD in future children, and maternal education before neonatal intensive care unit (NICU) discharge. A total understanding score was calculated (0-10) as the sum of five subscores: physician score, CHD score, surgery score, follow-up score, and reproduction score. Each category was scored as 0 (none correct), 1 (some correct), or 2 (all correct). The prenatal and postnatal diagnoses scores were compared. Results: From June 2006 to November 2006, 50 families completed the questionnaire. Of these 50 families, 26 reported a prenatal diagnosis. The mean infant age when the parents were approached was 17.3 ± 13.3 days. The summary understanding score for the entire group was 6.3 ± 2.4 of 10. Multivariate regression analysis demonstrated a difference in scores between prenatal and postnatal diagnosis groups (p = 0.02) when control was used for maternal education. Prenatal diagnosis and maternal education (p < 0.01) had independent effects on the score. Conclusion: Prenatal diagnosis increases parental understanding of neonatal CHD. Nevertheless, parental understanding remains suboptimal. © 2008 Springer Science+Business Media, LLC. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) congenital heart disease parenting education EMTREE MEDICAL INDEX TERMS adult article cardiovascular risk clinical article controlled study decision making female follow up heart surgery hospital discharge human newborn newborn intensive care parental behavior parental consent prenatal diagnosis questionnaire scoring system EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) Cardiovascular Diseases and Cardiovascular Surgery (18) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2009034058 MEDLINE PMID 18592297 (http://www.ncbi.nlm.nih.gov/pubmed/18592297) PUI L50193137 DOI 10.1007/s00246-008-9254-8 FULL TEXT LINK http://dx.doi.org/10.1007/s00246-008-9254-8 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 275 TITLE Quality of child-parent attachment moderates the impact of antenatal stress on child fearfulness AUTHOR NAMES Bergman K. Sarkar P. Glover V. O'Connor T.G. AUTHOR ADDRESSES (Bergman K.; Sarkar P.; Glover V., v.glover@imperial.ac.uk) Institute of Reproductive and Developmental Biology, Imperial College London, United Kingdom. (O'Connor T.G., tom_oconnor@urmc.rochester.edu) Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, United States. (O'Connor T.G., tom_oconnor@urmc.rochester.edu) Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd, Rochester, NY 14642, United States. (Glover V., v.glover@imperial.ac.uk) Institute of Reproductive and Developmental Biology, Imperial College London, Du Cane Road, London W12 0NN, United Kingdom. CORRESPONDENCE ADDRESS V. Glover, Institute of Reproductive and Developmental Biology, Imperial College London, Du Cane Road, London W12 0NN, United Kingdom. Email: v.glover@imperial.ac.uk SOURCE Journal of Child Psychology and Psychiatry and Allied Disciplines (2008) 49:10 (1089-1098). Date of Publication: October 2008 ISSN 0021-9630 1469-7610 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Background: Animal studies have shown that prenatal stress has persisting effects on several aspects of offspring development; more recent studies show that this effect may be eliminated by positive postnatal rearing. Human studies of prenatal anxiety/stress are now also beginning to document links between antenatal stress/anxiety and behavioural and cognitive development of the child; however, there is no human evidence as to whether the early caregiving environment moderates the effect of antenatal anxiety/stress on child outcomes. Methods: Antenatal and postnatal measures of stress were collected on 123 women who were recruited from an antenatal clinic. Laboratory-based assessment of the children's cognitive development and fearfulness were assessed when the children were aged 17 months. In addition, child-parent attachment quality was assessed using the Strange Situation. Results: Attachment classification moderated the link between antenatal stress and observed fearfulness. The effect of antenatal stress on fearfulness was most accentuated in children with an Insecure/Resistant attachment classification; the significant antenatal stress × attachment classification interaction held after controlling for postnatal stress and obstetric, social and demographic factors. Attachment did not moderate the effects of antenatal anxiety on cognitive development. Discussion: These findings provide the first human evidence that postnatal parenting may moderate the adverse effects of antenatal stress. These results raise developmental questions about the timing and effect of interventions to reduce the adverse effects of antenatal stress exposure. © 2008 The Authors. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation fear maternal stress prenatal period EMTREE MEDICAL INDEX TERMS adult anxiety article cognitive development controlled study demography female human infant laboratory test major clinical study male obstetric procedure perinatal period prenatal care social aspect EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2008483400 MEDLINE PMID 19017025 (http://www.ncbi.nlm.nih.gov/pubmed/19017025) PUI L352505103 DOI 10.1111/j.1469-7610.2008.01987.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1469-7610.2008.01987.x COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 276 TITLE Perinatal Outcomes Among Foreign-Born and US-Born Chinese Americans, 1995-2000 AUTHOR NAMES Li Q. Keith L.G. Kirby R.S. AUTHOR ADDRESSES (Li Q., youliqing@hotmail.com; Kirby R.S.) Department of Maternal and Child Health, School of Public Health, University of Alabama at Birmingham, 320 Ryals Building, 1665 University Boulevard, Birmingham, 35294, United States. (Keith L.G.) Department of Obstetrics and Gynecology, Northwestern University, Chicago, United States. CORRESPONDENCE ADDRESS Q. Li, Department of Maternal and Child Health, School of Public Health, University of Alabama at Birmingham, 320 Ryals Building, 1665 University Boulevard, Birmingham, 35294, AL, United States. Email: youliqing@hotmail.com SOURCE Journal of Immigrant and Minority Health (2008) (1-8). Date of Publication: 2008 ISSN 1557-1912 1557-1920 (electronic) ABSTRACT This paper examines nativity differences in adverse perinatal outcomes of Chinese-American mothers. Singleton live births to US-resident Chinese women (150,620 foreign-born, 15,040 US-born) and a random sample of 150,620 non-Hispanic White mothers were selected from 1995 to 2000 national linked birth/infant death certificate files. Associations between maternal nativity status and adverse perinatal outcomes were assessed using multivariable logistic regressions. Compared to US-born Chinese mothers, foreign-born Chinese mothers were less likely to be unmarried, teen mothers, have a non-Hispanic White or other race partner, be rural residents, and more likely to be less educated, or utilize prenatal care inadequately. Controlling for these factors, foreign-born Chinese-American mothers had significantly lower risks for low birth weight, preterm birth, and small-for-gestational age, whereas risks for infant mortality, neonatal mortality, and post-neonatal mortality did not differ significantly from those of infants of US-born Chinese mothers. Chinese Americans exhibited clear nativity differentials for adverse birth outcomes. © 2008 Springer Science+Business Media, LLC. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Asian American logistic regression analysis EMTREE MEDICAL INDEX TERMS commercial phenomena death certificate female Hispanic infant infant mortality live birth low birth weight mother newborn mortality pregnancy outcome prenatal care random sample risk small for date infant LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English PUI L50286984 DOI 10.1007/s10903-008-9191-x FULL TEXT LINK http://dx.doi.org/10.1007/s10903-008-9191-x COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 277 TITLE Maternal expectations: do they match experience? AUTHOR NAMES Young E. AUTHOR ADDRESSES (Young E.) North East Essex Primary Care Trust. CORRESPONDENCE ADDRESS E. Young, North East Essex Primary Care Trust. SOURCE Community practitioner : the journal of the Community Practitioners' & Health Visitors' Association (2008) 81:10 (27-30). Date of Publication: Oct 2008 ISSN 1462-2815 ABSTRACT This qualitative research project aimed to explore maternal expectations toward motherhood and compare these to actual experience, in order to identify where expectations were not being met and inform the improvement of services. The project involved two focus groups involving a midwife, health visitors, a community psychiatric nurse and a nursery nurse, and individual semistructured interviews with 11 first-time mothers. Questions were asked about antenatal and postnatal services and about maternal expectations. The findings indicated that there were some areas for which parents did not feel well prepared and where care could be more focused. The needs that were identified included earlier antenatal classes with greater involvement from fathers and health visitors, opportunities to debrief about labour, more information on practical, emotional and relationship changes, and more opportunities for mothers to support each other. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health health service mother needs assessment patient education EMTREE MEDICAL INDEX TERMS adaptive behavior adult article child parent relation curriculum education father female human information processing life event male national health service nursing methodology research organization and management psychological aspect puerperal depression (epidemiology, prevention) qualitative research questionnaire self help social support standard total quality management United Kingdom (epidemiology) LANGUAGE OF ARTICLE English MEDLINE PMID 18853885 (http://www.ncbi.nlm.nih.gov/pubmed/18853885) PUI L550073045 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 278 TITLE Sex-specific programming of offspring emotionality after stress early in pregnancy AUTHOR NAMES Mueller B.R. Bale T.L. AUTHOR ADDRESSES (Mueller B.R.; Bale T.L., tbale@vet.upenn.edu) Department of Animal Biology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States. (Bale T.L., tbale@vet.upenn.edu) 201E School of Veterinary Medicine, University of Pennsylvania, 3800 Spruce Street, Philadelphia, PA 19104, United States. CORRESPONDENCE ADDRESS T. L. Bale, 201E School of Veterinary Medicine, University of Pennsylvania, 3800 Spruce Street, Philadelphia, PA 19104, United States. Email: tbale@vet.upenn.edu SOURCE Journal of Neuroscience (2008) 28:36 (9055-9065). Date of Publication: 3 Sep 2008 ISSN 0270-6474 0270-6474 (electronic) BOOK PUBLISHER Society for Neuroscience, 1121 14th Street,NW, Suite 1010, Washington, United States. ABSTRACT Prenatal stress is associated with an increased vulnerability to neurodevelopmental disorders, including autism and schizophrenia. To determine the critical time window when fetal antecedents may induce a disease predisposition, we examined behavioral responses in offspring exposed to stress during early, mid, and late gestation. We found that male offspring exposed to stress early in gestation displayed maladaptive behavioral stress responsivity, anhedonia, and an increased sensitivity to selective serotonin reuptake inhibitor treatment. Long-term alterations in central corticotropin-releasing factor (CRF) and glucocorticoid receptor (GR) expression, as well as increased hypothalamic-pituitary-adrenal (HPA) axis responsivity, were present in these mice and likely contributed to an elevated stress sensitivity. Changes in CRF and GR gene methylation correlated with altered gene expression, providing important evidence of epigenetic programming during early prenatal stress. In addition, we found the core mechanism underlying male vulnerability may involve sex-specific placenta responsivity, where stress early in pregnancy significantly increased expression of PPARα (peroxisome proliferator-activated receptor α), IGFBP-1 (insulin-like growth factor binding protein 1), HIF3α (hypoxia-inducible factor 3a), and GLUT4 (glucose transporter 4) in male placentas but not females. Examination of placental epigenetic machinery revealed basal sex differences, providing further evidence that sex-specific programming begins very early in pregnancy, and may contribute to the timing and vulnerability of the developing fetus to maternal perturbations. Overall, these results indicate that stress experience early in pregnancy may contribute to male neurodevelopmental disorders through impacts on placental function and fetal development. Copyright © 2008 Society for Neuroscience. EMTREE DRUG INDEX TERMS citalopram (drug dose, drug therapy, pharmacology) corticosterone (endogenous compound) corticotropin releasing factor DNA methyltransferase 1 (endogenous compound) DNA methyltransferase 3A (endogenous compound) glucocorticoid receptor glucose transporter 4 hypoxia inducible factor hypoxia inducible factor 3alpha interleukin 6 (endogenous compound) methyl CpG binding protein 2 (endogenous compound) peroxisome proliferator activated receptor alpha serotonin 1A receptor serotonin transporter somatomedin binding protein 1 tryptophan hydroxylase 2 tumor necrosis factor (endogenous compound) unclassified drug EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) behavior early life stress emotionality prenatal stress sex difference EMTREE MEDICAL INDEX TERMS anhedonia animal experiment animal model animal tissue article body weight controlled study corticosterone release depression (drug therapy) DNA methylation drug dose comparison drug effect epigenetics female fetus fluid intake food intake gene expression gestation period hormone release hypothalamus hypophysis adrenal system maladjustment male mouse nervous system development newborn nonhuman nucleotide sequence placenta prenatal development priority journal progeny receptor gene taste preference CAS REGISTRY NUMBERS citalopram (59729-33-8) corticosterone (50-22-6) corticotropin releasing factor (178359-01-8, 79804-71-0, 86297-72-5, 86784-80-7, 9015-71-8) glucose transporter 4 (188071-24-1) peroxisome proliferator activated receptor alpha (147258-70-6) MOLECULAR SEQUENCE NUMBERS GENBANK (NM007393, NM007872, NM010788, NM013693, NM031168) EMBASE CLASSIFICATIONS Neurology and Neurosurgery (8) Developmental Biology and Teratology (21) Human Genetics (22) Psychiatry (32) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2009011776 MEDLINE PMID 18768700 (http://www.ncbi.nlm.nih.gov/pubmed/18768700) PUI L354035972 DOI 10.1523/JNEUROSCI.1424-08.2008 FULL TEXT LINK http://dx.doi.org/10.1523/JNEUROSCI.1424-08.2008 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 279 TITLE The transition to parenthood: What does it mean for fathers? AUTHOR NAMES Deave T. Johnson D. AUTHOR ADDRESSES (Deave T., toity.deave@uwe.ac.uk) Centre for Child and Adolescent Health, University of the West of England, Bristol, United Kingdom. (Johnson D.) Centre for Child and Adolescent Health, University of Bristol, Bristol, United Kingdom. CORRESPONDENCE ADDRESS T. Deave, Centre for Child and Adolescent Health, University of the West of England, Bristol, United Kingdom. Email: toity.deave@uwe.ac.uk SOURCE Journal of Advanced Nursing (2008) 63:6 (626-633). Date of Publication: September 2008 ISSN 0309-2402 1365-2648 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Title. The transition to parenthood: what does it mean for fathers? Aim. This paper is a report of a study to explore the needs of first-time fathers in relation to the care, support and education provided by healthcare professionals during the antenatal period, particularly in relation to preparing them for the transition to fatherhood. Background. Pregnancy and transition to parenthood are major developmental periods within families throughout the world. Previous research suggests that fathers in many different countries feel unprepared for parenthood. Methods. Purposive sampling was used to recruit 20 partners of primiparous women from two healthcare provider organizations in South-West England between December 2005 and July 2006. Recruitment took place at about 28 weeks gestation. Semi-structured interviews were undertaken at home in the last trimester of pregnancy and 3-4 months postpartum. Content analysis of the interview data was undertaken. Findings. Several common themes emerged from both the ante- and postnatal data, including lack of support mechanisms, involvement in antenatal provision and the need for more information given in the antenatal period on parenting, baby care and relationships. Conclusions. Adequately preparing new fathers for parenthood in advance of the birth of their baby is important, and healthcare professionals can contribute to this by involving and supporting new fathers. Further study is needed to explore the role of fathers in antenatal education and the types of interventions that are effective in improving their early experiences of parenthood. The study needs to be repeated with fathers from black and ethnic minority groups. © 2008 Blackwell Publishing Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation father life event pregnancy prenatal care EMTREE MEDICAL INDEX TERMS adaptive behavior adult article education female human male psychological aspect United Kingdom LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 18808584 (http://www.ncbi.nlm.nih.gov/pubmed/18808584) PUI L352290037 DOI 10.1111/j.1365-2648.2008.04748.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1365-2648.2008.04748.x COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 280 TITLE Prenatal diagnosis of β-thalassemia in Egypt: Implementing accurate high-tech methods did not reflect much on the outcome AUTHOR NAMES Elgawhary S. Elbaradie Sahar M.Y. Rashad W.M. Mosaad M. Abdalla M.A.H. Ezzat G. Wali Y.A. Elbeshlawy A. AUTHOR ADDRESSES (Elgawhary S.; Ezzat G.) Clinical Pathology Department, Cairo University, Cairo, Egypt. (Elbaradie Sahar M.Y.; Rashad W.M.; Mosaad M.; Abdalla M.A.H.) Gynecology and Obstetric Department, Cairo University, Cairo, Egypt. (Wali Y.A., yawali@squ.edu.om) Child Health Department, Sultan Qaboos University, Muscat, Oman. (Elbeshlawy A.) Pediatric Department, Cairo University, Cairo, Egypt. (Wali Y.A., yawali@squ.edu.om) Child Health Department, College of Medicine, SQU, POB 35, Al-Khoudh 123, Oman. CORRESPONDENCE ADDRESS Y. A. Wali, Child Health Department, College of Medicine, SQU, POB 35, Al-Khoudh 123, Oman. Email: yawali@squ.edu.om SOURCE Pediatric Hematology and Oncology (2008) 25:6 (541-548). Date of Publication: August 2008 ISSN 0888-0018 1521-0669 (electronic) BOOK PUBLISHER Informa Healthcare, 69-77 Paul Street, London, United Kingdom. ABSTRACT The clinical severity of thalassemia major makes it a priority genetic disease for prevention programs through prenatal diagnosis for carrier couples. Incorporation of automated DNA sequencing that enables the characterization of mutations not detected by other mutation specific detection procedures was a prime goal of this work. Automated DNA sequencing was offered on fetal tissues in 30 pregnancies during the year 2005. The pregnancies were at high risk for homozygosity or compound heterozygosity for β-thalassemia based on mutation analysis of both parents before prenatal diagnosis. Both parents have β-thalassemia trait. Fetal samples were collected by chorionic villus sampling (CVS) in the first trimester and by amniocentesis in the second trimester. The point mutations were characterized by PCR (ARMS). The absence of the expected fragment with all the mutant ARMS primers insinuated an uncharacterized DNA segment that was further subjected to direct automated fluorescent DNA sequencing in an attempt to know if the fetus was affected by parents' mutations. If no mutation was detected using the PCR ARMS, the sample was further analyzed using direct automated fluorescent DNA sequencing. The mean gestation when carrying out the invasive procedure was 14 (10 -18) weeks. All mothers had a previous affected pregnancy, and 13 had two or more previous affected pregnancies. Pregnancies were: 8 carrier fetuses (trait) and 22 affected fetuses in which 2 were homozygous and 20 double heterozygous. Fourteen parents of affected fetuses preferred to continue pregnancy and the babies were born as diagnosed. The other 8 parents decided on termination and DNA of the abortuses proved to be as previously diagnosed by DNA sequencing. The use of PCR amplification and direct sequencing have permitted the accurate characterization of unidentified alleles and successfully solved 100% of the examined samples. However, it has resulted in minor changes of the outcome as the majority of couples preferred continuation of pregnancy. Copyright © Informa Healthcare USA, Inc. EMTREE DRUG INDEX TERMS DNA (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) beta thalassemia (diagnosis) prenatal diagnosis EMTREE MEDICAL INDEX TERMS amnion fluid analysis article chorion villus sampling clinical article computer assisted diagnosis diagnostic accuracy DNA sequence female fetus first trimester pregnancy heterozygosity high risk pregnancy homozygosity human invasive procedure mutational analysis outcome assessment polymerase chain reaction pregnancy termination second trimester pregnancy CAS REGISTRY NUMBERS DNA (9007-49-2) EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) Hematology (25) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2008407706 MEDLINE PMID 18728973 (http://www.ncbi.nlm.nih.gov/pubmed/18728973) PUI L352237524 DOI 10.1080/08880010802313509 FULL TEXT LINK http://dx.doi.org/10.1080/08880010802313509 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 281 TITLE Transition to parenthood: The needs of parents in pregnancy and early parenthood AUTHOR NAMES Deave T. Johnson D. Ingram J. AUTHOR ADDRESSES (Deave T., toity.deave@uwe.ac.uk) Centre for Child and Adolescent Health, University of the West of England Bristol, Hampton House, Bristol, United Kingdom. (Johnson D., d.johnson@bristol.ac.uk) Centre for Child and Adolescent Health, University of Bristol, Hampton House, Bristol, United Kingdom. (Ingram J., jennifer.ingram@uhbristol.nhs.uk) Centre for Child and Adolescent Health, University of Bristol and Bristol R and D Support Unit, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom. CORRESPONDENCE ADDRESS T. Deave, Centre for Child and Adolescent Health, University of the West of England Bristol, Hampton House, Bristol, United Kingdom. Email: toity.deave@uwe.ac.uk SOURCE BMC Pregnancy and Childbirth (2008) 8 Article Number: 30. Date of Publication: 29 Jul 2008 ISSN 1471-2393 (electronic) BOOK PUBLISHER BioMed Central Ltd., 34 - 42 Cleveland Street, London, United Kingdom. ABSTRACT Background: Pregnancy and the transition to parenthood are major adjustment periods within a family. Existing studies have asked parents, retrospectively, about their experience of antenatal education, mainly focusing on women. We sought to address this gap by asking first-time mothers and their partners about how they could be better supported during the antenatal period, particularly in relation to the transition to parenthood and parenting skills. Methods: Purposive sampling was used to recruit 24 nulliparous women with a range of ages from two healthcare organisations in South-West England, 20 of whom had partners. Recruitment took place antenatally at around 28 weeks gestation. Semi-structured interviews were undertaken at home in the last trimester of pregnancy and between 3-4 months postpartum. Content analysis of the interview data was undertaken. Results: Several common themes emerged from both the ante- and postnatal data, including support mechanisms, information and antenatal education, breastfeeding, practical baby-care and relationship changes. Knowledge about the transition to parenthood was poor. Women generally felt well supported, especially by female relatives and, for those who attended them, postnatal groups. This was in contrast to the men who often only had health professionals and work colleagues to turn to. The men felt very involved with their partners' pregnancy but excluded from antenatal appointments, antenatal classes and by the literature that was available. Parents had been unaware of, and surprised at, the changes in the relationship with their partners. They would have liked more information on elements of parenting and baby care, relationship changes and partners' perspectives prior to becoming parents. Conclusion: Many studies and policy documents have highlighted the paucity of parents' preparation for parenthood. This study has indicated the need for an improvement in parents' preparation for parenthood, the importance of including fathers in antenatal education and that inadequate preparation remains a concern to both women and their partners. This paper identifies several avenues for action and further research to improve both new parents' experience of antenatal education and their preparation for parenthood. © 2008 Deave et al; licensee BioMed Central Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) parenthood pregnancy EMTREE MEDICAL INDEX TERMS adult article breast feeding child parent relation female gestation period health care organization health education health practitioner human male prenatal period puerperium semi structured interview third trimester pregnancy United Kingdom EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2008411817 MEDLINE PMID 18664251 (http://www.ncbi.nlm.nih.gov/pubmed/18664251) PUI L352249453 DOI 10.1186/1471-2393-8-30 FULL TEXT LINK http://dx.doi.org/10.1186/1471-2393-8-30 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 282 TITLE Low male partner participation in antenatal HIV counselling and testing in northern Tanzania: Implications for preventive programs AUTHOR NAMES Msuya S.E. Mbizvo E.M. Hussain A. Uriyo J. Sam N.E. Stray-Pedersen B. AUTHOR ADDRESSES (Msuya S.E., siamsuya@hotmail.com; Mbizvo E.M.; Hussain A.; Uriyo J.) Department of International Health, University of Oslo, Norway. (Msuya S.E., siamsuya@hotmail.com; Stray-Pedersen B.) Department of Obstetrics and Gynaecology, University of Oslo, Norway. (Msuya S.E., siamsuya@hotmail.com; Uriyo J.; Sam N.E.) Kilimanjaro Christian Medical Centre, Moshi, Tanzania. (Mbizvo E.M.) Ministry of Health and Child Welfare, Harare, Zimbabwe. CORRESPONDENCE ADDRESS S. E. Msuya, Department of International Health, University of Oslo, Norway. Email: siamsuya@hotmail.com SOURCE AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV (2008) 20:6 (700-709). Date of Publication: July 2008 ISSN 0954-0121 1360-0451 (electronic) BOOK PUBLISHER Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United Kingdom. ABSTRACT 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. © 2008 Taylor & Francis. EMTREE DRUG INDEX TERMS antiretrovirus agent (drug therapy) nevirapine (drug dose, drug therapy) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Human immunodeficiency virus infection (diagnosis, drug therapy, epidemiology, prevention) patient counseling pregnancy prenatal care EMTREE MEDICAL INDEX TERMS adolescent adult article blood sampling clinical examination condom enzyme linked immunosorbent assay female Herpes simplex virus 2 human interview major clinical study male patient compliance priority journal questionnaire sexual behavior sexually transmitted disease (diagnosis, epidemiology, prevention) single drug dose syphilis (diagnosis) Tanzania third trimester pregnancy vertical transmission virus transmission DEVICE TRADE NAMES Capillus HIV 1/2 , IrelandTrinity Biotech Determine HIV 1/2 , United StatesAbbott Determine Syphilis TP , United StatesAbbott HSV-2 ELISA , United StatesFocus Diagnostics Vironostika HIV Uni-form II , NetherlandsOrganon Teknika DEVICE MANUFACTURERS (United States)Abbott (United States)Becton Dickinson (United States)Focus Diagnostics (Netherlands)Organon Teknika (Ireland)Trinity Biotech CAS REGISTRY NUMBERS nevirapine (129618-40-2) EMBASE CLASSIFICATIONS Microbiology: Bacteriology, Mycology, Parasitology and Virology (4) Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Biophysics, Bioengineering and Medical Instrumentation (27) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2008315401 MEDLINE PMID 18576172 (http://www.ncbi.nlm.nih.gov/pubmed/18576172) PUI L351913396 DOI 10.1080/09540120701687059 FULL TEXT LINK http://dx.doi.org/10.1080/09540120701687059 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 283 TITLE Current evidence on perinatal home visiting and intimate partner violence AUTHOR NAMES Sharps P.W. Campbell J. Baty M.L. Walker K.S. Bair-Merritt M.H. AUTHOR ADDRESSES (Sharps P.W., psharps@son.jhmi.edu) Department of Community Public Health Nursing, Johns Hopkins University, School of Nursing, 525 N. Wolfe Street, Baltimore, MD 21205, United States. (Campbell J.; Baty M.L.) Johns Hopkins University, School of Nursing, Baltimore, MD, United States. (Walker K.S.) Community Health Research Nurse, Johns Hopkins University, School of Nursing, Baltimore, MD, United States. (Bair-Merritt M.H.) Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States. CORRESPONDENCE ADDRESS P.W. Sharps, Department of Community Public Health Nursing, Johns Hopkins University, School of Nursing, 525 N. Wolfe Street, Baltimore, MD 21205, United States. Email: psharps@son.jhmi.edu SOURCE JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing (2008) 37:4 (480-491). Date of Publication: July/August 2008 ISSN 0884-2175 1552-6909 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Objective: To describe current evidence on home visiting interventions for pregnant or postpartum women with specific intimate partner violence assessment and content. Data Sources: Online bibliographic databases including PubMed, CINAHL Plus, and Web of Science and a hand search of bibliographies of relevant articles. Study Selection: Original research and intervention studies were included that contained (a) a well-described prenatal and/or postpartum home visitation; (b) an assessment of perinatal intimate partner violence; and (c) quantitative data describing health outcomes for the women and their infants. Data Extraction: The search yielded 128 articles, and 8 relevant articles met all of the inclusion criteria. Nonresearch, nonintervention, and international articles were excluded. Data Synthesis: No perinatal home visiting interventions were designed to address intimate partner violence. Programs that screened for intimate partner violence found high rates, and the presence of intimate partner violence limited the ability of the intervention to improve maternal and child outcomes. Conclusions: Perinatal home visitation programs likely improve pregnancy and infant outcomes. Home visiting interventions addressing intimate partner violence in nonperinatal population groups have been effective in minimizing intimate partner violence and improving outcomes. This suggests that perinatal home visiting programs adding specific intimate partner violence interventions may reduce intimate partner violence and improve maternal and infant health. Continued rigorous research is needed. © 2008 AWHONN. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) community health nursing maternal care nursing evaluation research partner violence (diagnosis, prevention) perinatal care professional practice EMTREE MEDICAL INDEX TERMS article cross-sectional study evidence based medicine female health care quality human mass screening methodology nursing assessment organization and management patient referral pregnancy pregnancy outcome public health randomized controlled trial statistics LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 18754987 (http://www.ncbi.nlm.nih.gov/pubmed/18754987) PUI L352102831 DOI 10.1111/j.1552-6909.2008.00267.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1552-6909.2008.00267.x COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 284 TITLE The evaluation of tailored and web-based information for new fathers AUTHOR NAMES Fletcher R. Vimpani G. Russell G. Keatinge D. AUTHOR ADDRESSES (Fletcher R., richard.fletcher@newcastle.edu.au) Family Action Centre, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia. (Vimpani G.) Faculty of Health, The University of Newcastle, Hunter Region Mail Centre, Newcastle, NSW, Australia. (Russell G.) Department of Psychology, Division of Linguistics and Psychology, Macquarie University, Sydney, NSW, Australia. (Keatinge D.) School of Nursing and Midwifery, Faculty of Health, The University of Newcastle, University Drive, Callaghan Newcastle, NSW, Australia. CORRESPONDENCE ADDRESS R. Fletcher, Family Action Centre, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia. Email: richard.fletcher@newcastle.edu.au SOURCE Child: Care, Health and Development (2008) 34:4 (439-446). Date of Publication: July 2008 ISSN 0305-1862 1365-2214 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Background: Information and advice on infant health and development have been shown to be well received by new parents and to lead to more confident and nurturing parenting. However, in spite of the accumulating evidence highlighting the importance of fathers to the well-being of their families, fathers rarely access and utilize 'parenting' information. Tailored information for fathers delivered via email and Internet may provide an alternate route for support for fathers. This study aimed to assess father's readiness to utilize electronic information tailored to father's role. Methods: Two hundred and fifty-three fathers from antenatal classes in two Australian cities were offered email and web-based information on seven topics: baby play, breastfeeding, post-natal depression, father-infant bonding, sex after birth, work-family balance and fussy babies. Of 137 who completed consent forms, a total of 105 fathers selected three topics and 67 fathers provided 149 topic evaluations. Results: Most respondents were from managerial, professional or skilled occupations and had higher educational qualifications than the general population of fathers. The most popular topics were those that related to father-infant interaction (baby games and father-infant bonding), and the least popular were breastfeeding and sex after the birth. Respondents rated the information as satisfactory and most (78%) indicated that it changed their approach to fathering. Although the websites provided were available through the Internet, few fathers had previously accessed them. Conclusions: Information tailored to new father's perspectives provided through email or Internet may increase new fathers' access to useful knowledge and support. Important health topics such as breastfeeding may not currently be perceived as particularly relevant to fathers in the antenatal period. Portals designed to filter existing websites could facilitate the use of parenting information by new fathers. © 2008 The Author Journal compilation © 2008 Blackwell Publishing Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) access to information Internet paternal attitude EMTREE MEDICAL INDEX TERMS article breast feeding child parent relation family life human human experiment male play priority journal puerperal depression sexual behavior work EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2008284774 MEDLINE PMID 18394007 (http://www.ncbi.nlm.nih.gov/pubmed/18394007) PUI L351818797 DOI 10.1111/j.1365-2214.2008.00811.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1365-2214.2008.00811.x COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 285 TITLE An unusually frequent β-thalassemia mutation in an Iranian province AUTHOR NAMES Eshghi P. Zadeh-Vakili A. Rashidi A. Miri-Moghadam E. AUTHOR ADDRESSES (Eshghi P.) Shaheed Beheshti University of Medical Sciences, Tehran, Iran. (Zadeh-Vakili A.) Prenatal Diagnosis Laboratory, Ali Asghar Children Hospital, Zahedan, Iran. (Rashidi A., rasidiarmin@yahoo.com) Tehran University of Medical Sciences, Tehran, Iran. (Miri-Moghadam E.) Hematology Laboratory, Ali Asghar Children Hospital, Zahedan, Iran. (Rashidi A., rasidiarmin@yahoo.com) Vali-Asr Hospital, Tehran University of Medical Sciences, Keshavarz Boulevard, Tehran, Iran. CORRESPONDENCE ADDRESS A. Rashidi, Vali-Asr Hospital, Tehran University of Medical Sciences, Keshavarz Boulevard, Tehran, Iran. Email: rasidiarmin@yahoo.com SOURCE Hemoglobin (2008) 32:4 (387-392). Date of Publication: July 2008 ISSN 0363-0269 1532-432X (electronic) BOOK PUBLISHER Informa Healthcare, 69-77 Paul Street, London, United Kingdom. ABSTRACT Iran, a country located on the "thalassemia belt", is an area with an unusually high prevalence of β-thalassemia (thal). The gene frequency of thalassemia shows great variation within Iran from one area to another. The purpose of this study was to determine the spectrum of β-thal mutations in Sistan-Baluchestan (S-B), a southeastern province of Iran which has a high mutation frequency of about 10%, and to compare this with neighboring provinces and countries. A total of 400 carriers (200 pre-marriage young couples selected at centers conducting prenatal diagnosis programs) with an established diagnosis of β-thal minor, were enrolled into the study. Mutations in the β-globin gene were detected using amplification refractory mutation system (ARMS) and restriction fraction length polymorphism (RFLP). Three hundred and sixty mutant chromosomes (13 different mutations) were detected with the two most common mutations accounting for about 80% of all detected β-thal alleles in this region. The most common mutation by far was IVS-I-5 (G>C) (72.3%), followed by frameshift codons (FSC) 8/9 (+G) (5.8%) and codon 44 (-C) (2.5%). In conclusion, IVS-I-5 and FSC 8/9 (+G) account for about 80% of all mutations in S-B. Sistan-Baluchestan may be regarded as the 'hot zone' for the IVS-I-5 mutation. Copyright © Informa Healthcare USA, Inc. EMTREE DRUG INDEX TERMS hemoglobin beta chain EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) beta thalassemia gene mutation EMTREE MEDICAL INDEX TERMS article chromosome codon frameshift mutation heterozygote human Iran restriction fragment length polymorphism EMBASE CLASSIFICATIONS Internal Medicine (6) Human Genetics (22) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2008356899 MEDLINE PMID 18654889 (http://www.ncbi.nlm.nih.gov/pubmed/18654889) PUI L352049934 DOI 10.1080/03630260701758932 FULL TEXT LINK http://dx.doi.org/10.1080/03630260701758932 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 286 TITLE Factors influencing parental satisfaction with neonatal intensive care among the families of moderately premature infants AUTHOR NAMES McCormick M.C. Escobar G.J. Zheng Z. Richardson D.K. AUTHOR ADDRESSES (McCormick M.C., mmccormi@hsph.harvard.edu) Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA. (McCormick M.C., mmccormi@hsph.harvard.edu; Zheng Z.; Richardson D.K.) Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA. (Escobar G.J.) Kaiser Permanente Medical Care Program, Division of Research, Perinatal Research Unit, Oakland, CA. (Escobar G.J.) Department of Pediatrics, Kaiser Permanente Medical Center, Walnut Creek, CA. (McCormick M.C., mmccormi@hsph.harvard.edu) DepartmentofSociety, Human Development,and Health, Harvard School of Public Health, 677 Huntington Ave., Boston, MA 02115. CORRESPONDENCE ADDRESS M. C. McCormick, DepartmentofSociety, Human Development,and Health, Harvard School of Public Health, 677 Huntington Ave., Boston, MA 02115. Email: mmccormi@hsph.harvard.edu SOURCE Pediatrics (2008) 121:6 (1111-1118). Date of Publication: June 2008 ISSN 0031-4005 1098-4275 (electronic) BOOK PUBLISHER American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk Grove Village, United States. ABSTRACT OBJECTIVE. The goal was to examine the factors influencing parental satisfaction with neonatal intensive care for moderately premature infants in 10 hospitals in Massachusetts and California. METHODS. A total of 677 infants without major anomalies or chromosomal disorders who were born between 30 and 34(6/7) weeks of gestation in the participating hospitals and discharged alive were included. Parental satisfaction with neonatal intensive care was ascertained 3 months after discharge by using a previously developed scale of 12 Likert items (scored 1-5), addressing such issues as perceptions regarding the staff providing emotional support, information, or education. The questionnaire, which was administered by telephone, also included parental ratings of child health and reports of subsequent health care use, sociodemographic characteristics, and history of infertility treatment. Data on the prenatal, perinatal, and neonatal course were abstracted from the medical charts, and the factors associated with parental satisfaction were analyzed. RESULTS. Parental satisfaction with neonatal intensive care varied significantly across the 10 hospitals. The major predictors of satisfaction were sociodemographic characteristics, history of infertility treatment, and especially parental ratings of child health 3 months after discharge, rather than aspects of the perinatal or neonatal course. Controlling for these factors, differences across hospitals were not statistically significant. However, the variance explained by all of the measured factors, including child health rating, was modest (19%).CONCLUSIONS. Although we included variables across the full spectrum of neonatal intensive care, we found that the major predictor of parental satisfaction with neonatal intensive care was child health at the time of the interview, followed by sociodemographic factors and previous infertility treatment. However, the variance explained was limited, which suggests that research is needed on the factors influencing satisfaction. Pediatrics 2008;121:1111-1118. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) newborn intensive care patient satisfaction prematurity EMTREE MEDICAL INDEX TERMS adult article child health controlled study demography female gestational age health care utilization hospital discharge human infant male medical record review newborn period normal human pediatrics perinatal period prenatal period priority journal questionnaire rating scale telephone EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2009161752 MEDLINE PMID 18519480 (http://www.ncbi.nlm.nih.gov/pubmed/18519480) PUI L354417006 DOI 10.1542/peds.2007-1700 FULL TEXT LINK http://dx.doi.org/10.1542/peds.2007-1700 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 287 TITLE Factors related to depression during pregnancy: Are there gender differences? AUTHOR NAMES Escribà-Agüir V. Gonzalez-Galarzo M.C. Barona-Vilar C. Artazcoz L. AUTHOR ADDRESSES (Escribà-Agüir V., escriba_vic@gva.es; Barona-Vilar C.) Woman and Infant Health Department, Conselleria de Sanitat, Generalitat Valenciana, Valencia, Spain. (Escribà-Agüir V., escriba_vic@gva.es; Gonzalez-Galarzo M.C.; Artazcoz L.) Gender and Health Network (RIGS), Valencia, Spain. (Escribà-Agüir V., escriba_vic@gva.es; Artazcoz L.) Epidemiology and Public Health CIBER (CIBERESP), Spain. (Escribà-Agüir V., escriba_vic@gva.es; Gonzalez-Galarzo M.C.) Valencian School for Health Studies (EVES), Generalitat Valenciana, Valencia, Spain. (Artazcoz L.) Agència de Salut Pública, Barcelona, Spain. (Artazcoz L.) Universitat Pompeu Fabra, Barcelona, Spain. (Escribà-Agüir V., escriba_vic@gva.es) Servei de Salut Infantil I de la Dona, Direcció General de Salut Pública, C/Micer Mascó, 31, 46011 Valencia, Spain. CORRESPONDENCE ADDRESS V. Escribà-Agüir, Servei de Salut Infantil I de la Dona, Direcció General de Salut Pública, C/Micer Mascó, 31, 46011 Valencia, Spain. Email: escriba_vic@gva.es SOURCE Journal of Epidemiology and Community Health (2008) 62:5 (410-414). Date of Publication: May 2008 ISSN 0143-005X BOOK PUBLISHER BMJ Publishing Group, Tavistock Square, London, United Kingdom. ABSTRACT Objective: To determine gender differences between women and their partners in the effect of psychosocial and personal factors on depression during the third trimester of pregnancy. Method: A cross-sectional survey was carried out among 687 women and their partners (n = 669) attending the prenatal programme of Valencia province (Spain). Data collection was carried out by means of a self-reported questionnaire. The outcome variable was depression during the third trimester of pregnancy measured by the Edinburgh Postnatal Depression Scale. Predictor variables were psychosocial (marital dissatisfaction, confidant and affective social support) and personal (previous history of depression, partner depression and unplanned pregnancy) variables. The adjusted odds ratios (aOR) and their 95% confidence intervals were calculated by fitting a logistic regression model. Results: The prevalence of pregnancy depression was higher among women (10.3%) than men (6.5%). In both sexes, the probability of depression during pregnancy was higher in those with marital dissatisfaction (aOR 3.05, 95% Cl 1.59 to 5.82 for women and 3.14, 95% Cl 1.24 to 7.99 for men) and among those whose with a previous history of depression (aOR 2.18, 95% Cl 1.22 to 3.89 for women and 5.22, 95% Cl 2.05 to 13.34 for men). Unplanned pregnancy did not increase the risk of pregnancy depression either in women or men. Gender differences were found on the impact of social support and partner's depression. Whereas among men low affective social support and partner depression were associated with a higher probability of reporting depres-sion, none of these variables were related to women's depression. Conclusion: Most predictor factors of depression during pregnancy are similar for both sexes but a gender-different impact of social support and partner depression on pregnancy depression was appreciated. Health professionals should be aware of potentially vulnerable groups for early diagnosis of pregnancy depression and to provide effective interventions. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) depression (epidemiology) pregnancy EMTREE MEDICAL INDEX TERMS adult article confidence interval controlled study cross-sectional study Edinburgh Postnatal Depression Scale female health survey human life satisfaction logistic regression analysis major clinical study male marriage outcome assessment prediction prevalence probability questionnaire risk assessment risk factor self report sex difference sex ratio social psychology social support Spain third trimester pregnancy unplanned pregnancy EMBASE CLASSIFICATIONS Internal Medicine (6) Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2008198545 MEDLINE PMID 18413453 (http://www.ncbi.nlm.nih.gov/pubmed/18413453) PUI L351579914 DOI 10.1136/jech.2007.063016 FULL TEXT LINK http://dx.doi.org/10.1136/jech.2007.063016 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 288 TITLE Establishing Family Foundations: Intervention Effects on Coparenting, Parent/Infant Well-Being, and Parent-Child Relations AUTHOR NAMES Feinberg M.E. Kan M.L. AUTHOR ADDRESSES (Feinberg M.E., mef11@psu.edu) Prevention Research Center, Pennsylvania State University, . (Kan M.L.) Human Development and Family Studies, Pennsylvania State University, . CORRESPONDENCE ADDRESS M.E. Feinberg, Prevention Research Center, Pennsylvania State University, . Email: mef11@psu.edu SOURCE Journal of Family Psychology (2008) 22:2 (253-263). Date of Publication: April 2008 ISSN 0893-3200 BOOK PUBLISHER American Psychological Association Inc., 750 First Street NE, Washington, United States. ABSTRACT This study investigated the ability of a theoretically driven, psychosocial prevention program implemented through childbirth education programs to enhance the coparental relationship, parental mental health, the parent-child relationship, and infant emotional and physiological regulation. A sample of 169 heterosexual, adult couples who were expecting their 1st child was randomized to intervention and control conditions. The intervention families participated in Family Foundations, a series of 8 classes, delivered before and after birth, that was designed as a universal prevention program (i.e., it was applicable to all couples, not just those at high risk). Intent-to-treat analyses indicated significant program effects on coparental support, maternal depression and anxiety, distress in the parent-child relationship, and several indicators of infant regulation. Intervention effects were not moderated by income, but greater positive impact of the program was found for lower educated parents and for families with a father who reported higher levels of insecure attachment in close relationships. These findings support the view that coparenting is a potentially malleable intervention target that may influence family relationships as well as parent and child well-being. © 2008 American Psychological Association. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation family health education parent EMTREE MEDICAL INDEX TERMS adaptive behavior adult anxiety disorder (prevention) article clinical trial controlled clinical trial controlled study depression (prevention) education family relation female health promotion human life event male mental health mental stress (etiology, prevention) methodology newborn pregnancy psychological aspect randomized controlled trial statistics United States LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 18410212 (http://www.ncbi.nlm.nih.gov/pubmed/18410212) PUI L351697666 DOI 10.1037/0893-3200.22.2.253 FULL TEXT LINK http://dx.doi.org/10.1037/0893-3200.22.2.253 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 289 TITLE Sense of Control Predicts Depressive and Anxious Symptoms Across the Transition to Parenthood AUTHOR NAMES Keeton C.P. Perry-Jenkins M. Sayer A.G. AUTHOR ADDRESSES (Keeton C.P., cpierce@jhmi.edu) Department of Psychiatry, Johns Hopkins University School of Medicine, . (Perry-Jenkins M.; Sayer A.G.) Department of Psychology, University of Massachusetts at Amherst, . CORRESPONDENCE ADDRESS C.P. Keeton, Department of Psychiatry, Johns Hopkins University School of Medicine, . Email: cpierce@jhmi.edu SOURCE Journal of Family Psychology (2008) 22:2 (212-221). Date of Publication: April 2008 ISSN 0893-3200 BOOK PUBLISHER American Psychological Association Inc., 750 First Street NE, Washington, United States. ABSTRACT In this study, the authors examined the relationship between sense of control and depressive and anxious symptoms for mothers and fathers during the 1st year of parenthood. Participants were 153 dual-earner, working-class couples who were recruited during the 3rd trimester of pregnancy at prenatal education courses. Data were collected 1 month antenatally and 1, 4, 6, and 12 months postnatally. Sense of control was decomposed into 2 distinct parts: an enduring component and a malleable component that changes with context. Consistent with a cognitive theory of emotional problems, results demonstrated that a sense of control served a protective function for mental health outcomes. A higher sense of enduring control predicted lower levels of psychological distress for new parents, and increases in control over time predicted decreases in depression and anxiety. Findings hold implications for interventions with expectant parents, such as expanding prenatal education courses to include strategies for enhancing and maintaining a sense of personal control. © 2008 American Psychological Association. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adaptive behavior anxiety disorder (diagnosis, etiology) control depression (diagnosis, etiology) parent perception EMTREE MEDICAL INDEX TERMS adult article female follow up human life event male mental stress (diagnosis, etiology) prediction and forecasting pregnancy psychological aspect regression analysis LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 18410208 (http://www.ncbi.nlm.nih.gov/pubmed/18410208) PUI L351697662 DOI 10.1037/0893-3200.22.2.212 FULL TEXT LINK http://dx.doi.org/10.1037/0893-3200.22.2.212 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 290 TITLE Maternal prenatal smoking, parental antisocial behavior, and early childhood physical aggression AUTHOR NAMES Huijbregts S.C.J. Séguin J.R. Zoccolillo M. Boivin M. Tremblay R.E. AUTHOR ADDRESSES (Huijbregts S.C.J., SHuijbregts@fsw.leidenuniv.nl) Department of Clinical Child and Adolescent Studies, Neurodevelopmental Disorders, Faculty of Social Sciences, Leiden University, P.O. Box 9555, 2300 RB Leiden, Netherlands. (Séguin J.R.; Tremblay R.E.) University of Montreal, Montreal, QC, Canada. (Zoccolillo M.) McGill University, Montreal, QC, Canada. (Boivin M.) Laval University, Laval, QC, Canada. CORRESPONDENCE ADDRESS S.C.J. Huijbregts, Department of Clinical Child and Adolescent Studies, Neurodevelopmental Disorders, Faculty of Social Sciences, Leidein University, P.O. Box 9555, 2300 RB Leiden, Netherlands. Email: SHuijbregts@fsw.leidenuniv.nl SOURCE Development and Psychopathology (2008) 20:2 (437-453). Date of Publication: Spring 2008 ISSN 0954-5794 1469-2198 (electronic) BOOK PUBLISHER Cambridge University Press, Shaftesbury Road, Cambridge, United Kingdom. ABSTRACT This study investigated joint effects of maternal prenatal smoking and parental history of antisocial behavior on physical aggression between ages 17 and 42 months in a population sample of children born in Québec (N = 1,745). An analysis of variance (ANOVA) showed significant main effects of maternal prenatal smoking and a significant interaction between maternal prenatal smoking and mother's history of antisocial behavior in the prediction of children's probability to display high and rising physical aggression. The interaction indicated that the effects of heavy smoking during pregnancy (≤10 cigarettes/ day) were greater when the mother also had a serious history of antisocial behavior. The effects remained significant after the introduction of control variables (e.g., hostile-reactive parenting, family functioning, parental separation/divorce, family income, and maternal education). Another significant interaction not accounted for by control variables was observed for maternal prenatal smoking and family income, indicating more serious effects of maternal prenatal smoking under relatively low-income, conditions. Both interactions indicate critical adversities that, in combination with maternal prenatal smoking, have supra-additive effects on (the development of) physical aggression during early childhood. These findings may have implications for the selection of intervention targets and strategies. © 2008 Cambridge University Press. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) aggression antisocial behavior maternal smoking EMTREE MEDICAL INDEX TERMS analysis of variance article Canada child behavior controlled study divorce educational status family functioning female human income lowest income group major clinical study male parental behavior prediction preschool child priority journal probability EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2008199382 MEDLINE PMID 18423088 (http://www.ncbi.nlm.nih.gov/pubmed/18423088) PUI L351584018 DOI 10.1017/S0954579408000217 FULL TEXT LINK http://dx.doi.org/10.1017/S0954579408000217 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 291 TITLE Experiences of the first year as father AUTHOR NAMES Premberg A. Hellström A.-L. Berg M. AUTHOR ADDRESSES (Premberg A., asa.premberg@vgregion.se; Hellström A.-L.; Berg M.) Institute of Health and Care Sciences, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden. (Premberg A., asa.premberg@vgregion.se) Institute of Health and Care Sciences, Göteborg University, Sahlgrenska Academy, 40530 Göteborg, Sweden. CORRESPONDENCE ADDRESS A. Premberg, Institute of Health and Care Sciences, Göteborg University, Sahlgrenska Academy, 40530 Göteborg, Sweden. Email: asa.premberg@vgregion.se SOURCE Scandinavian Journal of Caring Sciences (2008) 22:1 (56-63). Date of Publication: March 2008 ISSN 0283-9318 1471-6712 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd ABSTRACT Background and aims: The importance of fathers' participation for development of the child and the well-being of the family is recognized from earlier research. In Sweden, legislation allows fathers to share the parental leave equally with the mother even so fathers only use a small of their paid leave. The aim of the study was to explore experiences of the first year as a father. Method: A phenomenological life world approach was used. Ethical approval was obtained. Ten men, recruited by a purposive sample, were interviewed 12-14 months after the delivery of their first child. The data collection was performed during June and August 2004 in the south-west area of Sweden. Findings: The essence of the experiences of the first year as father was to place the baby in the centre without giving up one's own person. The child provided warmth and happiness in the family and men experienced a deeper relationship to their partner. The contact between father and child was facilitated by engagement and time spent alone with the child. The major constituents identified from the findings were 'To be overwhelmed', 'To master the new situation' and 'To get a new completeness in life'. Discussion and conclusion: To master fatherhood maintenance of integrity and possibility to develop an independent relationship with the child is important. Fathers are invited to participate in postnatal childbirth education but the activities address women's needs and it is doubtful if the fathers benefit from participation. Though fathers entered the delivery room some decades ago, as a support to the woman, health personnel of today must be aware of fathers' own needs and the impact gender aspects have on their professional support. © 2008 Nordic College of Caring Science. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adaptive behavior attitude to health father paternal behavior EMTREE MEDICAL INDEX TERMS adult article child parent relation education family leave father child relation gender identity happiness health education health service human infant life event male marriage nursing methodology research object relation psychological aspect qualitative research questionnaire self concept social support Sweden LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 18269423 (http://www.ncbi.nlm.nih.gov/pubmed/18269423) PUI L351214445 DOI 10.1111/j.1471-6712.2007.00584.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1471-6712.2007.00584.x COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 292 TITLE Psychosocial assessment of expectant fathers AUTHOR NAMES Fletcher R. Vimpani G. Russell G. Sibbritt D. AUTHOR ADDRESSES (Fletcher R., Richard.Fletcher@newcastle.edu.au) Family Action Centre, University of Newcastle, Newcastle, NSW, Australia. (Vimpani G.; Sibbritt D.) School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia. (Russell G.) Department of Psychology, Macquarie University, North Ride, NSW, Australia. (Fletcher R., Richard.Fletcher@newcastle.edu.au) Family Action Centre, University of Newcastle, Callaghan, NSW 2308, Australia. CORRESPONDENCE ADDRESS R. Fletcher, Family Action Centre, University of Newcastle, Callaghan, NSW 2308, Australia. Email: Richard.Fletcher@newcastle.edu.au SOURCE Archives of Women's Mental Health (2008) 11:1 (27-32). Date of Publication: February 2008 ISSN 1434-1816 BOOK PUBLISHER Springer Wien, Sachsenplatz 4-6, P.O. Box 89, Vienna, Austria. ABSTRACT Background: Comprehensive antenatal psychosocial assessment of mothers prior to the birth is established in many regions. While the influence of fathers on infant and maternal well-being is also recognised as commencing before birth, the early identification of needs among expectant fathers has not been addressed. Methods: The current study surveyed fathers attending antenatal classes in public and private hospitals (n = 307) in New South Wales, Australia, using psychosocial questions derived from the questions commonly asked in assessments of mothers. Results: The most frequent responses suggest that fathers, at the time of the birth, have needs in regard to their ability to cope with the stresses of new parenthood and the skills and knowledge to care for their new baby. Limitations: Conclusions from the study are limited in their application to the population of expectant fathers by the low response rate and the low numbers of low-income, ethnic-background, and indigenous fathers in the sample. Conclusion: Assessment of fathers by psychosocial questions similar to mothers is advised to detect fathers who may require assistance and parenting education for fathers in infant care. © 2008 Springer-Verlag. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) puerperal depression EMTREE MEDICAL INDEX TERMS adult article controlled study distress syndrome expectant father health survey human major clinical study male prediction prenatal period priority journal questionnaire social psychology EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2008114773 MEDLINE PMID 18246296 (http://www.ncbi.nlm.nih.gov/pubmed/18246296) PUI L50052187 DOI 10.1007/s00737-008-0211-6 FULL TEXT LINK http://dx.doi.org/10.1007/s00737-008-0211-6 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 293 TITLE CoolSim: Using industrial modeling techniques to examine the impact of selective head cooling in a model of perinatal regionalization AUTHOR NAMES Gray J. Geva A. Zheng Z. Zupancic J.A.F. AUTHOR ADDRESSES (Gray J.; Geva A.; Zheng Z.; Zupancic J.A.F., jzupanci@bidmc.harvard.edu) Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, United States. (Gray J.) Division of Clinical Computing, Beth Israel Deaconess Medical Center, Boston, MA, United States. (Gray J.; Geva A.; Zheng Z.; Zupancic J.A.F., jzupanci@bidmc.harvard.edu) Division of Newborn Medicine, Harvard Medical School, Boston, MA, United States. (Zupancic J.A.F., jzupanci@bidmc.harvard.edu) Department of Neonatology, Beth Israel Deaconess Medical Center, Rose Building, 330 Brookline Ave, Boston, MA 02215, United States. CORRESPONDENCE ADDRESS J.A.F. Zupancic, Department of Neonatology, Beth Israel Deaconess Medical Center, Rose Building, 330 Brookline Ave, Boston, MA 02215, United States. Email: jzupanci@bidmc.harvard.edu SOURCE Pediatrics (2008) 121:1 (28-36). Date of Publication: January 2008 ISSN 0031-4005 0210-5721 (electronic) BOOK PUBLISHER American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk Grove Village, United States. ABSTRACT OBJECTIVE. A selective head-cooling device for the treatment of moderate to severe hypoxic-ischemic encephalopathy has been approved by the Food and Drug Administration for use in the United States. To reflect the complexity of health care delivery at the systems level, we used the industrial modeling technique of discrete event simulation to analyze the impact of various deployment strategies for selective head cooling and its partner technology, amplitude-integrated electroencephalography. METHODS. We modeled the course through the perinatal system of all births in Massachusetts over a 1-year period. Cohort and care characteristics were drawn from existing databases. Results of a recently published trial were used to estimate the effects of selective head cooling. One thousand cohort replications were conducted to assess uncertainty. Several policy alternatives were examined, including no use of selective head cooling and scenarios that altered the number and placement of selective head-cooling and amplitude-integrated electroencephalography units throughout the state. Patient-level outcome and cost data were assessed. RESULTS. For all scenarios tested, the use of amplitude-integrated electroencephalography/ selective head cooling resulted in better outcomes at lower cost. However, substantial differences in transfer rates, failure-to-cool rates, and total costs were seen across scenarios. Optimal decision-making regarding the number and placement of devices led to a 16% improvement in cost savings and a 10-fold decrease in failure-to-cool rates, compared with other deployment scenarios. These results were insensitive to significant changes in model inputs. CONCLUSIONS.On the basis of currently available data, the package of amplitude-integrated electroencephalography and selective head cooling seems to be an economically desirable intervention. Quantifiable techniques to assess system-wide technology performance provide a powerful approach to informing decisions regarding the structure and function of health care systems. Copyright © 2008 by the American Academy of Pediatrics. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) brain ischemia (disease management, therapy) cooling head head cooling device hypoxia (disease management, therapy) EMTREE MEDICAL INDEX TERMS amplitude integrated electroencephalography article cost control data base electroencephalogram electroencephalography food and drug administration health care cost health care delivery health care policy human major clinical study materials testing medical decision making newborn outcome assessment performance priority journal regionalization safety simulation United States DEVICE TRADE NAMES Cool-Cap , United StatesOlympic DEVICE MANUFACTURERS (United States)Olympic EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Biophysics, Bioengineering and Medical Instrumentation (27) Health Policy, Economics and Management (36) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2008022013 MEDLINE PMID 18166554 (http://www.ncbi.nlm.nih.gov/pubmed/18166554) PUI L351065244 DOI 10.1542/peds.2007-0633 FULL TEXT LINK http://dx.doi.org/10.1542/peds.2007-0633 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 294 TITLE Individual or group antenatal education for childbirth or parenthood, or both AUTHOR NAMES Gagnon A.J. Sandall J. AUTHOR ADDRESSES (Gagnon A.J., anita.gagnon@mcgill.ca) School of Nursing, Department of Obstetrics and Gynaecology, McGill University, 3506 University Street, Montreal, QC H3A 2A7, Canada. (Sandall J.) CORRESPONDENCE ADDRESS A. J. Gagnon, School of Nursing, Department of Obstetrics and Gynaecology, McGill University, 3506 University Street, Montreal, QC H3A 2A7, Canada. Email: anita.gagnon@mcgill.ca SOURCE Cochrane Database of Systematic Reviews (2007) :3 Article Number: CD002869. Date of Publication: 2007 ISSN 1469-493X BOOK PUBLISHER John Wiley and Sons Ltd, Southern Gate, Chichester, West Sussex, United Kingdom. ABSTRACT 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. Copyright © 2008 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education program parenthood patient education prenatal care EMTREE MEDICAL INDEX TERMS anxiety breast feeding breast feeding education cesarean section child care Cinahl clinical trial Cochrane Library competence control coping behavior data extraction Embase human knowledge labor medical literature outcome assessment pain PsycINFO publication review skill social adaptation social support treatment outcome vaginal delivery EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2008280059 MEDLINE PMID 17636711 (http://www.ncbi.nlm.nih.gov/pubmed/17636711) PUI L351805516 DOI 10.1002/14651858.CD002869.pub2 FULL TEXT LINK http://dx.doi.org/10.1002/14651858.CD002869.pub2 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 295 TITLE Reduction in the perinatal HIV transmission: the experience at the Maternal Infant Studies Center and Gamma Projects at the University of Puerto Rico School of Medicine. AUTHOR NAMES Zorrilla C.D. Tamayo Agrait V. Febo I. Santiago L.E. Díaz C. Salabarría I. Pérez E. Hillyer G.V. AUTHOR ADDRESSES (Zorrilla C.D.; Tamayo Agrait V.; Febo I.; Santiago L.E.; Díaz C.; Salabarría I.; Pérez E.; Hillyer G.V.) Maternal Infant Studies Center (CEMI-Spanish Acronym), Obstetrics and Gynecology Department, School of Medicine, University of Puerto Rico, San Juan. CORRESPONDENCE ADDRESS C.D. Zorrilla, Maternal Infant Studies Center (CEMI-Spanish Acronym), Obstetrics and Gynecology Department, School of Medicine, University of Puerto Rico, San Juan. Email: czorrilla@rcm.upr.edu SOURCE Puerto Rico health sciences journal (2007) 26:4 (329-335). Date of Publication: Dec 2007 ISSN 0738-0658 ABSTRACT The AIDS pandemic had a significant impact in Puerto Rico, especially among the heterosexual populations, in particular women. Women are one of the fastest growing risk groups with HIV/AIDS in the USA and constitute about half of the AIDS cases in the world. During the past 10 years Puerto Rico has ranked among the top 5 jurisdictions in the United States in AIDS cases rates, among men, women and children. In 1987 a universal prenatal HIV screening program was implemented in the University Hospital catchment area consisting of approximately 5,000 deliveries per year. Because of the early identification of pregnant women living with HIV, access to lifesaving clinical research and the implementation of multiple strategies and comprehensive care, the perinatal HIV transmission has been reduced to zero since 1997, with a blip of one case in 2002, and none since then. The availability and access to clinical and behavioral research has been one of the key elements for this success story. The programs involved and responsible for this spectacular outcome, namely the Maternal Infant Studies Center (CEMI-Spanish Acronym) and Gamma Projects at the University of Puerto Rico School of Medicine are described. The cost savings impact of stopping mother-infant perinatal HIV-1 transmission has been calculated to be approximately $34 to $58 million dollars in 10 years. The impact of the effectiveness of these programs in having healthy uninfected infants, prolonging and improving the quality of life of those living with HIV, and providing hope to families affected by this epidemic is incalculable. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) disease transmission (prevention) Human immunodeficiency virus infection (prevention) EMTREE MEDICAL INDEX TERMS article health care quality human medical school Puerto Rico LANGUAGE OF ARTICLE English MEDLINE PMID 18246960 (http://www.ncbi.nlm.nih.gov/pubmed/18246960) PUI L351962883 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 296 TITLE Poverty as context for the parenting experience of low-income Lumbee Indian mothers with a medically fragile infant. AUTHOR NAMES Docherty S.L. Lowry C. Miles M.S. AUTHOR ADDRESSES (Docherty S.L.; Lowry C.; Miles M.S.) School of Nursing, Duke University Medical Center, USA. CORRESPONDENCE ADDRESS S.L. Docherty, School of Nursing, Duke University Medical Center, USA. SOURCE Neonatal network : NN (2007) 26:6 (361-369). Date of Publication: 2007 Nov-Dec ISSN 0730-0832 ABSTRACT PURPOSE: To explore the influence of poverty on the parenting experience and maternal developmental trajectory of Lumbee mothers with medically fragile infants. DESIGN: A multiple-case study design using secondary data from a larger longitudinal study of parental role attainment with medically fragile infants. SAMPLE: Five cases involving mothers who were Lumbee Indians and who had medically fragile infants. RESULTS: The key features of the mothers' talk about their parenting experiences were organized into categories that fit into five inductively derived themes related to poverty. IMPLICATIONS: Health care professionals need to be aware of how the context of living in poverty affects mothers of high-risk infants who are hospitalized in tertiary care units. In particular, low-income mothers, especially American Indians living in high-poverty areas, urgently need improved community resources such as access to birth control; early prenatal care; programs to help reduce drug, alcohol, and tobacco use both during and following pregnancy; and follow-up health and developmental services for their infants. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) American Indian attitude to health child parent relation mother newborn disease poverty EMTREE MEDICAL INDEX TERMS adaptive behavior adolescent adult article education ethnology female health care delivery health service hospitalization human longitudinal study maternal behavior newborn nursing methodology research prenatal care psychological aspect questionnaire single parent social support statistics traffic and transport United States unplanned pregnancy LANGUAGE OF ARTICLE English MEDLINE PMID 18069427 (http://www.ncbi.nlm.nih.gov/pubmed/18069427) PUI L350337069 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 297 TITLE The effects of childbirth self-efficacy and anxiety during pregnancy on prehospitalization labor AUTHOR NAMES Beebe K.R. Lee K.A. Carrieri-Kohlman V. Humphreys J. AUTHOR ADDRESSES (Beebe K.R., kbeebe@dominican.edu) Department of Nursing, Dominican University of California, 50 Acacia Avenue, CA San Rafael, CA 94901, United States. (Lee K.A.) Department of Family Health Care Nursing, University of California School of Nursing, San Francisco, CA, United States. (Carrieri-Kohlman V.) Department of Physiological Nursing, University of California School of Nursing, San Francisco, CA, United States. (Humphreys J.) Department of Family Health Nursing, University of California School of Nursing, San Francisco, CA, United States. CORRESPONDENCE ADDRESS K.R. Beebe, Department of Nursing, Dominican University of California, 50 Acacia Avenue, San Rafael, CA 94901, United States. Email: kbeebe@dominican.edu SOURCE JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing (2007) 36:5 (410-418). Date of Publication: September/October 2007 ISSN 0884-2175 1552-6909 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd ABSTRACT Objective: To describe levels of anxiety and self-efficacy for childbirth in nulliparous women during the late third trimester and to identify relationships among those variables, prehospitalization labor pain, management strategies, and hospital admission status. Design: A longitudinal, descriptive study. Participants: Thirty-five English-speaking nulliparous women, 18 to 40 years of age, more than or equal to 38 week's gestation, with uncomplicated pregnancies. All participants had a significant other (husband or partner) and attended childbirth education programs. Main Outcome Measures: Spielberger Trait Anxiety Inventory, Prenatal Self-Evaluation Questionnaire, Childbirth Self-Efficacy Inventory, McGill Pain Questionnaire-Short Form, postpartum interviews, and medical records review. Results: Prenatal anxiety was significantly related to self-efficacy for childbirth in late pregnancy, labor pain, number of hours at home in labor, and admitting cervical dilation. The number of management strategies used was related to pain scores during labor before hospital admission. Women who spent longer periods of time at home in labor arrived at the hospital with a greater cervical dilation. Conclusions: Antenatal characteristics influence intrapartal outcomes in nulliparas. Labor environment, at home and in the hospital, is recognized as an important component of the first childbirth experience. © 2007, AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) anxiety (complication, diagnosis) birth labor pain (diagnosis, etiology) pregnancy complication (diagnosis) pregnant woman self concept EMTREE MEDICAL INDEX TERMS adaptive behavior adolescent adult analysis of variance article attitude to health female hospitalization human labor longitudinal study methodology nursing methodology research pain assessment parity physiology pregnancy psychological aspect questionnaire risk factor self care third trimester pregnancy United States LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 17880311 (http://www.ncbi.nlm.nih.gov/pubmed/17880311) PUI L47434020 DOI 10.1111/j.1552-6909.2007.00170.x FULL TEXT LINK http://dx.doi.org/10.1111/j.1552-6909.2007.00170.x COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 298 TITLE Prediction of initiation and duration of breast-feeding for neonates admitted to the neonatal intensive care unit AUTHOR NAMES Lessen R. Crivelli-Kovach A. AUTHOR ADDRESSES (Lessen R.) Department of Clinical Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA. (Crivelli-Kovach A., crivelli@arcadia.edu) Department of Medical Science and Community Health, Arcadia University, Glenside, PA. (Crivelli-Kovach A., crivelli@arcadia.edu) Department of Medical Science and Community Health, Arcadia University, 450 South Easton Rd, Glenside, PA 19038. CORRESPONDENCE ADDRESS A. Crivelli-Kovach, Department of Medical Science and Community Health, Arcadia University, 450 South Easton Rd, Glenside, PA 19038. Email: crivelli@arcadia.edu SOURCE Journal of Perinatal and Neonatal Nursing (2007) 21:3 (256-266). Date of Publication: July/September 2007 ISSN 0893-2190 BOOK PUBLISHER Lippincott Williams and Wilkins ABSTRACT Women who desire to breast-feed their sick newborns often encounter obstacles, including insufficient support and education as well as unsupportive hospital practices. The purpose of this study was to describe maternal, neonatal, and outside influences associated with the intention, initiation, and duration of breast-feeding for women whose newborns were admitted to the neonatal intensive care unit. One hundred mothers were interviewed. Most mothers (67%) intended to breast-feed exclusively and this was significantly related to maternal characteristics such as age, education, parity, smoking and marital status, preĝ€"breast-feeding experience, and the influences of the neonate's father and prenatal education. Seventy-eight mothers initiated pumping. Initiation was significantly related to maternal education, smoking, parity, previous breast-feeding experience, the neonate's physician, the neonate's father, and postpartum breast-feeding education. Fifty-four mothers were followed up by telephone after discharge until weaning. Thirty percent were exclusively breast-feeding at 2 weeks after discharge, and 15% were breast-feeding at 1 year. Duration of breast-feeding was significantly associated with education, marital status, ethnicity, income, assistance from nurses and lactation consultants, and feeding method along with milk type and milk volume at discharge. Increased family support, timely breast-feeding information, and a supportive neonatal intensive care unit environment are needed for women to succeed in breast-feeding their hospitalized newborns. Copyright © 2007 Wolters Kluwer Health. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health behavior breast feeding health promotion newborn intensive care EMTREE MEDICAL INDEX TERMS adolescent adult female health care facility hospital discharge human lactation longitudinal study male newborn review risk factor social support statistics survival LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 17700104 (http://www.ncbi.nlm.nih.gov/pubmed/17700104) PUI L47265606 DOI 10.1097/01.JPN.0000285817.51645.73 FULL TEXT LINK http://dx.doi.org/10.1097/01.JPN.0000285817.51645.73 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 299 TITLE "Life is still going on": Reproductive intentions among HIV-positive women and men in South Africa AUTHOR NAMES Cooper D. Harries J. Myer L. Orner P. Bracken H. AUTHOR ADDRESSES (Cooper D., Diane.Cooper@uct.ac.za; Harries J., Jane.Harries@uct.ac.za; Myer L., Landon.Myer@uct.ac.za; Orner P., Phyllis.Orner@uct.ac.za) University of Cape Town, Cape Town, South Africa. (Bracken H., hbracken@gynuity.org) Population Council, South Africa. CORRESPONDENCE ADDRESS D. Cooper, University of Cape Town, Cape Town, South Africa. Email: Diane.Cooper@uct.ac.za SOURCE Social Science and Medicine (2007) 65:2 (274-283). Date of Publication: July 2007 ISSN 0277-9536 BOOK PUBLISHER Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom. ABSTRACT This article reports on qualitative research investigating HIV positive individuals' reproductive intentions and their influencing factors in Cape Town, South Africa. In-depth interviews were held with 61 HIV positive women and men; at the time of interview, half had been receiving antiretroviral treatment (ART) for over 6 months and half were not receiving ART. Being HIV positive modified but did not remove reproductive desires, and diversity existed in reproductive intentions. Some HIV positive individuals wished to avoid pregnancy. Fears of partner and infant infection and having a previously infected baby were important factors deterring some individuals from considering having children. There was also strongly perceived community disapproval associated with HIV and reproduction. Strong desires to experience parenthood, mediated by prevailing social and cultural norms that encouraged childbearing in society more broadly, were reported by others. Motherhood was an important component of married women's identity and important for women's social status. Family, husbands' and societal expectations for childbearing were important influences on women's reproductive intentions, for some counterbalancing HIV as a factor discouraging reproduction. There was evidence that prevention of perinatal transmission programs in combination with ART may alter women and men's attitudes in favour of childbearing. Most HIV positive women had not discussed their reproductive desires and intentions with health care providers in HIV care or general health services because of anticipated negative reactions. The few who had done so perceived the counselling environment to be mostly unsupportive of open discussion on these issues. The findings highlight the need for explicit policies recognizing reproductive rights and choice. They support the need for health counselling and service interventions that advance safer and healthier reproductive options for HIV positive individuals in this region of the world which is experiencing a generalised and advanced HIV/AIDS pandemic. © 2007 Elsevier Ltd. All rights reserved. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) antiretrovirus agent (drug therapy) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Human immunodeficiency virus infection (drug therapy) reproduction EMTREE MEDICAL INDEX TERMS adult article cultural factor female health care policy human interview major clinical study male parenthood pregnancy qualitative research social aspect South Africa virus transmission EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2007291670 MEDLINE PMID 17451852 (http://www.ncbi.nlm.nih.gov/pubmed/17451852) PUI L46921295 DOI 10.1016/j.socscimed.2007.03.019 FULL TEXT LINK http://dx.doi.org/10.1016/j.socscimed.2007.03.019 COPYRIGHT Copyright 2008 Elsevier B.V., All rights reserved. RECORD 300 TITLE Planned conception in a hyper immunized rhesus-d negative mother by elective plasmapheresis. AUTHOR NAMES Ayesha K. Habibullah M.M. Biswas J. Begum H.A. Sultana R. AUTHOR ADDRESSES (Ayesha K.; Habibullah M.M.; Biswas J.; Begum H.A.; Sultana R.) Department of Transfusion Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahabag, Dhaka, Bangladesh. CORRESPONDENCE ADDRESS K. Ayesha, Department of Transfusion Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahabag, Dhaka, Bangladesh. SOURCE Mymensingh medical journal : MMJ (2007) 16:2 Suppl (S67-69). Date of Publication: Jul 2007 ISSN 1022-4742 ABSTRACT Here we report a case of planned pregnancy in a Hyper immunized Rh D negative Banker lady who was interested to have a healthy baby in her fourth Gestation as previous conceptions were ended by intra uterine death (IUDs) due to Rhesus Hemolytic diseases of new born (HDN) which is a condition where the lifespan of the infant's red cells is shortened by the action of specific antibodies derived from the mother by placental transfer. The disease begins in intrauterine life and is therefore correctly described as hemolytic disease of the fetus (HDF) and new born, but the simple term HDN has been used for a long time and can be taken to include hemolytic disease of the fetus (HDF). This hemolytic process takes place in utero and results in marked compensatory overproduction of young nucleated red cells in fetal erythropoietic sites. For this reason the disease also called erythroblastosis foetalis. Elective plasmapheresis done at the Transfusion Medicine Department of BSMMU, Dhaka on her, 800 ml. plasma were extracted in 4 different sessions during her antenatal period. One healthy male baby was delivered by LUCS at 32 weeks of pregnancy; the Baby has to receive 170 ml. O negative fresh Whole Blood as Exchange Transfusion to correct mild hyper bilirubinimia and anemia. Manual plasmapheresis may thus be practiced to all Hyper-immunized carrying mothers to prevent intra uterine death (IUD) in Rhesus D negative carrying mothers. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) family planning fertilization newborn hemolytic disease (prevention) plasmapheresis pregnancy outcome rhesus isoimmunization EMTREE MEDICAL INDEX TERMS adult article blood group incompatibility blood group rhesus system case report female human pregnancy LANGUAGE OF ARTICLE English MEDLINE PMID 17917636 (http://www.ncbi.nlm.nih.gov/pubmed/17917636) PUI L350327073 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 301 TITLE Prenatal Smoking Exposure and Dopaminergic Genotypes Interact to Cause a Severe ADHD Subtype AUTHOR NAMES Neuman R.J. Lobos E. Reich W. Henderson C.A. Sun L.-W. Todd R.D. AUTHOR ADDRESSES (Neuman R.J., roz@gretta.wustl.edu; Lobos E.; Reich W.; Henderson C.A.; Sun L.-W.; Todd R.D.) Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, United States. CORRESPONDENCE ADDRESS R.J. Neuman, Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, United States. Email: roz@gretta.wustl.edu SOURCE Biological Psychiatry (2007) 61:12 (1320-1328). Date of Publication: 15 Jun 2007 Advances in the Neurobiology of ADHD, Book Series Title: ISSN 0006-3223 BOOK PUBLISHER Elsevier USA, 6277 Sea Harbor Drive, Orlando, United States. ABSTRACT Background: In utero exposure to smoking and alcohol are common risk factors that have been associated with attention-deficit/hyperactivity disorder (ADHD) in human beings and animal models. Furthermore, molecular studies have focused on the association between ADHD and DNA polymorphisms in dopamine pathway-related genes. We examined the joint effects of genetic and prenatal substance exposures on DSM-IV and population-defined subtypes of ADHD. Methods: Logistic regression was used to assess the relationship between ADHD subtypes, DAT1 and DRD4 polymorphisms, and prenatal substance exposures in a birth-record sample of male and female twin pairs, aged 7-19 years. Results: Interactions between prenatal exposure to smoking and variations in the DAT1 and DRD4 loci were observed in children with either the DSM-IV or population-defined ADHD combined subtypes. The odds of a diagnosis of DSM-IV combined subtype was 2.9 times greater in twins who had inherited the DAT1 440 allele and who were exposed, than in unexposed twins without the risk allele. The OR was 2.6 in the population-defined subtype. Odds ratios for the DRD4 seven-repeat allele were 3.0 (2.8) in the population-defined (DSM-IV) combined ADHD subtypes. The OR for exposed children with both alleles was 9.0 (95% confidence interval = 2.0-41.5) for the population-defined combined subtypes. Conclusions: Results indicate that smoking during pregnancy is associated with specific subtypes of ADHD in genetically susceptible children. © 2007 Society of Biological Psychiatry. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attention deficit disorder (etiology) prenatal exposure smoking EMTREE MEDICAL INDEX TERMS adolescent adult allele article confidence interval DAT1 gene Diagnostic and Statistical Manual of Mental Disorders disease severity DNA polymorphism dopaminergic system DRD4 gene female gene gene locus genotype human inheritance logistic regression analysis major clinical study male priority journal risk assessment risk factor school child twins EMBASE CLASSIFICATIONS Neurology and Neurosurgery (8) Pediatrics and Pediatric Surgery (7) Human Genetics (22) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2007270851 MEDLINE PMID 17157268 (http://www.ncbi.nlm.nih.gov/pubmed/17157268) PUI L46855768 DOI 10.1016/j.biopsych.2006.08.049 FULL TEXT LINK http://dx.doi.org/10.1016/j.biopsych.2006.08.049 COPYRIGHT Copyright 2008 Elsevier B.V., All rights reserved. RECORD 302 TITLE Short term neurodevelopmental outcome of asphyxiated newborns at tertiary care unit AUTHOR NAMES Sultan T. Chishti A.L. Ahmed T.M. AUTHOR ADDRESSES (Sultan T., tipusultanmalik@hotmail.com; Chishti A.L.; Ahmed T.M.) Department of Medicine, The Children's Hospital, Institute of Child Health Lahore, Lahore, Pakistan. (Sultan T., tipusultanmalik@hotmail.com) 80-A-III, Johar Town, Lahore, Pakistan. CORRESPONDENCE ADDRESS T. Sultan, 80-A-III, Johar Town, Lahore, Pakistan. Email: tipusultanmalik@hotmail.com SOURCE Pakistan Paediatric Journal (2007) 31:2 (58-61). Date of Publication: June 2007 ISSN 0304-4904 BOOK PUBLISHER Pakistan Paediatric Association, P. O. Box 308 G.P.O., Lahore, Pakistan. ABSTRACT Objective: To find out the short term neurodevelopmental outcome of asphyxiated newborns. Design: Cross-sectional study using prospective data Place & duration o study: Neonatal unit of Children's Hospital, Lahore from August, 2000 to July, 2001. Subject & methods: We included 150 cases of birth asphyxia and survivors were followed till the age of six months and neurodevelopmental status was assessed by Denver developmental screening test II (DDST-II). Severity of asphyxia was categorized as no encephalopathy, three different stages of HIE. During follow up visits, normal to delayed developmental status was expected. Results: Infants were divided into two groups. Group A included neonates without HIE and group B with encephlopathy. Among group B, newborns developmental delay was found in 9 neonates and 48 neonates died while in group A neonates there was no child who had developmental delay and only six newborns died.(P value<0.05) There were 117 (78%) males, 35 mothers (23%) had antenatal visits to trained medical professionals. Majority of mothers (76%) had their visits to non doctor personnel like midwives, lady health visitors or nurse. Majority (61%) of study population were home delivered, 24% at private clinics and maternity homes.while only 14% came from hospitals. Conclusion: Different stages of HIE have strong correlation with the outcome of these neonates. More effort and resources should be directed to this preventable community problem. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) brain development brain disease (complication) developmental disorder (complication) perinatal asphyxia (congenital disorder) EMTREE MEDICAL INDEX TERMS article brain ischemia (complication) clinical assessment Denver Developmental Screening Test developmental stability disease severity female follow up health care delivery health service human infant major clinical study male neurologic disease pediatric hospital perinatal mortality prenatal care prognosis survivor EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Neurology and Neurosurgery (8) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2007330853 PUI L47039989 COPYRIGHT Copyright 2008 Elsevier B.V., All rights reserved. RECORD 303 TITLE Finally, daddies in the delivery room: Parents' education in Georgia AUTHOR NAMES Pestvenidze E. Bohrer M. AUTHOR ADDRESSES (Pestvenidze E.) JSI Research and Training Institute, Kutaisi, Georgia. (Bohrer M.) Harvard University, Kennedy School of Government, Cambridge, MA, United States. CORRESPONDENCE ADDRESS E. Pestvenidze, JSI Research and Training Institute, Kutaisi, Georgia. SOURCE Global Public Health (2007) 2:2 (169-183). Date of Publication: April 2007 Global Health Council's 2006 International Conference, Book Series Title: ISSN 1744-1692 1744-1706 (electronic) BOOK PUBLISHER Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United Kingdom. ABSTRACT In recent decades there has been an increasing trend towards male partners attending childbirth in post-industrialized countries. However, in some countries, due to limited cultural acceptability and outdated delivery practices, fathers are not welcomed or even allowed into the delivery room. World experience postulates that men's active participation and assistance during childbirth accelerates the delivery process and improves delivery outcomes. Fathers' involvement also promotes positive feelings about the birth experience, fosters paternal role attainment, and strengthens family bonding. Despite documented advantages of fathers' involvement in pregnancy and childbirth, it still remains challenging to implement. The Healthy Women in Georgia (HWG) programme, promoting family-centred maternity care in Georgia, has demonstrated the efficiency of childbirth educational classes combined with modernized labour and delivery practices as a means of increasing fathers' participation in pregnancy care and childbirth. Moreover, HWG interventions have shown that fathers can effectively provide early skin-to-skin contact to caesarean section delivered infants, contributing to the heat conservation of the babies and minimizing the likelihood of hypothermia. Advanced labour and delivery practices, adequate antenatal education, and father's increased participation in pregnancy care and delivery promoted by the HWG programme has been shown to improve delivery outcomes, ultimately leading to better maternal and child health. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth parenting education paternal behavior EMTREE MEDICAL INDEX TERMS article cesarean section child care child health childbirth education delivery room family interaction father child relation health care delivery health promotion heat sensation human hypothermia kangaroo care male maternal care maternal welfare obstetric procedure paternalism pregnancy priority journal United States EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2007234586 MEDLINE PMID 19280398 (http://www.ncbi.nlm.nih.gov/pubmed/19280398) PUI L46736529 DOI 10.1080/17441690601054330 FULL TEXT LINK http://dx.doi.org/10.1080/17441690601054330 COPYRIGHT Copyright 2010 Elsevier B.V., All rights reserved. RECORD 304 TITLE Parenting skills and family support programs for drug-abusing mothers AUTHOR NAMES Kumpfer K.L. Fowler M.A. AUTHOR ADDRESSES (Kumpfer K.L., kkumfer@xmission.com) Department of Health Promotion and Education, University of Utah, Salt Lake City, UT, United States. (Fowler M.A., sunflowerfowler@hotmail.com) College of Nursing, University of Utah, Salt Lake City, UT, United States. CORRESPONDENCE ADDRESS K.L. Kumpfer, Department of Health Promotion and Education, University of Utah, Salt Lake City, UT, United States. Email: kkumfer@xmission.com SOURCE Seminars in Fetal and Neonatal Medicine (2007) 12:2 (134-142). Date of Publication: April 2007 Drug Abuse in Pregnancy and Effects on the Newborn, Book Series Title: ISSN 1744-165X BOOK PUBLISHER W.B. Saunders Ltd, 32 Jamestown Road, London, United Kingdom. ABSTRACT Children born to drug-using mothers can suffer from fetal alcohol or drug syndrome (FAS/FDS) or fetal alcohol or drug effect (FAE/FDE). Such children have a greater likelihood of developing acute or chronic physical, cognitive and behavioral problems. In-utero exposure to tobacco, alcohol or drugs impact on the developing fetus and, after birth, the family environment and family system exert effects on the infants and children of substance-abusing parents. Evidence-based prevention and maternal drug treatment programs focus on enhancing parental childcaring abilities, supporting parent-child attachment and encouraging family support systems to improve children's health and cognitive outcomes. FAS/FDS prevention programs, as well as selective and indicated prenatal and postnatal interventions, can improve the support given both to mother and to child, and evidence-based, in-home parenting and family-skills-training approaches are particularly useful. © 2007 Elsevier Ltd. All rights reserved. EMTREE DRUG INDEX TERMS alcohol (drug toxicity) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) family counseling fetal alcohol syndrome (epidemiology, prevention) parenting education withdrawal syndrome (epidemiology, prevention) EMTREE MEDICAL INDEX TERMS adoption article behavior disorder child abuse child health care child parent relation childhood cognition cognitive defect developmental disorder drug abuse drug effect emotional attachment environmental factor evidence based medicine evidence based practice family attitude family interaction fetus development foster care health program high risk pregnancy home care human Human immunodeficiency virus infection (prevention) infection prevention maternal behavior nursing care physical disease postnatal care prenatal care prenatal drug exposure prenatal exposure prevalence prophylaxis socioeconomics substance abuse tobacco training CAS REGISTRY NUMBERS alcohol (64-17-5) EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) Drug Dependence, Alcohol Abuse and Alcoholism (40) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2007122609 MEDLINE PMID 17327147 (http://www.ncbi.nlm.nih.gov/pubmed/17327147) PUI L46366883 DOI 10.1016/j.siny.2007.01.003 FULL TEXT LINK http://dx.doi.org/10.1016/j.siny.2007.01.003 COPYRIGHT Copyright 2008 Elsevier B.V., All rights reserved. RECORD 305 TITLE The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: Results from a randomized controlled trial AUTHOR NAMES Mullany B.C. Becker S. Hindin M.J. AUTHOR ADDRESSES (Mullany B.C., bmullany@jhsph.edu; Becker S.; Hindin M.J.) Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, United States. (Mullany B.C., bmullany@jhsph.edu) 621 N. Washington Street, Baltimore, MD 21205, United States. CORRESPONDENCE ADDRESS B.C. Mullany, 621 N. Washington Street, Baltimore, MD 21205, United States. Email: bmullany@jhsph.edu SOURCE Health Education Research (2007) 22:2 (166-176). Date of Publication: April 2007 ISSN 0268-1153 1465-3648 (electronic) BOOK PUBLISHER Oxford University Press, Great Clarendon Street, Oxford, United Kingdom. ABSTRACT 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. © The Author 2006. Published by Oxford University Press. All rights reserved. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health education maternal welfare prenatal care EMTREE MEDICAL INDEX TERMS adult article childbirth clinical effectiveness clinical trial comparative study confidence interval control group controlled clinical trial controlled study female follow up health behavior health care facility health care personnel health care utilization human intervention study male Nepal normal human obstetric delivery priority journal puerperium randomized controlled trial risk factor second trimester pregnancy urban area EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2007143034 MEDLINE PMID 16855015 (http://www.ncbi.nlm.nih.gov/pubmed/16855015) PUI L46439740 DOI 10.1093/her/cyl060 FULL TEXT LINK http://dx.doi.org/10.1093/her/cyl060 COPYRIGHT Copyright 2008 Elsevier B.V., All rights reserved. RECORD 306 TITLE What information do parents want from the antenatal consultation? AUTHOR NAMES Yee W.H. Sauve R. AUTHOR ADDRESSES (Yee W.H., wendy.yee@calgaryhealthregion.ca; Sauve R.) Department of Pediatrics, University of Calgary, Calgary Health Region, Calgary, Alta., Canada. (Sauve R.) Department of Community Health Sciences, University of Calgary, Calgary Health Region, Calgary, Alta., Canada. (Yee W.H., wendy.yee@calgaryhealthregion.ca) Rockyview General Hospital, 7007-14 Street Southwest, Calgary, Alta. T2V 1P9, Canada. CORRESPONDENCE ADDRESS W.H. Yee, Rockyview General Hospital, 7007-14 Street Southwest, Calgary, Alta. T2V 1P9, Canada. Email: wendy.yee@calgaryhealthregion.ca SOURCE Paediatrics and Child Health (2007) 12:3 (191-196). Date of Publication: March 2007 ISSN 1205-7088 BOOK PUBLISHER Pulsus Group Inc., 2902 South Sheridan Way, Oakville, Canada. ABSTRACT OBJECTIVE: To explore whether the information content, process and social interaction of the antenatal consultation satisfies the informational needs of women admitted to hospital in preterm and threatened preterm labour. METHODS: Fifty women with pregnancies of gestational ages of between 25 and 32 weeks were admitted to a tertiary care perinatal referral centre and provided with an antenatal consultation about the medical risks and treatments relative to their potentially premature infant. Within 48 h following the consultation, patients were asked to respond to a questionnaire to assess their recall of the information provided, their information expectations and their anxiety level. RESULTS: The majority of respondents (92%) thought that the antenatal consultation increased their knowledge and understanding of what might happen if their infant was born preterm. Although the mean state anxiety score was high, 78% agreed that the consultation relieved some of their worry and anxiety about their baby. In rank order, respondents wanted information about chances of survival, likely medical problems and the risk for disability, followed by medical treatments and breastfeeding. They consistently recalled receiving information about chances of survival, likely medical problems and medical treatments. CONCLUSION: Following the antenatal consultation, respondents were generally satisfied with the information provided but remained highly anxious. Recall of the discussion about disability was inconsistent. They reported needing an opportunity to express their feelings, and to talk about their baby and their anticipated interaction with their baby. Recognizing these aspects can help to improve physician-patient communication. ©2007 Pulsus Group Inc. All rights reserved. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) consultation medical information EMTREE MEDICAL INDEX TERMS anxiety article controlled study female human normal human patient satisfaction perinatal care pregnancy prenatal period questionnaire EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English, French EMBASE ACCESSION NUMBER 2007228509 PUI L46716125 COPYRIGHT Copyright 2008 Elsevier B.V., All rights reserved. RECORD 307 TITLE Is seeing believing?. Expectant parents' outlooks on coparenting and later coparenting solidarity AUTHOR NAMES McHale J.P. Rotman T. AUTHOR ADDRESSES (McHale J.P., jmchale@stpt.usf.edu; Rotman T.) University of South Florida, St. Petersburg, United States. CORRESPONDENCE ADDRESS J.P. McHale, University of South Florida, St. Petersburg, United States. Email: jmchale@stpt.usf.edu SOURCE Infant Behavior and Development (2007) 30:1 (63-81). Date of Publication: February 2007 ISSN 0163-6383 BOOK PUBLISHER Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom. ABSTRACT This study examined short- and longer-term sequelae of parents' prenatal expectations of their future family process, and traced subsequent stability in coparenting solidarity from infancy through the toddler years. One hundred and ten couples expecting a first child participated in prenatal assessments of coparenting expectations and differences, and in 3-month post-partum evaluations. Forty-five couples completed subsequent assessments at 12 and 30 months. At each time point multi-method evaluations of coparental adjustment were obtained. Men's and women's expectancies during the pregnancy and the degree of difference between their self-reported beliefs about parenting predicted post-baby coparental adjustment, with latent class analyses suggesting aftereffects of prenatal expectancies up through 30 months for some couples. Coparental solidarity was also stable from 3 to 12 and from 12 to 30 months. Data indicate that the lens parents bring to bear on their emerging family system is not immaterial, and that early-emerging coparenting dynamics portend longer term coparenting adjustment. © 2006 Elsevier Inc. All rights reserved. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation parenthood EMTREE MEDICAL INDEX TERMS adjustment adult article family female human infancy male prediction pregnancy prenatal period priority journal puerperium self report EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2007069520 MEDLINE PMID 17292781 (http://www.ncbi.nlm.nih.gov/pubmed/17292781) PUI L46202021 DOI 10.1016/j.infbeh.2006.11.007 FULL TEXT LINK http://dx.doi.org/10.1016/j.infbeh.2006.11.007 COPYRIGHT Copyright 2008 Elsevier B.V., All rights reserved. RECORD 308 TITLE Promoting prenatal and early childhood health: Evaluation of a statewide materials-based intervention for parents AUTHOR NAMES Neuhauser L. Constantine W.L. Constantine N.A. Sokal-Gutierrez K. Obarski S.K. Clayton L. Desai M. Sumner G. Syme S.L. AUTHOR ADDRESSES (Neuhauser L., lindan@berkeley.edu; Constantine N.A.; Sokal-Gutierrez K.; Syme S.L.) Community Health and Human Development, School of Public Health, University of California, Berkeley, CA, United States. (Constantine W.L.) Research and Evaluation Systems, Layfayette, CA, United States. (Obarski S.K.) Obarski Consulting, Los Angeles, CA, United States. (Neuhauser L., lindan@berkeley.edu) Community Health and Human Development Division, School of Public Health, University of California, Berkeley, CA 94720-7360, United States. (Clayton L.; Desai M.; Sumner G.) CORRESPONDENCE ADDRESS L. Neuhauser, Community Health and Human Development Division, School of Public Health, University of California, Berkeley, CA 94720-7360, United States. Email: lindan@berkeley.edu SOURCE American Journal of Public Health (2007) 97:10 (1813-1819). Date of Publication: 10 January 2007 ISSN 0090-0036 1541-0048 (electronic) BOOK PUBLISHER American Public Health Association Inc., 800 I Street NW, Washington, United States. ABSTRACT 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 500 000 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child care mother child relation EMTREE MEDICAL INDEX TERMS article controlled study female health program health promotion human infant interview perinatal period prenatal care preschool child United States EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2008057370 MEDLINE PMID 17761577 (http://www.ncbi.nlm.nih.gov/pubmed/17761577) PUI L351182291 DOI 10.2105/AJPH.2006.089532 FULL TEXT LINK http://dx.doi.org/10.2105/AJPH.2006.089532 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 309 TITLE Risk factors for Apgar score using artificial neural networks. AUTHOR NAMES Ibrahim D. Frize M. Walker R.C. AUTHOR ADDRESSES (Ibrahim D.; Frize M.; Walker R.C.) Sch. of Inf. Technol. & Eng., Ottawa Univ., Ont., Canada. CORRESPONDENCE ADDRESS D. Ibrahim, Sch. of Inf. Technol. & Eng., Ottawa Univ., Ont., Canada. Email: dibrahin@site.uottawa.ca SOURCE Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Conference (2006) 1 (6109-6112). Date of Publication: 2006 ISSN 1557-170X ABSTRACT Artificial Neural Networks (ANNs) have been used in identifying the risk factors for many medical outcomes. In this paper, the risk factors for low Apgar score are introduced. This is the first time, to our knowledge, that the ANNs are used for Apgar score prediction. The medical domain of interest used is the perinatal database provided by the Perinatal Partnership Program of Eastern and Southeastern Ontario (PPPESO). The ability of the feed forward back propagation ANNs to generate strong predictive model with the most influential variables is tested. Finally, minimal sets of variables (risk factors) that are important in predicting Apgar score outcome without degrading the ANN performance are identified. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) artificial neural network EMTREE MEDICAL INDEX TERMS algorithm Apgar score article artificial intelligence automated pattern recognition automation Canada factual database human methodology newborn outcome assessment pediatrics risk factor software statistical model LANGUAGE OF ARTICLE English MEDLINE PMID 17946357 (http://www.ncbi.nlm.nih.gov/pubmed/17946357) PUI L350342376 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 310 TITLE Characteristics of primiparous women who are not reached by parental education classes after childbirth in Sweden AUTHOR NAMES Fabian H.M. Rådestad I.J. Waldenström U. AUTHOR ADDRESSES (Fabian H.M., helena.fabian@ki.se; Waldenström U.) Department of Women and Child Health, Karolinska Institutet, Stockholm, Sweden. (Fabian H.M., helena.fabian@ki.se; Rådestad I.J.) Department of Caring and Public Sciences, Mälardalens University, Västerås, Sweden. (Fabian H.M., helena.fabian@ki.se) Eva Lagerwallsv̈g 24, SE-756 43 Uppsala, Sweden. CORRESPONDENCE ADDRESS H.M. Fabian, Eva Lagerwallsv̈g 24, SE-756 43 Uppsala, Sweden. Email: helena.fabian@ki.se SOURCE Acta Paediatrica, International Journal of Paediatrics (2006) 95:11 (1360-1369). Date of Publication: 1 Nov 2006 ISSN 0803-5253 1651-2227 (electronic) BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Background: Parental education classes are part of the national child health promotion programme of the Swedish Child Health Clinics (CHC). Aim: To investigate attendance at parental education classes during the infant's first year, and to identify factors associated with non-attendance in primiparous women. Methods: Swedish-speaking women were recruited from 97% of all antenatal clinics in Sweden during 3 wk, evenly spread over 1 y from 1999 to 2000. Questionnaires were mailed in early pregnancy, and at 2 mo and 1 y after the birth. Two thousand, four hundred and forty women answered the main outcome question about class attendance asked in the third questionnaire, and 1076 of these were first-time mothers. Results: Seventy-eight per cent of the primiparas attended classes and 31% of the multiparas. Factors associated with non-attendance in primiparas were: native language other than Swedish, a low level of education, smoking during pregnancy, inconvenient timing of pregnancy, feelings of loneliness and isolation, maternal hospital admission, and infant health problems. Three per cent of the primiparas did not attend classes either during pregnancy or after the birth, and this group seemed to constitute an even less privileged group. Conclusion: Parental education classes organized by the CHCs did not reach women who were more disadvantaged in terms of socio-demographic background, maternal and infant health, and social network. © 2006 Taylor & Francis. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child care health education maternal welfare EMTREE MEDICAL INDEX TERMS article controlled study female health behavior health care delivery health care need health program health promotion hospital admission human pregnancy primipara priority journal questionnaire Sweden EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2006527844 MEDLINE PMID 17062461 (http://www.ncbi.nlm.nih.gov/pubmed/17062461) PUI L44643547 DOI 10.1080/08035250600664125 FULL TEXT LINK http://dx.doi.org/10.1080/08035250600664125 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 311 TITLE Addressing depression and anxiety among new fathers AUTHOR NAMES Fletcher R.J. Matthey S. Marley C.G. AUTHOR ADDRESSES (Fletcher R.J., richard.fletcher@newcastle.edu.au) Faculty of Health, University of Newcastle, Newcastle, NSW, Australia. (Matthey S.) Sydney South West Area Health Service, Area Mental Health (ICAMHS), Sydney, NSW, Australia. (Marley C.G.) CORRESPONDENCE ADDRESS R.J. Fletcher, Faculty of Health, University of Newcastle, Newcastle, NSW, Australia. Email: richard.fletcher@newcastle.edu.au SOURCE Medical Journal of Australia (2006) 185:8 (461-463). Date of Publication: 16 Oct 2006 ISSN 0025-729X BOOK PUBLISHER Australasian Medical Publishing Co. Ltd, Level 2, 26-32 Pyrmont Bridge Road, Pyrmont, Australia. ABSTRACT • Fathers may be unintentionally marginalised by perinatal health services and by the maternal focus of social practices surrounding new babies. • There is increasing recognition that a fathers' depression and anxiety in the perinatal period can have serious consequences for his family. • Health services could better support new fathers by providing them with information on parenting from a father's perspective, or by running father-specific sessions as part of routine antenatal care programs. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) anxiety depression men's health EMTREE MEDICAL INDEX TERMS article child parent relation expectant father health program health service human information dissemination male mental health patient counseling perinatal care prenatal care psychosocial care social behavior social support EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2006513895 MEDLINE PMID 17137442 (http://www.ncbi.nlm.nih.gov/pubmed/17137442) PUI L44596793 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 312 TITLE Predictors of failure to return for HIV test results among pregnant women in Moshi, Tanzania AUTHOR NAMES Msuya S.E. Mbizvo E. Uriyo J. Stray-Pedersen B. Sam N.E. Hussain A. AUTHOR ADDRESSES (Msuya S.E., siamsuya@hotmail.com; Mbizvo E.; Uriyo J.; Hussain A.) Department of International Health, Institute of General Practice and Community Medicine, University of Oslo, Norway. (Mbizvo E.; Stray-Pedersen B.) Department of Obstetrics and Gynecology, Rikshospitalet University Hospital, University of Oslo, Norway. (Msuya S.E., siamsuya@hotmail.com; Uriyo J.; Sam N.E.) Kilimanjaro Christian Medical Center, Moshi, Tanzania. (Msuya S.E., siamsuya@hotmail.com) Sandvollvn 80, 1400 Ski, Norway. CORRESPONDENCE ADDRESS S.E. Msuya, Sandvollvn 80, 1400 Ski, Norway. Email: siamsuya@hotmail.com SOURCE Journal of Acquired Immune Deficiency Syndromes (2006) 43:1 (85-90). Date of Publication: September 2006 ISSN 1525-4135 BOOK PUBLISHER Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United States. ABSTRACT Identification of HIV-infected women is a prerequisite in HIV perinatal prevention programs. The aim of this study was to determine the predictors of failure to return for HIV posttest results among pregnant women (N = 2654) receiving antenatal care at primary health clinics in Moshi urban district, Tanzania. Consenting pregnant women, who were in the third trimester of pregnancy, received individual pretest counseling, followed by interview and screening for HIV. Posttest counseling and results were given after 1 week. A total of 182 (7%) failed to return for their HIV test results. Women were less likely to return for test results if their partners did not come for testing (adjusted odds ratio [AOR], 12.6; 95% CI, 3.1-51.4), if their partners consumed alcohol (AOR, 1.8; 95% CI, 1.3-2.7), and if they had never discussed reproductive health matters with their partners (AOR, 1.7; 95% CI, 1.1-2.7). Additionally, the site of recruitment, age, alcohol consumption, and advanced gestation age predicted failure to return for HIV test results. These results indicate that male partner factors were important in determining whether women returned for results. We therefore recommend promotion of antenatal couple counseling and strengthening of community awareness of the availability of perinatal interventions, with special efforts targeting men. Furthermore, the predictors for failure to collect test-results need to be addressed during pretest counseling. Copyright © 2006 by Lippincott Williams & Wilkins. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Human immunodeficiency virus infection virus diagnosis EMTREE MEDICAL INDEX TERMS adolescent adult age distribution alcohol consumption article awareness confidence interval counseling female health center health program human interview major clinical study marital therapy perinatal period prediction pregnant woman prenatal care priority journal reproductive health statistical analysis Tanzania third trimester pregnancy EMBASE CLASSIFICATIONS Microbiology: Bacteriology, Mycology, Parasitology and Virology (4) Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2006419424 MEDLINE PMID 16878044 (http://www.ncbi.nlm.nih.gov/pubmed/16878044) PUI L44306493 DOI 10.1097/01.qai.0000225016.50890.7e FULL TEXT LINK http://dx.doi.org/10.1097/01.qai.0000225016.50890.7e COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 313 TITLE Syphilis screening in the antenatal care: A cross-sectional study from Botswana AUTHOR NAMES Romoren M. Rahman M. AUTHOR ADDRESSES (Romoren M., maria.romoren@medisin.uio.no) Department of General Practice and Community Medicine, University of Oslo, Box 1130, Blindern, N-0318 Oslo, Norway. (Rahman M., mafiz@info.bw) Sexual and Reproductive Health Associates, Gaborone, Botswana. CORRESPONDENCE ADDRESS M. Romoren, Department of General Practice and Community Medicine, University of Oslo, Box 1130, Blindern, N-0318 Oslo, Norway. Email: maria.romoren@medisin.uio.no SOURCE BMC International Health and Human Rights (2006) 6 Article Number: 8. Date of Publication: 8 Jul 2006 ISSN 1472-698X 1472-698X (electronic) ABSTRACT Background: Congenital syphilis is recognized as a substantial public health problem in Sub-Saharan Africa. The aim of this study was to determine the prevalence of syphilis among antenatal care attendees in Botswana and to contribute to knowledge about the challenges facing the syphilis-screening programme. Methods: In a cross-sectional study, 703 antenatal care attendees at 13 health facilities in Gaborone, Botswana were interviewed and examined. Venous blood samples were collected for the identification of syphilis infection. The antenatal records were used to obtain information on any screening, diagnosis and treatment of syphilis that had been done earlier in the current pregnancy. Results: Active syphilis was found in 32 (5%) of the attendees. Among 546 women coming for a repeat antenatal care visit, 71 (13%) had not been screened for syphilis. Uptake late in pregnancy, delayed treatment and a high rate of seroconversion after testing were other identified obstacles to the effective prevention of congenital syphilis. Conclusion: Syphilis prevalence among pregnant women in Botswana remains high, and there is still much to be gained by improving the effectiveness of the syphilis screening and treatment programme. Earlier antenatal care attendance, rapid on-site testing, improved partner treatment and a repeat test late in pregnancy to manage incident cases are important goals for patients, health care workers and health authorities. © 2006 Romoren and Rahman; licensee BioMed Central Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) syphilis EMTREE MEDICAL INDEX TERMS adolescent adult article blood sampling Botswana controlled study female health care facility health program human interview major clinical study medical examination prenatal care prenatal screening prevalence EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Microbiology: Bacteriology, Mycology, Parasitology and Virology (4) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2006389503 PUI L44222677 DOI 10.1186/1472-698X-6-8 FULL TEXT LINK http://dx.doi.org/10.1186/1472-698X-6-8 COPYRIGHT Copyright 2007 Elsevier B.V., All rights reserved. RECORD 314 TITLE Improving perinatal regionalization by predicting neonatal intensive care requirements of preterm infants: An EPIPAGE-based cohort study AUTHOR NAMES Vieux R. Fresson J. Hascoet J.-M. Blondel B. Truffert P. Roze J.-C. Matis J. Thiriez G. Arnaud C. Marpeau L. Kaminski M. AUTHOR ADDRESSES (Vieux R., r.vieux@maternite.chu-nancy.fr; Hascoet J.-M.) Department of Neonatalogy, Maternite Regionale Universitaire, Nancy, France. (Fresson J.) Department of Biostatistics, Maternite Regionale Universitaire, Nancy, France. (Blondel B.; Kaminski M.) Research Unit on Perinatal Health and Women's Health, Institut National de la Santé et de la Recherche Médicale U149, Villejuif, France. (Truffert P.) Department of Neonatology, Jeanne de Flandres Hospital, Lille, France. (Roze J.-C.) Department of Neonatology, Children Hospital, Nantes, France. (Matis J.) Department of Neonatology, Hautepierre Hospital, Strasbourg, France. (Thiriez G.) Pediatric Intensive Care Unit, Saint Jacques Hospital, Besancon, France. (Arnaud C.) Research Unit on Epidemiology and Public Health, Institut National de la Santé et de la Recherche Médicale U558, Toulouse, France. (Marpeau L.) Department of Neonatology, Charles Nicolle Hospital, Rouen, France. (Vieux R., r.vieux@maternite.chu-nancy.fr) Maternité Régionale A. Pinard - 54000, 140 Rue du Dr Heydenreich, Nancy 54042, France. CORRESPONDENCE ADDRESS R. Vieux, Maternité Régionale A. Pinard - 54000, 140 Rue du Dr Heydenreich, Nancy 54042, France. Email: r.vieux@maternite.chu-nancy.fr SOURCE Pediatrics (2006) 118:1 (84-90). Date of Publication: July 2006 ISSN 0031-4005 0210-5721 (electronic) BOOK PUBLISHER American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk Grove Village, United States. ABSTRACT OBJECTIVE. Perinatal regionalization has been organized into 3 ascending levels of care, fitting increasing degrees of pathology. Current recommendations specify that very premature infants be referred prenatally to level III facilities, yet not all very preterm neonates require level III intensive care. The objective of our study was to determine the antenatal factors that, in association with gestational age, predict the need for neonatal intensive care in preterm infants, to match the size of birth with the level of care required. METHODS. Data were analyzed from a cohort of very preterm infants born in nine French regions in 1997. We defined the need for neonatal intensive care as follows: (1) the requirement for specialized management (mechanical ventilation for >48 hours, high frequency oscillation, or inhaled nitric oxide) or (2) poor outcome (transfer to a level III facility within the first 2 days of life or early neonatal death). Triplet pregnancies and pregnancies marked by fetal malformations or intensive care requirements for the mother before delivery were excluded. RESULTS. We focused our study on 1262 neonates aged 30, 31 and 32 weeks' gestation, where the need for intensive care was 42.8%, 33.2%, and 22.8%, respectively. Multivariate analysis showed that the risk factors for intensive care requirement with low gestational age were twin pregnancies, maternal hypertension, antepartum hemorrhage, infection, and male gender. Antenatal steroid therapy and premature rupture of membranes were protective factors against intensive care requirement. CONCLUSION. Infants <31 weeks' gestation should be referred to level III facilities. From 31 weeks' gestation, some infants can be safely handled in level IIb facilities. However, the quality of perinatal regionalization may only be fully assessed by long-term follow-up. Copyright © 2006 by the American Academy of Pediatrics. EMTREE DRUG INDEX TERMS nitric oxide steroid EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) fetus malformation newborn intensive care prematurity EMTREE MEDICAL INDEX TERMS antepartum hemorrhage article artificial ventilation childbirth cohort analysis controlled study demography female gestational age health care facility high frequency oscillation human infection major clinical study male maternal hypertension multivariate analysis newborn death outcome assessment prenatal care preschool child prevalence priority journal regionalization risk factor twin pregnancy CAS REGISTRY NUMBERS nitric oxide (10102-43-9) EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Anesthesiology (24) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2007025062 MEDLINE PMID 16818552 (http://www.ncbi.nlm.nih.gov/pubmed/16818552) PUI L46071150 DOI 10.1542/peds.2005-2149 FULL TEXT LINK http://dx.doi.org/10.1542/peds.2005-2149 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 315 TITLE Barriers to and attitudes towards promoting husbands' involvement in maternal health in Katmandu, Nepal AUTHOR NAMES Mullany B.C. AUTHOR ADDRESSES (Mullany B.C., brittamullany@yahoo.com) Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, United States. CORRESPONDENCE ADDRESS B.C. Mullany, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, United States. Email: brittamullany@yahoo.com SOURCE Social Science and Medicine (2006) 62:11 (2798-2809). Date of Publication: June 2006 ISSN 0277-9536 BOOK PUBLISHER Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom. ABSTRACT Couple-friendly reproductive health services and male partner involvement in women's reproductive health have recently garnered considerable attention. Given the sensitive nature of gender roles and relations in many cultures, understanding the context of a particular setting, potential barriers, and attitudes towards a new intervention are necessary first steps in designing services that include men. In preparation for a male involvement in antenatal care intervention, this qualitative study specifically aims to: (a) understand the barriers to male involvement in maternal health and (b) explore men's, women's, and providers' attitudes towards the promotion of male involvement in antenatal care and maternal health. In-depth interviews were conducted with fourteen couples and eight maternal health care providers at a public maternity hospital in Katmandu, Nepal. Additionally, seventeen couples participated in focus group discussions. The most prominent barriers to male involvement in maternal health included low levels of knowledge, social stigma, shyness/embarrassment and job responsibilities. Though providers also foresaw some obstacles, primarily in the forms of hospital policy, manpower and space problems, providers unanimously felt the option of couples-friendly maternal health services would enhance the quality of care and understanding of health information given to pregnant women, echoing attitudes expressed by most pregnant women and their husbands. Accordingly, a major shift in hospital policy was seen as an important first step in introducing couple-friendly antenatal or delivery services. The predominantly favorable attitudes of pregnant women, husbands, and providers towards encouraging greater male involvement in maternal health in this study imply that the introduction of an option for such services would be both feasible and well accepted. © 2005 Elsevier Ltd. All rights reserved. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health maternal welfare reproductive health spouse EMTREE MEDICAL INDEX TERMS adult article attitude feasibility study female health care quality health promotion health service hospital policy human intervention study interview knowledge male manpower maternal care maternity ward Nepal obstetric delivery pregnancy prenatal care qualitative research responsibility sex role social aspect social behavior work EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2006197955 MEDLINE PMID 16376007 (http://www.ncbi.nlm.nih.gov/pubmed/16376007) PUI L43627089 DOI 10.1016/j.socscimed.2005.11.013 FULL TEXT LINK http://dx.doi.org/10.1016/j.socscimed.2005.11.013 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 316 TITLE Detection of α-thalassemia in β-thalassemia carriers and prevention of Hb Bart's hydrops fetalis through prenatal screening AUTHOR NAMES Li D. Liao C. Li J. Xie X. Huang Y. Zhong H. AUTHOR ADDRESSES (Li D., dongzhi3@yahoo.com.cn; Liao C.; Li J.; Xie X.; Huang Y.; Zhong H.) Prenatal Diagnostic Center, Guangzhou Maternal and Neonatal Hospital, Guangzhou Medical College, Guangzhou, Guangdong, China. (Li D., dongzhi3@yahoo.com.cn) Prenatal Diagnostic Center, Guangzhou Maternal and Neonatal Hospital, Renminzhong Road 402, Guangzhou, Guangdong 510180, China. CORRESPONDENCE ADDRESS D. Li, Prenatal Diagnostic Center, Guangzhou Maternal and Neonatal Hospital, Renminzhong Road 402, Guangzhou, Guangdong 510180, China. Email: dongzhi3@yahoo.com.cn SOURCE Haematologica (2006) 91:5 (649-651). Date of Publication: May 2006 ISSN 0390-6078 BOOK PUBLISHER Haematologica Journal Office, Strada Nuova 134, Pavia, Italy. ABSTRACT The aim of this study was to detect α- thalassemia in β-thalassemia carriers during prenatal screening. During a 12-year prenatal screening program, a total of 158 couples (3.2%) were diagnosed to be the discordant α- and β-thalassemia carriers. Of the 158 β-thalassemia partners, seven (4.4%) were found to have co-inheritance of α(0)-thalassemia, and three (1.9%) found to have co-inheritance of α(+)-thalassemia. Three pregnancies affected with Hb Bart's hydrops fetalis were terminated in the 158 couples. The results showed that molecular analysis must be used for accurate diagnosis of double heterozygotes in couples presumed to be discordant for α- and β-thalassemia on hematologic testing. ©2006 Ferrata Storti Foundation. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) alpha thalassemia (diagnosis) beta thalassemia (diagnosis) EMTREE MEDICAL INDEX TERMS adult article Barth syndrome (prevention) controlled study diagnostic accuracy diagnostic test female fetus hydrops (prevention) follow up heterozygote heterozygote detection human human tissue male outcome assessment prediction pregnancy prenatal screening prevalence risk assessment EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Hematology (25) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2006255902 MEDLINE PMID 16627247 (http://www.ncbi.nlm.nih.gov/pubmed/16627247) PUI L43799461 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 317 TITLE The prenatal Lausanne trilogue play: A new observational assessment tool of the prenatal co-parenting alliance AUTHOR NAMES Carneiro C. Corboz-Warnery A. Fivaz-Depeursinge E. AUTHOR ADDRESSES (Carneiro C., Claudio.Carneiro@chuv.ch; Corboz-Warnery A.; Fivaz-Depeursinge E.) Centre d'Etude de la Famille, University of Lausanne, Site de Cery, 1008 Prilly-Lausanne, Switzerland. CORRESPONDENCE ADDRESS C. Carneiro, Centre d'Etude de la Famille, University of Lausanne, Site de Cery, 1008 Prilly-Lausanne, Switzerland. Email: Claudio.Carneiro@chuv.ch SOURCE Infant Mental Health Journal (2006) 27:2 (207-228). Date of Publication: Mar 2006 ISSN 0163-9641 1097-0355 (electronic) ABSTRACT 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. © 2006 Wiley Periodicals, Inc. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) parental attitude role playing EMTREE MEDICAL INDEX TERMS adult article child care child parent relation clinical assessment controlled study correlation analysis female human male observational study parenthood paternal attitude perinatal period prediction priority journal satisfaction scoring system videorecording EMBASE CLASSIFICATIONS Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English, Spanish, French, German EMBASE ACCESSION NUMBER 2006196499 PUI L43624532 DOI 10.1002/imhj.20089 FULL TEXT LINK http://dx.doi.org/10.1002/imhj.20089 COPYRIGHT Copyright 2007 Elsevier B.V., All rights reserved. RECORD 318 TITLE Psychosocial health of Taiwanese postnatal husbands and wives AUTHOR NAMES Wang S.-Y. Chen C.-H. AUTHOR ADDRESSES (Wang S.-Y.) Department of Psychiatry, Kaohsiung Medical University, Kaohsiung, Taiwan. (Chen C.-H., chunghey@kmu.edu.tw) College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan. CORRESPONDENCE ADDRESS C.-H. Chen, College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan. Email: chunghey@kmu.edu.tw SOURCE Journal of Psychosomatic Research (2006) 60:3 (303-307). Date of Publication: March 2006 ISSN 0022-3999 BOOK PUBLISHER Elsevier Inc., 360 Park Avenue South, New York, United States. ABSTRACT Objective: The purpose of this study was to compare the differences in stress, social support, self-esteem, and depression in fathers and mothers during the postpartum period. Methods: Eighty-three postnatal Taiwanese couples participated in the study. Four structured questionnaires were used to analyze the differences between fathers and mothers. Results: For the first-time couples, fathers perceived lower social support than mothers, but the couples experienced similar depression level. Experienced mothers compared to fathers reported significantly higher stress, lower self-esteem, and higher depression. There were differential gender-based predictors of depression where mothers' depressive outcomes were related to high stress and low social support and fathers' depression were related to low self-esteem and low social support. Conclusion: These findings confirm the predominance among females of postpartum depression in experienced couples in an East Asian setting. Preventive interventions might include antenatal guidance for parenting, counseling of gender role stress, and development of support groups for postnatal couples in making a smoother transition. © 2006 Elsevier Inc. All rights reserved. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) psychological well-being puerperal depression EMTREE MEDICAL INDEX TERMS adult article Beck Depression Inventory child parent relation controlled study family life family stress female human human experiment male marital therapy mental stress parent counseling psychosocial care puerperium questionnaire self esteem sex difference sex role social support Taiwan EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2006106145 MEDLINE PMID 16516664 (http://www.ncbi.nlm.nih.gov/pubmed/16516664) PUI L43325322 DOI 10.1016/j.jpsychores.2005.08.012 FULL TEXT LINK http://dx.doi.org/10.1016/j.jpsychores.2005.08.012 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 319 TITLE Risk factors for Apgar score using artificial neural networks. AUTHOR NAMES Ibrahim D. Frize M. Walker R.C. AUTHOR ADDRESSES (Ibrahim D., dibrahin@site.uottawa.ca) Sch. of Inf. Technol. & Eng., Ottawa Univ., Ont., Canada. (Frize M.; Walker R.C.) CORRESPONDENCE ADDRESS D. Ibrahim, Email: dibrahin@site.uottawa.ca SOURCE Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Conference (2006) (6109-6112). Date of Publication: 2006 ISSN 1557-170X ABSTRACT Artificial Neural Networks (ANNs) have been used in identifying the risk factors for many medical outcomes. In this paper, the risk factors for low Apgar score are introduced. This is the first time, to our knowledge, that the ANNs are used for Apgar score prediction. The medical domain of interest used is the perinatal database provided by the Perinatal Partnership Program of Eastern and Southeastern Ontario (PPPESO). The ability of the feed forward back propagation ANNs to generate strong predictive model with the most influential variables is tested. Finally, minimal sets of variables (risk factors) that are important in predicting Apgar score outcome without degrading the ANN performance are identified. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) artificial neural network EMTREE MEDICAL INDEX TERMS algorithm Apgar score article artificial intelligence automated pattern recognition automation Canada factual database human methodology newborn outcome assessment pediatrics risk factor software statistical model LANGUAGE OF ARTICLE English MEDLINE PMID 17946357 (http://www.ncbi.nlm.nih.gov/pubmed/17946357) PUI L350365460 COPYRIGHT Copyright 2015 Medline is the source for the citation and abstract of this record. RECORD 320 TITLE Parental preferences for neonatal resuscitation research consent: A pilot study AUTHOR NAMES Culbert A. Davis D.J. AUTHOR ADDRESSES (Culbert A.; Davis D.J., deborah.davis@rh.hosp.dk) Department of Pediatrics, University of Ottawa, Ottawa, Ont., Canada. (Davis D.J., deborah.davis@rh.hosp.dk) Center for Clinical Education, Teilum, Afsnit 5404, Denmark. (Davis D.J., deborah.davis@rh.hosp.dk) Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen O, Denmark. CORRESPONDENCE ADDRESS D.J. Davis, Center for Clinical Education, Teilum, Afsnit 5404, Denmark. Email: deborah.davis@rh.hosp.dk SOURCE Journal of Medical Ethics (2005) 31:12 (721-726). Date of Publication: December 2005 ISSN 0306-6800 BOOK PUBLISHER BMJ Publishing Group, Tavistock Square, London, United Kingdom. ABSTRACT Objective: Obtaining informed consent for resuscitation research, especially in the newborn, is problematic. This study aimed to evaluate parental preferences for hypothetical consent procedures in neonatal resuscitation research. Design: Mail-out survey questionnaire. Setting/participants: Randomly selected parents who had received obstetrical or neonatal care at a tertiary perinatal centre. Main outcome measures: Parental levels of comfort (Likert-type scale 1-6) regarding different methods of obtaining consent in hypothetical resuscitation research scenarios. Results: The response rate was 34%. The respondents were a group of highly educated women with a higher family income than would be expected in the general population. In terms of results, parents valued the impact the research would have on their baby and the importance of a positive interaction with the physicians conducting the research study. Parents felt most comfortable with prospective consent in the setting of prenatal classes or prenatal visits with a physician, but they were somewhat uncomfortable with prospective consent upon admission to hospital after labour had begun. Parents were uncomfortable with waived consent, deferred consent, and opting out, no matter when during the pregnancy consent was requested. Conclusion: This pilot study reports parental preferences for prenatal information and consent for such research trials of neonatal resuscitation. A low response rate and potentially skewed demographics of the respondents prevent generalisability of this result. Interview studies should be performed to better determine parental preferences for informed consent in a more representative population. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) newborn care parental consent resuscitation EMTREE MEDICAL INDEX TERMS adult article child parent relation controlled study female health survey human human experiment human relation informed consent interpersonal communication male medical decision making medical research obstetric procedure population distribution questionnaire rating scale social status EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2006004252 MEDLINE PMID 16319238 (http://www.ncbi.nlm.nih.gov/pubmed/16319238) PUI L43013386 DOI 10.1136/jme.2004.011247 FULL TEXT LINK http://dx.doi.org/10.1136/jme.2004.011247 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 321 TITLE Successful outcome following prenatal intervention in a female fetus with bladder outlet obstruction AUTHOR NAMES Jung E. Won H.-S. Shim J.-Y. Lee P.R. Kim A. Kim K.S. AUTHOR ADDRESSES (Jung E.; Won H.-S., hswon@amc.seoul.kr; Shim J.-Y.; Lee P.R.; Kim A.) Department of Obstetrics, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea. (Kim K.S.) Department of Urology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea. (Won H.-S., hswon@amc.seoul.kr) Department of Obstetrics, University of Ulsan College of Medicine, Asan Medical Center, Songpa-Gu, Pungnap-Dong, 388-1, Seoul, South Korea. CORRESPONDENCE ADDRESS H.-S. Won, Department of Obstetrics, University of Ulsan College of Medicine, Asan Medical Center, Songpa-Gu, Pungnap-Dong, 388-1, Seoul, South Korea. Email: hswon@amc.seoul.kr SOURCE Prenatal Diagnosis (2005) 25:12 (1107-1110). Date of Publication: December 2005 ISSN 0197-3851 BOOK PUBLISHER John Wiley and Sons Ltd, Southern Gate, Chichester, West Sussex, United Kingdom. ABSTRACT Bladder outlet obstructions are a diverse and heterogeneous group of developmental abnormalities that generally involve obstruction of the proximal urethra in the male fetus. Indications for prenatal intervention are few and are usually restricted to the male fetus because bladder outlet obstruction in female fetuses is usually caused by complex cloacal development anomalies. We report on a female fetus with an enlarged bladder and a dilated proximal urethra (known as typical keyhole sign). A vesicoamniotic shunt was performed despite non-reassuring prognostic factors, but the procedure resulted in a successful outcome. We propose that in selected cases of bladder outlet obstruction, fetal intervention should be considered even when the fetus is female. Copyright © 2005 John Wiley & Sons, Ltd. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) bladder neck stenosis EMTREE MEDICAL INDEX TERMS adult article bladder distension case report disease course female fetus human kidney function lung function male prenatal diagnosis priority journal prognosis treatment outcome urethra EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Urology and Nephrology (28) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2006006060 MEDLINE PMID 16231298 (http://www.ncbi.nlm.nih.gov/pubmed/16231298) PUI L43016290 DOI 10.1002/pd.1285 FULL TEXT LINK http://dx.doi.org/10.1002/pd.1285 COPYRIGHT Copyright 2011 Elsevier B.V., All rights reserved. RECORD 322 TITLE Fetal programming of appetite by exposure to a maternal low-protein diet in the rat AUTHOR NAMES Bellinger L. Langley-Evans S.C. AUTHOR ADDRESSES (Bellinger L.; Langley-Evans S.C., simon.langley-evans@nottingham.ac.uk) School of Biosciences, University of Nottingham, Loughborough LE12 5RD, United Kingdom. CORRESPONDENCE ADDRESS S.C. Langley-Evans, School of Biosciences, University of Nottingham, Loughborough LE12 5RD, United Kingdom. Email: simon.langley-evans@nottingham.ac.uk SOURCE Clinical Science (2005) 109:4 (413-420). Date of Publication: October 2005 ISSN 0143-5221 BOOK PUBLISHER Portland Press Ltd, 59 Portland Place, London, United Kingdom. ABSTRACT Undernutrition in fetal life programmes risk of obesity and the metabolic syndrome in adult life. Rat studies indicate that exposure to a maternal low-protein diet throughout fetal life establishes a preference for high-fat foods. The present study aimed to assess the effect of low protein exposure during discrete 7-day periods of gestation upon feeding behaviour (full gestation 22 days). Pregnant rats were fed control or low-protein diet, with low-protein feeding targeted at day 0-7 (LPEarly), day 8-14 (LPMid) or day 15-22 (LPLate) of gestation. At 12 weeks of age, offspring were placed on a macronutrient self-selection regimen. Prenatal protein restriction programmed feeding behaviour in female, but not male, offspring. Among females, all low-protein exposed groups consumed less fat than the control group (P < 0.05). Male offspring showed no changes in feeding behaviour. In males and females fed a low-fat chow diet, there were metabolic differences between the groups. LPEarly and LPLate males had greater hepatic glycogen stores than control animals. There were no differences in the size of abdominal fat depots in either male or female rats exposed to low-protein diet at any point in gestation. The data suggest that programming of feeding behaviour is likely to be gender-specific and dependent upon the timing of nutrient insult in fetal life. This work may have implications for the development of the metabolic syndrome. © 2005 The Biochemical Society. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) feeding behavior metabolic syndrome X protein restriction EMTREE MEDICAL INDEX TERMS animal experiment appetite article body weight controlled study female glycogen liver level lipid storage male nonhuman prenatal exposure priority journal rat EMBASE CLASSIFICATIONS Endocrinology (3) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2005462996 MEDLINE PMID 15992360 (http://www.ncbi.nlm.nih.gov/pubmed/15992360) PUI L41445249 DOI 10.1042/CS20050127 FULL TEXT LINK http://dx.doi.org/10.1042/CS20050127 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 323 TITLE Smoking and parenting among males in low socio-economic occupations AUTHOR NAMES Moffatt J. Stanton W.R. AUTHOR ADDRESSES (Moffatt J.) Cancer Prevention Research Centre, School of Population Health, University of Queensland, St. Lucia, QLD 4072, Australia. (Stanton W.R., w.stanton@mailbox.uq.edu.au) School of Health and Rehabilitation Science, University of Queensland, St. Lucia, QLD 4072, Australia. CORRESPONDENCE ADDRESS W.R. Stanton, School of Health and Rehabilitation Science, University of Queensland, St. Lucia, QLD 4072, Australia. Email: w.stanton@mailbox.uq.edu.au SOURCE International Journal of Health Promotion and Education (2005) 43:3 (81-86). Date of Publication: 2005 ISSN 1463-5240 ABSTRACT The role of fatherhood in family life has been accentuated as a consequence of societal change. This change, combined with knowledge about the harmful consequences of passive smoking, has focused attention on males who smoke and are the partners of pregnant women. Of particular interest are low socio-economic groups because of their higher smoking rates. This study examines smoking and parenting in a sample of 561 males in semi-skilled and unskilled occupations (with pregnant partners) who were recruited into a self-help smoking cessation programme. Parenting related variables predicted smoking cessation, particularly knowledge about passive smoking. A high level of knowledge about the effects of passive smoking on a baby was associated with one or more quit attempts early in the partner's pregnancy and smoking cessation. Confidence to quit during the pregnancy was also associated with smoking cessation. These results could be incorporated into smoking cessation and antenatal programmes to improve the health of families. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) passive smoking paternal behavior smoking cessation EMTREE MEDICAL INDEX TERMS adolescent adult article child health care female health education health hazard health program health promotion human lowest income group male maternal care parental behavior prediction prenatal care public health service smoking habit social behavior social status EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2005407856 PUI L41269473 COPYRIGHT Copyright 2007 Elsevier B.V., All rights reserved. RECORD 324 TITLE Pregnancy outcomes in women with classical congenital adrenal hyperplasia due to 21-hydroxylase deficiency AUTHOR NAMES Dumic M. Janjanin N. Ille J. Žunec R. Špehar A. Zlopasa G. Francetic I. New M.I. AUTHOR ADDRESSES (Dumic M.; Janjanin N.; Ille J.; Špehar A.) Department of Paediatrics, University Hospital Centre, Zagreb, Croatia. (Žunec R.) Tissue Typing Centre, Department of Urology, University Hospital Centre, Zagreb, Croatia. (Zlopasa G.) Department of Gynaecology and Obstetrics, University Hospital Centre, Zagreb, Croatia. (Francetic I.) Department of Medicine, University Hospital Centre, Zagreb, Croatia. (New M.I., maria.new@mssm.edu) Department of Pediatrics, Mount Sinai School of Medicine, 1 Gustave L. Levy Place, New York, NY 10029, United States. CORRESPONDENCE ADDRESS M.I. New, Department of Pediatrics, Mount Sinai School of Medicine, 1 Gustave L. Levy Place, New York, NY 10029, United States. Email: maria.new@mssm.edu SOURCE Journal of Pediatric Endocrinology and Metabolism (2005) 18:9 (887-895). Date of Publication: September 2005 ISSN 0334-018X BOOK PUBLISHER Freund Publishing House Ltd, 61 Nachmani Street, P.O. Box 35010, Tel Aviv, Israel. ABSTRACT Objective: Despite earlier detection, treatment, and surgical advances, fertility prognosis in women with classical 21-hydroxylase deficiency (21-OHD) is still low, especially in the salt-wasting (SW) form. Patients and Methods: We analysed the course and outcome of four pregnancies in two simple virilizing (SV) and one SW patient. Results: The evaluation of carrier status indicated that all three fathers had two normal CYP21 genes. During the pregnancy, the dose of prednisolone was increased in one of the SV patients and the SW patient. In the SW patient who developed pre-eclampsia, the dose of fludrocortisone was also increased. Three patients gave birth to a total of four healthy girls who were heterozygotes for 21-OHD with normal genitalia (one by vaginal delivery and three by Caesarean section). Family studies revealed that the mother of the SW patient has nonclassical 21-OHD. Conclusion: Improving a low birth rate in females with SW 21-OHD remains a problem and new approaches are required. If the mother has 21-OHD (even nonclassical 21-OHD), preconception counselling and paternal genotyping are advisable and prenatal dexamethasone therapy should be considered. © Freund Publishing House Ltd. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) steroid 21 monooxygenase (endogenous compound) EMTREE DRUG INDEX TERMS dexamethasone (drug therapy) fludrocortisone (drug dose, drug therapy) hydrocortisone (drug dose, drug therapy, drug toxicity, intravenous drug administration) prednisolone (drug dose, drug therapy) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) congenital adrenal hyperplasia (congenital disorder, diagnosis, drug therapy) EMTREE MEDICAL INDEX TERMS adult article birth rate case report disease carrier disease course dose response family history female genotype heterozygote human oliguria preeclampsia pregnancy complication prenatal care prenatal diagnosis salt wasting CAS REGISTRY NUMBERS dexamethasone (50-02-2) fludrocortisone (127-31-1) hydrocortisone (50-23-7) prednisolone (50-24-8) steroid 21 monooxygenase (9029-68-9) EMBASE CLASSIFICATIONS Endocrinology (3) Obstetrics and Gynecology (10) Human Genetics (22) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2005523131 MEDLINE PMID 16279367 (http://www.ncbi.nlm.nih.gov/pubmed/16279367) PUI L41645290 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 325 TITLE Youth preferences for prenatal and parenting teen services AUTHOR NAMES Cox J.E. Bevill L. Forsyth J. Missal S. Sherry M. Woods E.R. AUTHOR ADDRESSES (Cox J.E., Joanne.cox@childrens.harvard.edu; Bevill L.; Missal S.; Sherry M.) Division of General Pediatrics, Children's Hospital Boston, Boston, MA, United States. (Forsyth J.; Woods E.R.) Division of Adolescent Medicine, Children's Hospital Boston, Boston, MA, United States. (Cox J.E., Joanne.cox@childrens.harvard.edu) Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, United States. CORRESPONDENCE ADDRESS J.E. Cox, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, United States. Email: Joanne.cox@childrens.harvard.edu SOURCE Journal of Pediatric and Adolescent Gynecology (2005) 18:3 (167-174). Date of Publication: June 2005 ISSN 1083-3188 BOOK PUBLISHER Elsevier USA, 6277 Sea Harbor Drive, Orlando, United States. ABSTRACT Study Objective: Parenting teens served by a teen-tot program and teens from a prenatal clinic participated in focus groups to explore their perceptions of medical care, social services, and psycho-educational parenting groups. Design: The teens met in four focus groups, two prenatal and two postnatal. Setting: Teens receiving care from a teen-tot program and associated prenatal clinic in a large metropolitan area in New England. Participants: A total of 16 pregnant (n = 6) and parenting (n = 10) teens ages ranging from 16 to 21 years (13 African American, 2 Latina, and 1 Haitian) participated in the four focus groups. Methods: A qualitative focus group study was performed. Structured, culturally sensitive questions guided the discussion based on a hypothetical case scenario. Themes were identified through grounded theory with three coders and differences were reconciled. Results: The groups revealed prenatal and postnatal mothers valued medical and social services provided in a teen-focused hospital clinic. Prenatal teens looked to providers for health education services and group support. Parenting teens requested consistent doctors for their children and social supports for themselves. Both groups desired assistance with social services, education, housing, and finances as well as educational services for fathers. Conclusions: Teen parents' perceptions and suggestions for services are critical to program development that meets the needs of participants. © 2005 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adolescent pregnancy health program prenatal care EMTREE MEDICAL INDEX TERMS adolescence adolescent adult African American article child parent relation controlled study female Haiti health education Hispanic human medical care medical service perinatal period prenatal period priority journal qualitative analysis social care social work support group United Kingdom United States EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2005270181 MEDLINE PMID 15970249 (http://www.ncbi.nlm.nih.gov/pubmed/15970249) PUI L40828584 DOI 10.1016/j.jpag.2005.03.003 FULL TEXT LINK http://dx.doi.org/10.1016/j.jpag.2005.03.003 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 326 TITLE Childbirth and parenthood education classes in Sweden. Women's opinion and possible outcomes AUTHOR NAMES Fabian H.M. Rådestad I.J. Waldenström U. AUTHOR ADDRESSES (Fabian H.M., helena.fabian@omv.ki.se; Waldenström U.) Department of Nursing, Karolinska Institutet, Stockholm, Sweden. (Fabian H.M., helena.fabian@omv.ki.se; Rådestad I.J.) Department of Caring and Public Sciences, Mälardalens University, Västerås, Sweden. (Fabian H.M., helena.fabian@omv.ki.se) Eva Lagerwallsväg 24, S-756 43 Uppsala, Sweden. CORRESPONDENCE ADDRESS H.M. Fabian, Eva Lagerwallsväg 24, S-756 43 Uppsala, Sweden. Email: helena.fabian@omv.ki.se SOURCE Acta Obstetricia et Gynecologica Scandinavica (2005) 84:5 (436-443). Date of Publication: May 2005 ISSN 0001-6349 BOOK PUBLISHER Taylor and Francis Ltd., 4 Park Square, Milton Park, Abingdon, Oxfordshire, United Kingdom. ABSTRACT 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. © Acta Obstet Gynecol Scand (2005). EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth education parenthood EMTREE MEDICAL INDEX TERMS adult analgesia article breast feeding controlled study epidural anesthesia female human labor pain obstetric delivery outcomes research prenatal care primigravida priority journal questionnaire risk factor smoking socioeconomics Sweden EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2005215998 MEDLINE PMID 15842207 (http://www.ncbi.nlm.nih.gov/pubmed/15842207) PUI L40663443 DOI 10.1111/j.0001-6349.2005.00732.x FULL TEXT LINK http://dx.doi.org/10.1111/j.0001-6349.2005.00732.x COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 327 TITLE A feasibility study of an intervention to enhance family support for breast feeding in a deprived area in Bristol, UK AUTHOR NAMES Ingram J. Johnson D. AUTHOR ADDRESSES (Ingram J., jenny.ingram@bristol.ac.uk; Johnson D.) Ctr. for Child and Adolescent Health, Dept. of Community-based Medicine, Univ. Bristol, Hampton Hse., C., . CORRESPONDENCE ADDRESS Ctr. for Child and Adolescent Health, Dept. of Community-based Medicine, Univ. Bristol, Hampton Hse., C., . Email: jenny.ingram@bristol.ac.uk SOURCE Midwifery (2004) 20:4 (367-379). Date of Publication: December 2004 ISSN 0266-6138 BOOK PUBLISHER Churchill Livingstone ABSTRACT to assess fathers' and grandmothers' knowledge of breast feeding and their ability to support successful breast feeding. To design a suitable intervention for fathers and grandmothers to support breast-feeding mothers, to assess the acceptability and feasibility of the intervention and monitor its likely effects on breast-feeding rates. qualitative focus groups and interviews. Evaluation of the feasibility of an antenatal intervention. Community Health Centre and family homes in an area of relative social and economic deprivation in South Bristol, UK, from November 2001 to May 2003. 10 grandmothers and five fathers in focus groups and interviews. Twenty-nine families in the intervention. an antenatal intervention for grandmothers or partners to support breast feeding, which combined the benefits and mechanics of breast feeding with ways of providing support for breast feeding. using an antenatal session based around a leaflet, specifically written for grandmothers and partners, and including a demonstration of good breast-feeding positioning and attachment in addition to the discussion of specific issues around the health benefits and mechanics of breast feeding was found to be acceptable, useful and enjoyable by all participants, particularly for first-time parents. The importance of fathers and grandmothers in providing emotional and practical support for breast-feeding mothers is highlighted, since those who were still breast feeding at eight weeks all felt that they were receiving similar or better support postnatally than they were antenatally. Significantly more intervention mothers were breast feeding their babies at eight weeks than in the wider practice population of mothers outside the study who intended to breast feed. Fathers' attitudes to breast feeding postnatally were fairly similar to those before the baby was born with breast feeding in public and knowing how much milk the baby was getting having the most influence on whether they felt that their partner should continue to breast feed. this type of intervention could be part of a multi-faceted approach towards improving breast-feeding initiation and continuation, particularly in areas of low prevalence. Health professionals should be opportunistic about involving other family members in discussions about breast feeding whenever possible, both antenatally and postnatally. © 2004 Elsevier Ltd. All rights reserved. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding EMTREE MEDICAL INDEX TERMS family study feasibility study female human interview male normal human parent review United Kingdom LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 15571885 (http://www.ncbi.nlm.nih.gov/pubmed/15571885) PUI L39574869 DOI 10.1016/j.midw.2004.04.003 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2004.04.003 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 328 TITLE The case for perinatal psychologists AUTHOR NAMES Chalmers B. AUTHOR ADDRESSES (Chalmers B.) Intl. Perinatal Health Consultant, Kingston, Ont., Canada. (Chalmers B.) RPO Princess, P O Box 21091, Kingston, Ont. K7L 5P5, Canada. CORRESPONDENCE ADDRESS B. Chalmers, RPO Princess, P O Box 21091, Kingston, Ont. K7L 5P5, Canada. SOURCE Perinatology (2004) 6:6 (320-325). Date of Publication: Nov 2004 ISSN 0972-2408 ABSTRACT Traditionally, the care of women during pregnancy and childbirth was relegated to obstetricians and midwives, with the neonatologist caring for the newborn, together with nurses. In recent decades, as women's voices have been increasingly heard, care has been expanded to include childbirth educators so that the cognitive needs of women and their partners (usually focusing on pregnancy and birth but not often on parenthood) could be catered for in addition to their biological needs. Less attention has, however, been paid by caregivers to women's and their partner's emotional needs during their transition through pregnancy and birth to parenthood although recent recognition of the importance of support in labour and birth has acknowledged this need. The lack of any clear role, or indeed any role at all, for perinatal psychologists in this process, is evidence of this omission. This paper highlights the potential role to be played by perinatal psychologists and the need to develop care facilities that include this contribution. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) mental health care perinatal care EMTREE MEDICAL INDEX TERMS article childbirth emotional stability female health care facility health care need human labor maternal care medical expert mental health service midwife neonatology obstetrics parenthood patient education pregnancy psychologist EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2005117077 PUI L40347409 COPYRIGHT Copyright 2007 Elsevier B.V., All rights reserved. RECORD 329 TITLE A comparative study of expectant parents ' childbirth expectations. AUTHOR NAMES Kao B.C. Gau M.L. Wu S.F. Kuo B.J. Lee T.Y. AUTHOR ADDRESSES (Kao B.C.; Gau M.L.; Wu S.F.; Kuo B.J.; Lee T.Y.) National Taichung Nursing College, ROC. CORRESPONDENCE ADDRESS B.C. Kao, National Taichung Nursing College, ROC. SOURCE The journal of nursing research : JNR (2004) 12:3 (191-202). Date of Publication: Sep 2004 ISSN 1682-3141 ABSTRACT The purpose of this study was to understand childbirth expectations and differences in childbirth expectations among expectant parents. For convenience sampling, 200 couples willing to participate in this study were chosen from two hospitals in central Taiwan. Inclusion criteria were at least 36 weeks of gestation, aged 18 and above, no prenatal complications, and willing to consent to participate in this study. Instruments used to collect data included basic demographic data and the Childbirth Expectations Questionnaire. Findings of the study revealed that (1) five factors were identified by expectant parents regarding childbirth expectations including the caregiving environment, expectation of labor pain, spousal support, control and participation, and medical and nursing support; (2) no general differences were identified in the childbirth expectations between expectant fathers and expectant mothers; and (3) expectant fathers with a higher socioeconomic status and who had received prenatal (childbirth) education had higher childbirth expectations, whereas mothers displayed no differences in demographic characteristics. The study results may help clinical healthcare providers better understand differences in expectations during labor and birth and childbirth expectations by expectant parents in order to improve the medical and nursing system and promote positive childbirth experiences and satisfaction for expectant parents. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health birth parent EMTREE MEDICAL INDEX TERMS adult article comparative study educational status factor analysis fear female gender identity health personnel attitude human labor complication (etiology) learning male needs assessment pain (etiology) physiology pregnancy psychological aspect questionnaire social support socioeconomics Taiwan third trimester pregnancy LANGUAGE OF ARTICLE English MEDLINE PMID 15362011 (http://www.ncbi.nlm.nih.gov/pubmed/15362011) PUI L39415918 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 330 TITLE Characteristics of Swedish women who do not attend childbirth and parenthood education classes during pregnancy AUTHOR NAMES Fabian H.M. Rådestad I.J. Waldenström U. AUTHOR ADDRESSES (Fabian H.M., helena.fabian@omv.ki.se; Waldenström U.) Department of Nursing, Karolinska Institutet, Stockholm, Sweden. (Fabian H.M., helena.fabian@omv.ki.se; Rådestad I.J.) Dept. of Caring and Public Sciences, Mälardalens University, Sweden. (Fabian H.M., helena.fabian@omv.ki.se) Eva Lagerwallsväg 24, Uppsala, Sweden. CORRESPONDENCE ADDRESS H.M. Fabian, Department of Nursing, Karolinska Institutet, Stockholm, Sweden. Email: helena.fabian@omv.ki.se SOURCE Midwifery (2004) 20:3 (226-235). Date of Publication: September 2004 ISSN 0266-6138 BOOK PUBLISHER Churchill Livingstone ABSTRACT Objective: to investigate the attendance rate at childbirth and parenthood education classes during pregnancy in a national Swedish sample and describe the characteristics of women who did not attend. Design: a cohort study utilising a postal questionnaire in early pregnancy and at 2 months after birth. Setting: women were recruited from 97% of all antenatal clinics in Sweden at their first 'booking' visit during three different weeks spread over 1 year in 1999-2000. Participants: 2546 women, who were 77% of those who consented to participate in the study and 55% of all women eligible for the study. Measurement and findings: most primiparous women (93%) attended classes and the majority of the multiparae (81%) did not. Having a native language other than Swedish was associated with non-attendance in both primiparae and multiparae (OR 2.7, 95% CI 1.3-5.4; OR 2.1, 95% CI 1.4-3.1). In addition, the following factors were associated with non-attendance in the primiparae: unemployment (OR 2.0, 95% CI 1.1-3.8), smoking during pregnancy (OR 2.7, 95% CI 1.2-5.8), having considered abortion (OR 4.3, 95% CI 1.2-16.1), and having had few antenatal check-ups (OR 2.0, 95% CI 1.1-3.7). The following factors were associated with non-attendance in the multiparae: age older than 35 years (OR 1.6, 95% CI 1.1-2.3), low level of education (OR 3.6, 95% CI 2.3-5.7), and pregnancy unplanned but welcome (OR 1.5, 95% CI 1.1-2.0), having had counselling because of fear of childbirth (OR 1.6, 95% CI 1.1-2.4), and expressing a need of such counselling (OR 1.9, 95% CI 1.1-3.1). Key conclusions: the childbirth and parenthood education programme reached the majority of pregnant women, and that non-attendees were more disadvantaged in terms of socio-demographic background and feelings about the approaching birth. These women should be given special attention during the antenatal check-ups so that childbirth and parenthood education could be adapted to their specific needs. © 2004 Elsevier Ltd. All rights reserved. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth parenthood pregnancy EMTREE MEDICAL INDEX TERMS adult article cohort analysis controlled study education female human multipara prenatal care primigravida questionnaire Sweden LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 15337278 (http://www.ncbi.nlm.nih.gov/pubmed/15337278) PUI L39158846 DOI 10.1016/j.midw.2004.01.003 FULL TEXT LINK http://dx.doi.org/10.1016/j.midw.2004.01.003 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 331 TITLE Factors associated with the initiation and duration of breastfeeding by Chinese mothers in Perth, Western Australia AUTHOR NAMES Li L. Zhang M. Scott J.A. Binns C.W. AUTHOR ADDRESSES (Li L.; Zhang M.; Binns C.W.) School of Public Health, Curtin University of Technology, GPO Box U 1987, Perth, WA 6845, Australia. (Li L.) Department of Public Health, Medical School, Xi'an Jian Tong University, Xi'an, China. (Scott J.A.) Division of Developmental Medicine, University of Glasgow, Glasgow, United Kingdom. CORRESPONDENCE ADDRESS C.W. Binns, School of Public Health, Curtin University of Technology, GPO Box U 1987, Perth, WA 6845, Australia. SOURCE Journal of Human Lactation (2004) 20:2 (188-194). Date of Publication: May 2004 ISSN 0890-3344 BOOK PUBLISHER SAGE Publications Inc., 2455 Teller Road, Thousand Oaks, United States. ABSTRACT To identify determinants of the initiation and duration of breastfeeding by Chinese Australian mothers, a cross-sectional survey of 506 Mandarin-speaking women in Perth, Western Australia, was conducted. Doctors' support of breastfeeding was positively associated with the initiation of breastfeeding both in the mothers' home countries (odds ratio [OR], 9.94; 95% confidence interval [CI], 3.17-31.18) and in Australia (OR, 16.78; 95% CI, 7.12-39.55) and with duration. Mother's level of education was positively associated with the initiation of breastfeeding in the mother's home country (OR, 3.04; 95% CI, 1.36-6.80) and positively associated with the duration of breastfeeding both in the mother's home country and Australia. Father's preference for breastfeeding was positively associated with the initiation of breastfeeding of the mother giving birth in Australia (OR, 4.96; 95% CI, 1.93-12.66). Health professionals can provide invaluable support for mothers initiating and continuing breastfeeding in this population. Prenatal education also needs to emphasize the ways in which fathers can support and contribute to breastfeeding. © Copyright 2004 International Lactation Consultant Association. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding maternal behavior EMTREE MEDICAL INDEX TERMS adult article Australia childbirth China Chinese education female health practitioner Hong Kong human immigrant interview Malaysia male parent counseling paternal behavior physician attitude prevalence questionnaire Singapore Taiwan time EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English, Spanish EMBASE ACCESSION NUMBER 2004320722 MEDLINE PMID 15117518 (http://www.ncbi.nlm.nih.gov/pubmed/15117518) PUI L38979286 DOI 10.1177/0890334404263992 FULL TEXT LINK http://dx.doi.org/10.1177/0890334404263992 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 332 TITLE Prevention of postnatal distress or depression: An evaluation of an intervention at preparation for parenthood classes AUTHOR NAMES Matthey S. Kavanagh D.J. Howie P. Barnett B. Charles M. AUTHOR ADDRESSES (Matthey S., stephen.matthey@swsahs.nsw.gov.au; Howie P.; Barnett B.; Charles M.) Department of Psychology, University of Sydney, Sydney, Australia. (Matthey S., stephen.matthey@swsahs.nsw.gov.au) S. West Sydney Area Health Service, Sydney, Australia. (Kavanagh D.J.) Department of Psychiatry, University of Queensland, Brisbane, Australia. (Barnett B.) School of Psychiatry, University of New South Wales, Sydney, Australia. (Matthey S., stephen.matthey@swsahs.nsw.gov.au) SWSAHS, Paediatric Mental Health Service, 13 Elizabeth Street, Liverpool, NSW 2170, Australia. CORRESPONDENCE ADDRESS S. Matthey, SWSAHS, Paediatric Mental Health Service, 13 Elizabeth Street, Liverpool, NSW 2170, Australia. Email: stephen.matthey@swsahs.nsw.gov.au SOURCE Journal of Affective Disorders (2004) 79:1-3 (113-126). Date of Publication: April 2004 ISSN 0165-0327 BOOK PUBLISHER Elsevier, P.O. Box 211, Amsterdam, Netherlands. ABSTRACT Objective: To determine the effectiveness of a psychosocial intervention, provided to expectant couples in routine antenatal classes, on the postpartum psychosocial adjustment of women and men. Design: A 3*3 between subjects randomised control design was utilised. The two factors were condition and self-esteem. Preparation for Parenthood programs were randomly allocated to one of three conditions: usual service ('control'), experimental ('empathy'), or non-specific control ('baby-play'). The latter condition controlled for the non-specific effects of the intervention, these being: the provision of an extra class; asking couples to consider the early postpartum weeks; and receiving booster information after the antenatal class, and again shortly after the birth. Women and men were categorised into three levels of self-esteem, as measured antenatally: low, medium and high. Methods: 268 participants were recruited antenatally. Interview data and self-report information was collected from 202 of these women at 6 weeks postpartum, and 180 women at 6 months postpartum. The intervention consisted of a session focusing on psychosocial issues related to becoming first-time parents. Participants discussed possible postpartum concerns in separate gender groups for part of the session, and then discussed these issues with their partners. Hypothetical scenarios depicting stressful situations in the early postpartum weeks for women and men were discussed, with solutions that parents have found useful given to the participants. In the non-specific control condition, the session focused on the importance of play with a baby, with videotapes and discussion around how parents can play with infants. Results: At 6 weeks postpartum there was a significant interaction effect between condition and self-esteem on maternal adjustment. Women with low self-esteem, who had received the intervention, were significantly better adjusted on measures of mood and sense of competence than low-self-esteem women in either of the two control conditions. There were no main or interaction effects by 6 months postpartum. The beneficial effect at 6 weeks was related to partners of these women being more aware of how the mother was feeling, and with women reporting greater satisfaction with the sharing of home and baby tasks. There were no significant main or interaction effects for men at either time point, other than men with low self-esteem reporting poorer adjustment. Conclusion: This brief and inexpensive intervention was effective in reducing postpartum distress in some first-time mothers at 6 weeks postpartum. The effectiveness of this intervention was related to an increased level of awareness in the men as to how their partners were experiencing the early postpartum weeks. That the effect was only evident for women who, antenatally, reported being low in self-esteem, is an important advance in our knowledge of the effectiveness of such prevention programs. No previous studies have investigated the differential effectiveness of such programs depending upon the woman's level of self-esteem, and this finding indicates that future work should measure this variable. These findings should be understood in the context that the population sampled were those attending preparation for parenthood classes, and thus different interventions will be needed for couples who do not attend such classes. This brief psychosocial intervention can be readily applied to antenatal classes routinely conducted in hospitals or the community. © 2002 Elsevier B.V. All rights reserved. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) parenthood puerperal depression EMTREE MEDICAL INDEX TERMS adjustment adult article child parent relation clinical trial competence controlled clinical trial controlled study female human interview male maternal behavior mood parent play prenatal care priority journal psychosocial care randomization randomized controlled trial self esteem self report social interaction videorecording EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2004124897 MEDLINE PMID 15023486 (http://www.ncbi.nlm.nih.gov/pubmed/15023486) PUI L38340535 DOI 10.1016/S0165-0327(02)00362-2 FULL TEXT LINK http://dx.doi.org/10.1016/S0165-0327(02)00362-2 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 333 TITLE Expanding developmental and behavioral services for newborns in primary care: Effects on parental well-being, practice, and satisfaction AUTHOR NAMES Johnston B.D. Huebner C.E. Tyll L.T. Barlow W.E. Thompson R.S. AUTHOR ADDRESSES (Johnston B.D.) Department of Pediatrics, Department of Health Services, University of Washington, Seattle, WA, United States. (Huebner C.E.) Maternal and Child Health Program, Department of Health Services, University of Washington, Seattle, WA, United States. (Tyll L.T.; Barlow W.E.; Thompson R.S., thompson.rs@ghc.org) Center for Health Studies, Group Health Cooperative, Seattle, WA, United States. (Thompson R.S., thompson.rs@ghc.org) Department of Preventive Care, Group Health Cooperative, Seattle, WA, United States. (Thompson R.S., thompson.rs@ghc.org) Group Health Cooperative, Department of Preventive Care, 1730 Minor Avenue, Seattle, WA 98101-1448, United States. CORRESPONDENCE ADDRESS R.S. Thompson, Group Health Cooperative, Department of Preventive Care, 1730 Minor Avenue, Seattle, WA 98101-1448, United States. Email: thompson.rs@ghc.org SOURCE American Journal of Preventive Medicine (2004) 26:4 (356-366). Date of Publication: April 2004 ISSN 0749-3797 BOOK PUBLISHER Elsevier Inc., 360 Park Avenue South, New York, United States. ABSTRACT Background Healthy Steps (HS) was designed to address, prospectively, behavioral and developmental support needs of young families in pediatric clinical care settings. PrePare (PP) initiates these services prenatally, whereas HS begins services in the postnatal period. Both interventions have universal and risk-directed components. Intervention effects in the first 3 months after birth are reported here. Methods A quasi-experimental design was used to allocate 439 participants to intervention or usual care conditions. Within the intervention group, enrollees were randomly assigned to receive HS or PP+HS services. Early outcomes were assessed by telephone survey at 1 week and 3 months postpartum. Results Mothers in either intervention condition were less likely to report depressive symptoms and more likely to describe themselves as pleased in their role as parents. Intervention families were more likely to continue breastfeeding and more likely to read to their 3-month-old. Knowledge of infant development and recognition of appropriate discipline was greater among intervention recipients. Satisfaction with pediatric care was higher among intervention recipients and the rate of health plan disenrollment was 75% lower at 3 months among those enrolled in the prenatal intervention. No other outcome difference emerged between HS and PP+HS enrollees. Conclusions Receipt of either intervention was associated with positive effects on health, safety, and developmentally appropriate parenting, as assessed in early infancy. There were positive effects on health plan disenrollment. No additional benefit could be ascribed to prenatal institution of services. A combination of universal and risk-based support for new parents is recommended, rather than the provision of risk-based services alone. © 2004 American Journal of Preventive Medicine. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) behavior health program health service newborn care perinatal development primary medical care EMTREE MEDICAL INDEX TERMS article breast feeding child parent relation clinical feature controlled study depression family health survey human infant mother newborn normal human prenatal period randomization recipient recognition telephone EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2004181689 MEDLINE PMID 15110063 (http://www.ncbi.nlm.nih.gov/pubmed/15110063) PUI L38521078 DOI 10.1016/j.amepre.2003.12.018 FULL TEXT LINK http://dx.doi.org/10.1016/j.amepre.2003.12.018 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 334 TITLE Women's perceptions of support from partners, family members and close friends for smoking cessation during pregnancy - Combining quantitative and qualitative findings AUTHOR NAMES Thompson K.A. Parahoo K.P. McCurry N. O'Doherty E. Doherty A.M. AUTHOR ADDRESSES (Thompson K.A., ka.thompson@ulster.ac.uk; Parahoo K.P.; McCurry N.) Centre for Nursing Research, University of Ulster, Coleraine BT52 1SA, United Kingdom. (O'Doherty E.) N. Health and Social Services Board, Ballymena, BT43 6DA, United Kingdom. (Doherty A.M.) Homefirst Community Trust, Ballymena, BT43 6DA, United Kingdom. CORRESPONDENCE ADDRESS K.A. Thompson, Centre for Nursing Research, University of Ulster, Coleraine BT52 1SA, United Kingdom. Email: ka.thompson@ulster.ac.uk SOURCE Health Education Research (2004) 19:1 (29-39). Date of Publication: February 2004 ISSN 0268-1153 BOOK PUBLISHER Oxford University Press, Great Clarendon Street, Oxford, United Kingdom. ABSTRACT This article reports on data collected as part of a four-phase study initiated to strengthen practice in the field of smoking cessation during pregnancy. It focuses on the perceived support pregnant smokers would receive for quitting smoking and how this support could be effectively used by incorporating the education of partners/family in smoking cessation intervention strategies. Both quantitative and qualitative methods were employed, and data were collected from pregnant smokers through semi-structured interviews and self-completed questionnaires. From the questionnaire data, the women reported that they would receive considerable support from their partners if they decided to stop smoking. The interviews, however, revealed that this support was 'potential' rather than 'real' and that the partners mostly made 'token gestures' such as smoking outside. None of the interviewed respondents reported receiving help in educating their partner/family about the risks of active and passive smoking, thus reducing the potential positive role they could play in smoking cessation. Whilst health professionals are aware of the important role the partner/family may play in successful smoking cessation interventions, these significant others are generally not involved. This study highlights the need for consideration to be given to providing opportunities for couples to be fully involved in smoking cessation interventions outside the antenatal environment. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) perception pregnancy smoking cessation support group EMTREE MEDICAL INDEX TERMS adolescent adult age distribution article controlled study education female friend gestational age health education health promotion human infant welfare interview major clinical study marriage priority journal qualitative analysis quantitative analysis questionnaire relative risk assessment spouse EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2004081600 MEDLINE PMID 15020543 (http://www.ncbi.nlm.nih.gov/pubmed/15020543) PUI L38222375 DOI 10.1093/her/cyg013 FULL TEXT LINK http://dx.doi.org/10.1093/her/cyg013 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 335 TITLE Reproductive health in rural Malawi: A population-based survey AUTHOR NAMES Van Den Broek N.R. White S.A. Ntonya C. Ngwale M. Cullinan T.R. Molyneux M.E. Neilson J.P. AUTHOR ADDRESSES (Van Den Broek N.R.; White S.A.; Ntonya C.; Molyneux M.E.) Wellcome Trust Centre for Research, Blantyre, Malawi. (Van Den Broek N.R.; Neilson J.P.) Dept. of Obstetrics and Gynaecology, University of Liverpool, Liverpool, United Kingdom. (Van Den Broek N.R.) Liverpool Sch. of Tropical Medicine, Pembroke Place, Liverpool L35QA, United Kingdom. (Ngwale M.; Cullinan T.R.) CORRESPONDENCE ADDRESS N.R. Van Den Broek, Liverpool Sch. of Tropical Medicine, Pembroke Place, Liverpool L35QA, United Kingdom. SOURCE BJOG: An International Journal of Obstetrics and Gynaecology (2003) 110:10 (902-908). Date of Publication: 1 Oct 2003 ISSN 1470-0328 BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT Objectives: To assess pregnancy outcome, maternal mortality and health-seeking behaviour in a rural African population and to assess the effects on these of women's education, distance from a health centre and household type. Design: Descriptive population-based study. Setting: A rural community in southern Malawi. Population: All women living in the catchment area of a rural health centre. Methods: Interviews with women in 20,649 households using structured questionnaires. Main outcome measures: Pregnancy outcome, the effect of women's education, distance from a health centre and household type on pregnancy outcome, maternal morbidity and estimates of maternal and perinatal mortality. Results: Educational level was lower for women than for men. A significant association was found between educational level and fertility. Women aged 45-49 reported an average of six pregnancies with four resulting in currently living children. Successful pregnancy outcome was more likely with increased education and if the woman lived closer to the health centre. Despite living an average of 5 km from the health centre, over 90% of women attended antenatal clinic with a mean of five visits. Assistance at delivery by a trained health care worker was more likely as education increased and was less likely as distance from the health centre increased. Maternal mortality was reported at 413 per 100,000 deliveries (95% CI 144-682). The perinatal mortality rate in this population was estimated at 30 per 1000. An increased perinatal mortality was noted for women who were delivered by a female relative. Perinatal mortality rates were similar for delivery by a traditional birth attendant or a trained nurse-midwife. Education and proximity to the health centre were both associated with improved outcome. Conclusions: Many women in this rural community suffer the consequences of high pregnancy loss. Maternal and perinatal mortality are high. Improved education and skilled assistance at delivery can result in improved pregnancy outcome. Proximity of any household to a health centre has an effect on outcomes. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) reproductive health EMTREE MEDICAL INDEX TERMS academic achievement fertility health care access health care personnel health survey human Malawi maternal morbidity maternal mortality newborn mortality population research pregnancy complication pregnancy rate priority journal questionnaire review rural area rural population sex ratio EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2003399123 MEDLINE PMID 14550359 (http://www.ncbi.nlm.nih.gov/pubmed/14550359) PUI L37204945 DOI 10.1016/S1470-0328(03)02902-1 FULL TEXT LINK http://dx.doi.org/10.1016/S1470-0328(03)02902-1 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 336 TITLE Parental post-traumatic reactions after premature birth: Implications for sleeping and eating problems in the infant AUTHOR NAMES Pierrehumbert B. Nicole A. Muller-Nix C. Forcada-Guex M. Ansermet F. AUTHOR ADDRESSES (Pierrehumbert B., blaise.pierrehumbert@ip.unil.ch) Serv. Univ. Psychiat. l'Enfant/l'A., 25A Rue du Bugnon, 1005 Lausanne, Switzerland. (Pierrehumbert B., blaise.pierrehumbert@ip.unil.ch; Nicole A.; Muller-Nix C.; Ansermet F.) Serv. Univ. Psychiat. l'Enfant/l'A., Lausanne, Switzerland. (Forcada-Guex M.) CORRESPONDENCE ADDRESS B. Pierrehumbert, Serv. Univ. Psychiat. l'Enfant/l'A., 25A Rue du Bugnon, 1005 Lausanne, Switzerland. Email: blaise.pierrehumbert@ip.unil.ch SOURCE Archives of Disease in Childhood: Fetal and Neonatal Edition (2003) 88:5 (F400-F404). Date of Publication: September 2003 ISSN 0003-9888 1359-2998 (electronic) BOOK PUBLISHER BMJ Publishing Group, Tavistock Square, London, United Kingdom. ABSTRACT Background: Progress in perinatal medicine has made it possible to increase the survival of very or extremely low birthweight infants. Developmental outcomes of surviving preterm infants have been analysed at the paediatric, neurological, cognitive, and behavioural levels, and a series of perinatal and environmental risk factors have been identified. The threat to the child's survival and invasive medical procedures can be very traumatic for the parents. Few empirical reports have considered post-traumatic stress reactions of the parents as a possible variable affecting a child's outcome. Some studies have described sleeping and eating problems as related to prematurity; these problems are especially critical for the parents. Objective: To examine the effects of post-traumatic reactions of the parents on sleeping and eating problems of the children. Design: Fifty families with a premature infant (25-33 gestation weeks) and a control group of 25 families with a full term infant participated in the study. Perinatal risks were evaluated during the hospital stay. Mothers and fathers were interviewed when their children were 18 months old about the child's problems and filled in a perinatal post-traumatic stress disorder questionnaire (PPQ). Results: The severity of the perinatal risks only partly predicts a child's problems. Independently of the perinata(risks, the intensity of the post-traumatic reactions of the parents is an important predictor of these problems. Conclusions: These findings suggest that the parental response to premature birth mediates the risks of later adverse outcomes. Preventive intervention should be promoted. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) eating disorder infant disease parental behavior posttraumatic stress disorder prematurity sleep disorder EMTREE MEDICAL INDEX TERMS article controlled study female fetus outcome hospitalization human infant interview major clinical study male newborn newborn disease prediction preventive medicine priority journal risk assessment EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2003367141 MEDLINE PMID 12937044 (http://www.ncbi.nlm.nih.gov/pubmed/12937044) PUI L37094258 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 337 TITLE Increased total cell-free DNA in the serum of pregnant women carrying a fetus affected by trisomy 21 AUTHOR NAMES Spencer K. De Kok J.B. Swinkels D.W. AUTHOR ADDRESSES (Spencer K., KevinSpencer1@aol.com) Department of Clinical Biochemistry, Harold Wood Hospital, Romford, Essex, United Kingdom. (De Kok J.B.; Swinkels D.W.) Department of Clinical Chemistry, University Medical Centre, Nijmegen, Netherlands. (Spencer K., KevinSpencer1@aol.com) Department of Clinical Biochemistry, Harold Wood Hospital, Gubbins Lane, Romford, Essex RM3 OBE, United Kingdom. CORRESPONDENCE ADDRESS K. Spencer, Department of Clinical Biochemistry, Harold Wood Hospital, Gubbins Lane, Romford, Essex RM3 OBE, United Kingdom. Email: KevinSpencer1@aol.com SOURCE Prenatal Diagnosis (2003) 23:7 (580-583). Date of Publication: 1 Jul 2003 ISSN 0197-3851 BOOK PUBLISHER John Wiley and Sons Ltd, Southern Gate, Chichester, West Sussex, United Kingdom. ABSTRACT Objective: Analysis of the levels of cell-free fetal and total DNA in serum of women carrying a male fetus affected by trisomy 21, and comparison of these levels with those in women carrying a normal male fetus. Methods: DNA was extracted from archived second-trimester maternal serum samples collected as part of a prenatal screening program. A total of 10 cases with trisomy 21 male fetuses were compared with 10 controls (male fetuses) with samples matched for duration of storage and gestational age. Real-time quantitative PCR of the SRY and albumin genes was used to quantify fetal and total DNA respectively. Results: The median fetal DNA level in the group of 10 pregnancies with trisomy 21 was 31.98 cell-equivalents per mL compared to 34.06 in the control group. The difference was not significant. The median total DNA level in women with a trisomy 21 fetus was significantly higher (P = 0.029) than that in controls (36 152.6 vs 5832.81 cell-equivalents per mL). Conclusions: Although we could not confirm previous studies of an increased amount of fetal DNA in pregnancies affected by trisomy 21, we did find increased levels of total DNA. The possible reasons for these observations are discussed with respect to previous findings. Larger studies are needed to elucidate the true value, if any, of measurement of fetal and total DNA in maternal serum in the context of prenatal screening for chromosomal abnormalities. Copyright © 2003 John Wiley & Sons, Ltd. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) DNA (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) DNA determination prenatal diagnosis trisomy 21 (congenital disorder) EMTREE MEDICAL INDEX TERMS adult article blood analysis cell free system chromosome aberration controlled study disease duration DNA extraction female fetus gestational age human human cell male maternal care measurement priority journal second trimester pregnancy statistical significance CAS REGISTRY NUMBERS DNA (9007-49-2) EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Human Genetics (22) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2003305519 MEDLINE PMID 12868088 (http://www.ncbi.nlm.nih.gov/pubmed/12868088) PUI L36917380 DOI 10.1002/pd.647 FULL TEXT LINK http://dx.doi.org/10.1002/pd.647 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 338 TITLE Adult Attachment, the Transition to Parenthood, and Depressive Symptoms AUTHOR NAMES Simpson J.A. Rholes W.S. Campbell L. Tran S. Wilson C.L. AUTHOR ADDRESSES (Simpson J.A., jas@psyc.tamu.edu; Rholes W.S., wsr@psyc.tamu.edu; Tran S.; Wilson C.L.) Department of Psychology, Texas A and M University, College Station, TX, United States. (Campbell L.) Department of Psychology, University of Western Ontario, London, Ont., Canada. (Simpson J.A., jas@psyc.tamu.edu; Rholes W.S., wsr@psyc.tamu.edu) Department of Psychology, Texas A and M University, College Station, TX 77843-4235, United States. CORRESPONDENCE ADDRESS J.A. Simpson, Department of Psychology, Texas A and M University, College Station, TX 77843-4235, United States. Email: jas@psyc.tamu.edu SOURCE Journal of Personality and Social Psychology (2003) 84:6 (1172-1187). Date of Publication: June 2003 ISSN 0022-3514 BOOK PUBLISHER American Psychological Association Inc. ABSTRACT Testing a model suggested by J. Bowlby (1988), this study investigated how a personal vulnerability (attachment ambivalence) interacts with perceptions of deficient spousal support before and during a major life stressor (the transition to parenthood) to predict pre-to-postnatal increases in depressive symptoms. Highly ambivalent women who entered parenthood perceiving either less support or greater anger from their husbands experienced pre-to-postnatal increases in depressive symptoms at 6 months postpartum. The associations between these 2 prenatal interaction terms and pre-to-postnatal increases in depressive symptoms were mediated by perceptions of declining spousal support across the transition period. Moreover, for highly ambivalent women, the association between prenatal and postnatal depression scores was mediated by perceptions of the amount of support available from their husbands. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation depression learning object relation EMTREE MEDICAL INDEX TERMS adult article female human male psychological aspect psychological theory LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 12793583 (http://www.ncbi.nlm.nih.gov/pubmed/12793583) PUI L37189377 DOI 10.1037/0022-3514.84.6.1172 FULL TEXT LINK http://dx.doi.org/10.1037/0022-3514.84.6.1172 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 339 TITLE Benefits of a doula present at the birth of a child AUTHOR NAMES Stein M.T. Kennell J.H. Fulcher A. AUTHOR ADDRESSES (Stein M.T.) University of California San Diego, San Diego, CA, United States. (Kennell J.H.) Case Western Reserve University, School of Medicine, Cleveland, OH, United States. (Fulcher A.) Hearts/Hands Volunteer Doula Program, Univ. of California San Diego, San Diego, CA, United States. CORRESPONDENCE ADDRESS M.T. Stein, University of California San Diego, San Diego, CA, United States. SOURCE Journal of Developmental and Behavioral Pediatrics (2003) 24:3 (195-198). Date of Publication: June 2003 ISSN 0196-206X BOOK PUBLISHER Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United States. ABSTRACT Case. During a prenatal visit with Ann and Roger, a first-time mom and dad, the pediatrician asked about their childbirth education experiences. Ann said the classes were like a lecture, and there was little time to get questions answered. "As we went through the meetings and learned about things that might happen, we began to feel really nervous. The educator said it was best for the baby if the mother received no medication, so she suggested natural childbirth. I'm willing to try going without pain medication, but Roger doesn't want to see me in pain. Could I ask your opinion about a doula?" Dr. Wagner followed the mother's question with her own, "That sounds like an interesting idea. Tell me what you know about a doula." Ann replied, "Not much. I've only heard the name. You know, we recently moved here." Dr. Wagner responded, "Well, Roger, let me tell you something that I have found exciting. In the last year, four fathers have come for their baby's first visit and have told me how great it was to have a doula. It was the third baby for one of them. He couldn't wait to tell me what a rewarding experience it was for him and his wife compared with their earlier experiences. I thought that there must be one fabulous woman in our community working as a doula, but all the fathers had a different doula! The fathers said that the doula assured them that she would be with the couple through the whole labor and the first 2 hours after delivery and that the fathers could leave at any time if tired or hungry. The doulas showed the fathers what they could do to help the mother." Roger interrupted, "That sounds great, but Ann and I thought we could manage by ourselves. I'm not sure about having a stranger in the room with us." Dr. Wagner replied, "These four men and their wives met with the doula in their homes one or two times in the month before labor began. As a result, they knew her and liked her and then were relieved to see her when they went to the hospital. Let me be frank with you. There is a lot that goes on in a modern maternity hospital that will be new to you. There are strange smells and sounds, nurses and physicians rushing about, a lot of unfamiliar hospital lingo. There is a nationwide nursing shortage, and due to managed care most hospitals have found it necessary to cut costs drastically. Therefore, each nurse has to care for more than one patient at the same time. Obstetric care in the United States has become more intensive. From what I have learned from my patients about their labor and delivery experiences, it seems to me that every laboring woman needs a doula. And I say that knowing that there are many more important reasons for having continuous doula support. I am going to do some research about the doula, and then I will get back to you with what I learn." Six weeks later when the parents brought their new daughter for her first office visit, Dr. Wagner was surprised at the change in their confidence and enthusiasm. Ann said, "We can't thank you enough for finding a doula for us and telling us the good effect she would have. From the time of our first meeting with our doula, Maria, I stopped feeling so nervous. She told Roger and me she would meet us when we came to the hospital in labor and would be with us until 2 hours after delivery. Maria wanted to make sure that I had the baby skin-to-skin on my chest right after birth and let the baby self-attach to my breast. And she did stay the whole 9 hours of labor plus the 2 hours postpartum! Maria was so strong that I could really relax. I could never have gone through that labor without her. I mean it." Roger interrupted, "She was terrific! She stayed the whole time and showed me what to do to help Ann. I think she helped me even more than she did Ann". EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) maternal care natural childbirth EMTREE MEDICAL INDEX TERMS article education emotion father health care cost human labor managed care maternity ward newborn care obstetric procedure pediatrician prenatal care priority journal United States EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Health Policy, Economics and Management (36) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2003316544 MEDLINE PMID 12806232 (http://www.ncbi.nlm.nih.gov/pubmed/12806232) PUI L36943934 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 340 TITLE Genetic counselors' experiences with paternal involvement in prenatal genetic counseling sessions: An exploratory investigation AUTHOR NAMES Lafans R.S. Veach P.M. LeRoy B.S. AUTHOR ADDRESSES (Lafans R.S.) Park Nicollet Medical Center, Minneapolis, MN, United States. (Veach P.M., veach001@umn.edu) Department of Educational Psychology, University of Minnesota, Minneapolis, MN, United States. (LeRoy B.S.) Dept. Genet., Cell Biol., and Devmt., Institute of Human Genetics, University of Minnesota, Minneapolis, MN, United States. (Veach P.M., veach001@umn.edu) Department of Educational Psychology, University of Minnesota, 139 Burton Hall, 178 Pillsbury Drive, S.E., Minneapolis, MN 55455, United States. CORRESPONDENCE ADDRESS P.M. Veach, Department of Educational Psychology, University of Minnesota, 139 Burton Hall, 178 Pillsbury Drive, S.E., Minneapolis, MN 55455, United States. Email: veach001@umn.edu SOURCE Journal of Genetic Counseling (2003) 12:3 (219-242). Date of Publication: Jun 2003 ISSN 1059-7700 ABSTRACT 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 as important; 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 cultural practices), and pregnancy factors; and 4) participants received little or no training on paternal involvement and recommended didactic and experiential activities. Implications and research recommendations are presented. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father genetic counseling prenatal care EMTREE MEDICAL INDEX TERMS cultural anthropology family family therapy human marital therapy marriage patient compliance pregnancy psychotherapist qualitative analysis review training EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Human Genetics (22) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2004334390 PUI L39024191 DOI 10.1023/A:1023232203033 FULL TEXT LINK http://dx.doi.org/10.1023/A:1023232203033 COPYRIGHT Copyright 2007 Elsevier B.V., All rights reserved. RECORD 341 TITLE Reproductive history and involvement in pregnancy and childbirth of fathers of babies born to teenage mothers in Stockholm, Sweden AUTHOR NAMES Ekeus C. Christensson K. AUTHOR ADDRESSES (Ekeus C., cecilia_ekeus@yahoo.com) Department of Public Health Sciences, Division of International Health, Karolinska Institutet, SE-171 76 Stockholm, Sweden. (Christensson K.) Department of Women and Child Health, Div. of Repro. and Perinatal Care, Karolinska Institutet, Stockholm, Sweden. CORRESPONDENCE ADDRESS C. Ekeus, Department of Public Health Sciences, Division of International Health, Karolinska Institutet, SE-171 76 Stockholm, Sweden. Email: cecilia_ekeus@yahoo.com SOURCE Midwifery (2003) 19:2 (87-95). Date of Publication: June 2003 ISSN 0266-6138 BOOK PUBLISHER Churchill Livingstone ABSTRACT Objective: To describe and compare sexual and reproductive history as well as reactions to the pregnancy and attendance in antenatal care, family classes and childbirth of fathers of babies born to teenage mothers, and fathers of babies born to average aged mothers. Design: A descriptive comparative study using a structured questionnaire for data collection. Setting: Eleven postnatal wards at the five obstetric and gynaecological departments in the Stockholm area. Participants: 132 Fathers of babies born to primiparous teenage mothers (Group A) and the same number of fathers of babies born to primiparous women aged between 25-29 years (Group B) who were present in the postnatal wards. Findings: 43% of Group A compared to 17% of the Group B fathers had their first intercourse before 15 years of age. This early sexual debut was related to other health hazard, such as use of illicit drugs and cigarette smoking. The majority of the pregnancies in Group A were unplanned but most fathers reacted positively to the pregnancy and participated in the antenatal care. In contrast, only half of these fathers attended family classes. Key conclusions and implications for practice: Fathers of babies born to teenage mothers differed from fathers of babies to older mothers regarding reproductive background as well as involvement during pregnancy. The findings of this study challenge midwives to organise clinical practice in order to meet the specific needs of this group. © 2003 Elsevier Science Ltd. All rights reserved. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adolescent pregnancy father sexual behavior EMTREE MEDICAL INDEX TERMS adolescent adult article behavior childbirth clinical practice controlled study drug abuse family counseling female health hazard human male normal human parity prenatal care sexual intercourse smoking Sweden LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English MEDLINE PMID 12809628 (http://www.ncbi.nlm.nih.gov/pubmed/12809628) PUI L36877268 DOI 10.1016/S0266-6138(03)00002-0 FULL TEXT LINK http://dx.doi.org/10.1016/S0266-6138(03)00002-0 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 342 TITLE Childbirth expectations of Chinese first-time pregnant women. AUTHOR NAMES Ip W.Y. Chien W.T. Chan C.L. AUTHOR ADDRESSES (Ip W.Y.; Chien W.T.; Chan C.L.) The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong, China. CORRESPONDENCE ADDRESS W.Y. Ip, The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong, China. Email: ip2013@cuhk.edu.hk SOURCE Journal of advanced nursing (2003) 42:2 (151-158). Date of Publication: Apr 2003 ISSN 0309-2402 ABSTRACT BACKGROUND: This topic had not been researched previously and the information gained could have implications for midwives working with Chinese women everywhere. AIMS: To explore the specific childbirth expectations of Hong Kong Chinese first-time pregnant women. METHODS: This was a cross-sectional descriptive survey study and a Chinese version of the Childbirth Expectations Questionnaire was used to collect data. The sample consisted of 186 first-time pregnant women who first attended the antenatal clinic at a large public hospital in a major geographical region of Hong Kong. RESULTS: Results showed that the Chinese pregnant women, the majority of who had not attended childbirth education classes, had high expectations of support from both their partners and midwives during labour and delivery. Conversely, expectations toward their own ability to cope with pain were relatively low. In addition, the pregnant women expressed concerns about the severity of labour pain and indicated low expectations about minimal use of medical interventions during labour. CONCLUSIONS: This study results add to the existing literature about childbirth expectations of first-time pregnant Hong Kong Chinese women. Midwife educators should incorporate the findings into childbirth education classes to help pregnant women develop realistic and positive expectations. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) birth mother obstetric delivery EMTREE MEDICAL INDEX TERMS adaptive behavior article attitude to health cross-sectional study female Hong Kong human patient education pregnancy psychological aspect social support LANGUAGE OF ARTICLE English MEDLINE PMID 12670384 (http://www.ncbi.nlm.nih.gov/pubmed/12670384) PUI L36771319 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 343 TITLE Newborns Killed or Left to Die by a Parent: A Population-Based Study AUTHOR NAMES Herman-Giddens M.E. Smith J.B. Mittal M. Carlson M. Butts J.D. AUTHOR ADDRESSES (Herman-Giddens M.E., mherman-giddens@unc.edu) North Carolina Child Advocacy Inst., 311 East Edenton St, Raleigh, NC 27601, United States. (Herman-Giddens M.E., mherman-giddens@unc.edu) Dept. of Maternal and Child Health, Univ. North Carolina Sch. Pub. Hlth., Chapel Hill, NC, United States. (Smith J.B.) Injury Prevention Research Center, University of North Carolina, Chapel Hill, NC, United States. (Mittal M.) State Center for Health Statistics, Raleigh, NC, United States. (Carlson M.; Butts J.D.) Office of the Chief Medical Examiner, Chapel Hill, NC, United States. (Herman-Giddens M.E., mherman-giddens@unc.edu) 1450 Russell Chapel Rd, Pittsboro, NC 27312, United States. CORRESPONDENCE ADDRESS M.E. Herman-Giddens, 1450 Russell Chapel Rd, Pittsboro, NC 27312, United States. Email: mherman-giddens@unc.edu SOURCE Journal of the American Medical Association (2003) 289:11 (1425-1429). Date of Publication: 19 Mar 2003 ISSN 0098-7484 BOOK PUBLISHER American Medical Association, 515 North State Street, Chicago, United States. ABSTRACT Context: Interest in the discarding or killing of newborns by parents has increased due to wide news coverage and efforts by states to provide Safe Haven legislation to combat the problem. Objective: To describe the characteristics of these cases in North Carolina. Design, Setting, and Population: Case series derived from data on all deaths among liveborn infants 0 to 4 days of age reported to the North Carolina medical examiner from 1985 through 2000. Main Outcome Measures: Incidence of newborns known to have been killed or discarded by a parent; epidemiological characteristics of newborns and parents. Results: There were 34 newborns known to have been killed or discarded by a parent, comprising 0.002% of all liveborn infants during the 16-year study period, giving a rate of 2.1 per 100000 per year. A total of 58.8% were male, 41.1% were white, and 52.9% were black. For 29 cases, the perpetrator was determined to be the mother. Among mothers, 50% were single and 20.6% were married (marital status of the remainder was unknown). Thirty-five percent had had other children. Eight mothers (23.5%) were known to have received some prenatal care. The mean age of the mothers was 19.1 years (range, 14-35 years) and more than half were aged 18 years or older. The most common causes of death were asphyxiation/strangulation (41.1%) and drowning (26.5%). Conclusions: In North Carolina, at least 2.1 per 100000 newborns are known to be killed or left to die per year, usually by their mothers. It is unknown how many of these deaths might be prevented by Safe Haven laws. Efforts to educate the public about these laws need to target the general public. Where resources are limited, the focus should be on on adolescent pregnancy prevention programs, young adults, prenatal care clinics, and married women. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) infanticide newborn death EMTREE MEDICAL INDEX TERMS adolescent pregnancy article asphyxia cause of death drowning education female health program human incidence infant law male newborn newborn mortality prenatal care priority journal strangulation EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Psychiatry (32) Forensic Science Abstracts (49) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2003473548 MEDLINE PMID 12636466 (http://www.ncbi.nlm.nih.gov/pubmed/12636466) PUI L37430311 DOI 10.1001/jama.289.11.1425 FULL TEXT LINK http://dx.doi.org/10.1001/jama.289.11.1425 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 344 TITLE Compliance with antiretroviral regimens to prevent perinatal HIV-1 transmission in Kenya AUTHOR NAMES Kiarie J.N. Kreiss J.K. Richardson B.A. John-Stewart G.C. AUTHOR ADDRESSES (Kiarie J.N.) Dept. of Obstetrics and Gynecology, University of Nairobi, Nairobi, Kenya. (Kreiss J.K.; John-Stewart G.C.) Department of Medicine, University of Washington, Seattle, WA, United States. (Richardson B.A.) Department of Biostatistics, University of Washington, Seattle, WA, United States. (Kiarie J.N.) P.O. Box 00506-3085, Nairobi, Kenya. CORRESPONDENCE ADDRESS J.N. Kiarie, P.O. Box 00506-3085, Nairobi, Kenya. SOURCE AIDS (2003) 17:1 (65-71). Date of Publication: 3 Jan 2003 ISSN 0269-9370 BOOK PUBLISHER Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom. ABSTRACT Objective: To compare compliance and infant HIV-1 infection risk at 6 weeks with the Thai-CDC and HIVNET-012 antiretroviral regimens in a field setting. Design: Randomized clinical trial. Setting: Tertiary hospital antenatal clinic in Nairobi, Kenya. Participants: HIV-1 infected women referred from primary care clinics. Interventions: Thai-CDC zidovudine regimen or HIVNET-012 nevirapine regimen. Main outcome measures: Women were considered compliant if they used ≥ 80% of the doses. Infants were tested for HIV-1 at 6 weeks. Results: Seventy women were randomized to Thai-CDC and 69 to HIVNET-012 regimens. More women were compliant with the antenatal (86%) than the intrapartum (44%) Thai-CDC regimen doses (P = 0.001). Ninety-seven per cent took the maternal and 91% gave the infant dose of the HIVNET-012 regimen (P = 0.2). Overall, 41% were compliant with the Thai-CDC regimen and 87% with the HIVNET-012 regimen (P < 0.001). Compliance with the Thai-CDC regimen was associated with partner support of antiretroviral use [odds ratio (OR), 3.0;, 95% confidence interval (Cl), 1.0-9.1] and knowledge at recruitment that antiretroviral drugs could prevent infant HIV-1 (OR, 2.9; 95% Cl, 1.0-8.1). Compliance with the HIVNET-012 regimen was associated with partner notification (OR, 8.0; 95% Cl, 1.5-50) and partner willingness to have HIV-1 testing (OR, 7.5; 95% Cl, 1.4-40). There was a trend for a higher risk of transmission with the HIVNET-012 regimen than with the Thai-CDC regimen (22% versus 9%; P = 0.07). Conclusion: Compliance with the Thai-CDC and HIVNET-012 regimens was comparable to that in efficacy trials. Partner involvement, support and education on perinatal HIV-1 prevention may improve compliance and increase the number of infants protected from HIV-1 infection. © 2003 Lippincott Williams & Wilkins. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) antiretrovirus agent (clinical trial, drug therapy) nevirapine (clinical trial, drug therapy) zidovudine (clinical trial, drug therapy) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Human immunodeficiency virus 1 Human immunodeficiency virus infection (drug therapy) patient compliance perinatal infection (prevention) virus transmission EMTREE MEDICAL INDEX TERMS adult antimicrobial therapy article clinical trial controlled clinical trial controlled study drug efficacy education female human infection risk Kenya major clinical study perinatal care priority journal randomized controlled trial vertical transmission CAS REGISTRY NUMBERS nevirapine (129618-40-2) zidovudine (30516-87-1) EMBASE CLASSIFICATIONS Microbiology: Bacteriology, Mycology, Parasitology and Virology (4) Public Health, Social Medicine and Epidemiology (17) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2003038343 MEDLINE PMID 12478070 (http://www.ncbi.nlm.nih.gov/pubmed/12478070) PUI L36106299 DOI 10.1097/00002030-200301030-00009 FULL TEXT LINK http://dx.doi.org/10.1097/00002030-200301030-00009 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 345 TITLE Tobacco use of pregnant women and their male partners who attend antenatal classes: What happened to routine quit smoking advice in pregnancy? AUTHOR NAMES Mabbutt J. Bauman A. Moshin M. AUTHOR ADDRESSES (Mabbutt J., James.Mabbutt@swsahs.nsw.gov.au) S.W. Sydney Area Hlth. Service HIV, Public Health Unit, Liverpool Hospital, Liverpool, NSW, Australia. (Bauman A.; Moshin M.) Epidemiology Unit, Liverpool Hospital, Liverpool, NSW, Australia. CORRESPONDENCE ADDRESS J. Mabbutt, Public Health Unit, Locked Bag 7017, Liverpool BC 1871, NSW, Australia. Email: James.Mabbutt@swsahs.nsw.gov.au SOURCE Australian and New Zealand Journal of Public Health (2002) 26:6 (571-572). Date of Publication: 2002 ISSN 1326-0200 BOOK PUBLISHER Public Health Association of Australia Inc., PO Box 319, Curtin, Australia. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) pregnancy smoking EMTREE MEDICAL INDEX TERMS adult alcohol consumption Australia correlation function cost effectiveness analysis female health education human letter logistic regression analysis male passive smoking prenatal care public health questionnaire smoking cessation EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 2003146201 MEDLINE PMID 12530803 (http://www.ncbi.nlm.nih.gov/pubmed/12530803) PUI L36401638 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 346 TITLE 'It's the first scientific evidence': men's experience of pregnancy confirmation. AUTHOR NAMES Draper J. AUTHOR ADDRESSES (Draper J.) Royal College of Nursing Institute, London, UK. CORRESPONDENCE ADDRESS J. Draper, Royal College of Nursing Institute, London, UK. Email: jan.draper@rcn.org.uk SOURCE Journal of advanced nursing (2002) 39:6 (563-570). Date of Publication: Sep 2002 ISSN 0309-2402 ABSTRACT BACKGROUND AND AIMS: In contrast to women's experiences of motherhood, there has been comparatively little research investigating men's experience of the transition to fatherhood and how changing cultural perspectives contribute to the contemporary experience of fathering. This paper draws on the findings of a larger ethnographic study of men's transition to fatherhood in the United Kingdom (UK) and discusses men's experiences of pregnancy confirmation. METHODS. A longitudinal ethnographic approach was chosen to investigate men's 'real life' accounts of their transition to fatherhood. A mixture of 'novice' and experienced fathers (n = 18) were recruited from antenatal classes in the north of the UK during 1998. Semi-structured interviews were conducted on three occasions, twice during their partner's pregnancy and once afterwards. FINDINGS: Framed by the context of the contemporary construction of involved fatherhood, the men frequently spoke of their desire to be 'involved' with their partner's pregnancy and yet reported difficulty in engaging with its reality. They nevertheless participated in a range of activities - body-mediated-moments - which brought them closer to their partner's pregnant body and therefore their unborn baby. These activities centred on pregnancy confirmation, announcement, foetal movements, the ultrasound scan, and culminated in their presence during labour and delivery. This paper discusses their involvement in the process of pregnancy confirmation. CONCLUSION: The men's experiences of early pregnancy were marked forcefully by their involvement in the confirmation process. This activity gave men entry into a physical dimension, helping them forge an involvement in the pregnancy and shape their early transition to fatherhood. Implications for practice. The study has provided insight into expectant men's experiences of pregnancy and contributed to the understanding of the changing nature of contemporary fatherhood in the UK. Recognition of men's changing roles in pregnancy, and greater insight into their experiences should be of relevance to all those supporting the transition to parenthood, including midwives, obstetricians, ultrasonographers and childbirth educators. Such increased awareness should inform the antenatal support given to men and reinforce the importance of relevant antenatal preparation that effectively meets the needs of not only expectant women, but also expectant men. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) cultural factor father pregnancy EMTREE MEDICAL INDEX TERMS article father child relation female human longitudinal study male paternal behavior psychological aspect United Kingdom LANGUAGE OF ARTICLE English MEDLINE PMID 12207754 (http://www.ncbi.nlm.nih.gov/pubmed/12207754) PUI L35504160 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 347 TITLE Vulnerability of women in an African setting: Lessons for mother-to-child HIV transmission prevention programmes AUTHOR NAMES Gaillard P. Melis R. Mwanyumba F. Claeys P. Muigai E. Mandaliya K. Bwayo J. Temmerman M. AUTHOR ADDRESSES (Gaillard P.; Melis R.; Mwanyumba F.; Claeys P.; Muigai E.; Mandaliya K.; Bwayo J.; Temmerman M.) Intl. Ctr. for Repro. Hlth., University of Ghent, Ghent, Belgium. CORRESPONDENCE ADDRESS P. Gaillard, Intl. Ctr. for Repro. Hlth., University of Ghent, Ghent, Belgium. SOURCE AIDS (2002) 16:6 (937-939). Date of Publication: 12 Apr 2002 ISSN 0269-9370 BOOK PUBLISHER Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom. ABSTRACT After discussing advantages and risks, only a third of the 290 HIV-infected women included in an intervention study to reduce mother-to-child transmission of HIV in Mombasa, Kenya, informed their partners of their results. Despite careful counselling, 10% subsequently experienced violence or disruption of their relationship. To increase the uptake of interventions to reduce perinatal HIV transmission safely, we recommend the involvement of partners in HIV testing. In addition, the counselling of women has to address methods and skills to deal with violence. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Human immunodeficiency virus infection (epidemiology, therapy) infection prevention maternal welfare mother child relation EMTREE MEDICAL INDEX TERMS adult Africa article diagnostic value family life female human Kenya major clinical study patient counseling perinatal care priority journal risk assessment safety serodiagnosis sexuality vertical transmission violence EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Immunology, Serology and Transplantation (26) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2002146798 MEDLINE PMID 11919501 (http://www.ncbi.nlm.nih.gov/pubmed/11919501) PUI L34409023 DOI 10.1097/00002030-200204120-00019 FULL TEXT LINK http://dx.doi.org/10.1097/00002030-200204120-00019 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 348 TITLE Including expectant fathers in antenatal education programmes in Istanbul, Turkey AUTHOR NAMES Molzan Turan J. Nalbant H. Bulut A. Sahip Y. AUTHOR ADDRESSES (Molzan Turan J., jmturan@attglobal.net; Nalbant H.; Bulut A.; Sahip Y.) Correspondence Dr Janet Molzan Turan, Istanbul Tip Fak, ltesi, tirma Birimi, Cerrahi Monoblok kar, isi, 00C7, apa 34390, Istanbul, Turkey. CORRESPONDENCE ADDRESS J.M. Turan, Istanbul Tip Fakültesi, Kadin Cocuk Sag. Egtm. Aras. Birimi, Cerrahi Monoblok karşisi, Çapa 34390, Istanbul, Turkey. Email: jmturan@attglobal.net SOURCE Reproductive Health Matters (2001) 9:18 (114-125). Date of Publication: 2001 ISSN 0968-8080 BOOK PUBLISHER Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom. ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health education prenatal care EMTREE MEDICAL INDEX TERMS adult article attitude clinical trial controlled clinical trial controlled study family planning father female human infant feeding interpersonal communication interview lowest income group male normal human priority journal psychological aspect randomized controlled trial responsibility spouse Turkey (republic) EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English, French, Spanish EMBASE ACCESSION NUMBER 2001428857 MEDLINE PMID 11765387 (http://www.ncbi.nlm.nih.gov/pubmed/11765387) PUI L33123593 DOI 10.1016/S0968-8080(01)90098-9 FULL TEXT LINK http://dx.doi.org/10.1016/S0968-8080(01)90098-9 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 349 TITLE Prenatal morphine exposure decreases susceptibility of adult male rat offspring to bicuculline seizures AUTHOR NAMES Schindler C.J. Šlamberová R. Vathy I. AUTHOR ADDRESSES (Schindler C.J.; Vathy I., vathy@aecom.yu.edu) Department of Neuroscience, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, United States. (Šlamberová R.; Vathy I., vathy@aecom.yu.edu) Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, United States. CORRESPONDENCE ADDRESS I. Vathy, Department of Neuroscience, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, United States. Email: vathy@aecom.yu.edu SOURCE Brain Research (2001) 922:2 (305-309). Date of Publication: 20 Dec 2001 ISSN 0006-8993 BOOK PUBLISHER Elsevier, P.O. Box 211, Amsterdam, Netherlands. ABSTRACT The purpose of this study was to investigate the effect of prenatal exposure to morphine (5-10 mg/kg twice daily on days 11-18 of gestation) on bicuculline seizure susceptibility and to examine the interaction of prenatal morphine exposure and hormonal background in adult male rats. The data demonstrate that prenatal morphine exposure does not affect clonic but decreases susceptibility to tonic-clonic bicuculline seizures in intact male rats. Thus, the present data support our previous work demonstrating alterations in seizure susceptibility of adult morphine-exposed animals. © 2001 Elsevier Science B.V. All rights reserved. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) bicuculline (drug toxicity) morphine sulfate (drug therapy, pharmacology, subcutaneous drug administration) EMTREE DRUG INDEX TERMS testosterone propionate (drug therapy, pharmacology, subcutaneous drug administration) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) prenatal exposure seizure susceptibility EMTREE MEDICAL INDEX TERMS animal experiment animal model article clonic seizure (drug therapy) controlled study gestational age hormonal regulation male nonhuman priority journal rat tonic clonic seizure (drug therapy) DRUG MANUFACTURERS (United States)National Institute On Drug Abuse CAS REGISTRY NUMBERS bicuculline (485-49-4) morphine sulfate (23095-84-3, 35764-55-7, 64-31-3) testosterone propionate (57-85-2) EMBASE CLASSIFICATIONS Neurology and Neurosurgery (8) Pediatrics and Pediatric Surgery (7) Clinical and Experimental Pharmacology (30) Drug Literature Index (37) Epilepsy Abstracts (50) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2002007017 MEDLINE PMID 11743964 (http://www.ncbi.nlm.nih.gov/pubmed/11743964) PUI L34017494 DOI 10.1016/S0006-8993(01)03183-3 FULL TEXT LINK http://dx.doi.org/10.1016/S0006-8993(01)03183-3 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 350 TITLE Like parent, like child: A health promoting hospital project AUTHOR NAMES Mavor T. AUTHOR ADDRESSES (Mavor T., ted_mavor@grhosp.on.ca) Department of Health Promotion, Grand River Hospital, P.O. Box 9056, Kitchener, Ont. N2G 1G3, Canada. CORRESPONDENCE ADDRESS T. Mavor, Department of Health Promotion, Grand River Hospital, P.O. Box 9056, Kitchener, Ont., Canada. Email: ted_mavor@grhosp.on.ca SOURCE Patient Education and Counseling (2001) 45:4 (261-264). Date of Publication: 15 Dec 2001 ISSN 0738-3991 BOOK PUBLISHER Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland. ABSTRACT One way to reduce the need and demand for hospital services is via health promotion initiatives. A prenatal instructors' education module preventing the learning of violence as acceptable behaviour by children in their first year of life was developed by a health promoting hospital in partnership with its community. Children learn through observing significant adults in their life. Parents are important influences on the children's behaviour, and good (or bad) patterns are passed on from generation to generation. Some abuse occurs because people (primarily males) lack the skills to resolve conflict and stress in a positive way and resort to abuse. The project's intent is to help expectant parents reduce abusive behaviours. This parental modelling awareness program has the potential to be introduced into different high risk groups, day-care centres and multicultural settings. © 2001 Elsevier Science Ireland Ltd. All rights reserved. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation health promotion EMTREE MEDICAL INDEX TERMS article child abuse child behavior community care day care emotional stress health program high risk population hospital service human parent counseling parenthood priority journal risk assessment violence EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Forensic Science Abstracts (49) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2002015317 MEDLINE PMID 11755770 (http://www.ncbi.nlm.nih.gov/pubmed/11755770) PUI L34033623 DOI 10.1016/S0738-3991(01)00190-2 FULL TEXT LINK http://dx.doi.org/10.1016/S0738-3991(01)00190-2 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 351 TITLE Confirming affectivity, the dawn of human life: The pre-, peri- and postnatal affective-confirming. Haptonomic accompaniment of parents and their child AUTHOR NAMES Veldman F. AUTHOR ADDRESSES (Veldman F.) Intl. Ctr. Res./Dev. of Haptonomy, 66400 Céret, France. CORRESPONDENCE ADDRESS F. Veldman, Intl. Ctr. Res./Dev. of Haptonomy, 66400 Céret, France. SOURCE Neuroendocrinology Letters (2001) 22:4 (295-304). Date of Publication: 2001 ISSN 0172-780X BOOK PUBLISHER Maghira and Maas Publications, P.O. Box 26132, Stockholm, Sweden. ABSTRACT This article gives a short introduction to the science of Haptonomy and more specially to the application of its specific phenomenality of psychotactile affective contact and interaction during prenatal and postnatal life and during childbirth. The neurophysiological implications and the influence of this approach on the pain threshold are briefly mentioned, as well as psychological influences on the postnatal development of the child. Finally, there is a critical commentary on the use of the ultra-sound scan. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) affect child parent relation EMTREE MEDICAL INDEX TERMS article child behavior childbirth cognitive development consciousness controlled study human memory neurophysiology pain threshold postnatal development prenatal period training ultrasound EMBASE CLASSIFICATIONS Endocrinology (3) Pediatrics and Pediatric Surgery (7) Neurology and Neurosurgery (8) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2001314448 MEDLINE PMID 11524636 (http://www.ncbi.nlm.nih.gov/pubmed/11524636) PUI L32825463 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 352 TITLE Supernumerary human preembryos provide potential for preimplantation genetic diagnosis AUTHOR NAMES Delimitreva S.M. Zhivkova R.S. Vatev I.T. AUTHOR ADDRESSES (Delimitreva S.M.; Zhivkova R.S.; Vatev I.T.) IVF-ET Centre Technobioassistance, Department of Biology, Medical Faculty, 1 St. G. Sofiyski Str., 1431 Sofia, Bulgaria. CORRESPONDENCE ADDRESS S.M. Delimitreva, IVF-ET Centre Technobioassistance, Department of Biology, Medical Faculty, 1 St. G. Sofiyski Str., 1431 Sofia, Bulgaria. Email: delimitr@medfac.acad.bg SOURCE Folia Biologica (2001) 47:3 (88-91). Date of Publication: 2001 ISSN 0015-5500 BOOK PUBLISHER Charles University, Katerinska 32, Praha 2, Czech Republic. ABSTRACT Preimplantation genetic diagnosis is an alternative to the classical prenatal diagnosis for couples undergoing in vitro fertilization. It allows very early embryo selection - before the intrauterine embryo transfer. Prior to clinical application of preimplantation diagnosis in the Infertility Treatment Centre "Technobioassistance", Sofia Medical Faculty, we have developed preimplantation diagnosis models of human spermatozoa and untransferred 2-8-cell human embryos obtained in vitro. Directly fluorescein isothiocyanate-labelled probes specific for the centromeric regions of chromosomes 1, 5, 19 and X (Boehringer Mannheim) were used. Eighty-six point three percent of fixed blastomeres with normal size and shape had unfragmented nuclei with dispersed interphase chromatin or mitotic chromosomes and all of them demonstrated successful hybridization. In cases with more than 75% of embryo cells suitable for analysis we were able to estimate the presence of mosaicism among the blastomeres. EMTREE DRUG INDEX TERMS fluorescein isothiocyanate EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) in vitro fertilization EMTREE MEDICAL INDEX TERMS article blastoma Bulgaria cell hybridization cell nucleus cell shape cell size centromere chromatin chromosome 1 chromosome 19 chromosome 5 embryo cell embryo transfer fluorescence in situ hybridization genetic selection human human cell in vitro study infertility therapy interphase medical school mitosis model molecular probe mosaicism preimplantation embryo prenatal diagnosis spermatozoon supernumerary chromosome X chromosome CAS REGISTRY NUMBERS fluorescein isothiocyanate (25168-13-2, 27072-45-3, 3326-32-7) EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Human Genetics (22) Clinical and Experimental Biochemistry (29) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2001202283 MEDLINE PMID 11409319 (http://www.ncbi.nlm.nih.gov/pubmed/11409319) PUI L32514969 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 353 TITLE Injury related infant death: the impact of race and birth weight. AUTHOR NAMES Jain A. Khoshnood B. Lee K.S. Concato J. AUTHOR ADDRESSES (Jain A.; Khoshnood B.; Lee K.S.; Concato J.) Robert Wood Johnson Clinical Scholars Program, Yale University, New Haven, Connecticut, USA. CORRESPONDENCE ADDRESS A. Jain, Robert Wood Johnson Clinical Scholars Program, Yale University, New Haven, Connecticut, USA. Email: ajain@peds.bsd.uchicago.edu SOURCE Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention (2001) 7:2 (135-140). Date of Publication: Jun 2001 ISSN 1353-8047 ABSTRACT OBJECTIVE: To examine the effect of race and birth weight independent of other sociodemographic factors on injury related infant death using national data. SETTING: Infants born in the United States to mothers who were white (non-Hispanic), African American, Mexican American, and Native American. METHODS: Linked infant birth and death data from the National Center for Health Statistics for 1989-91 were analyzed to calculate unadjusted and adjusted odds ratios for death due to homicide or unintentional injury within the first year of life. In addition to maternal race and birth weight, the risk of death was adjusted for maternal age, prenatal care, maternal education, paternal education, marital status, birth order, interval since last pregnancy, smoking during pregnancy, and alcohol intake during pregnancy. RESULTS: Among 10.7 million births during 1989-91, 821 homicides and 2397 unintentional deaths were reported in infants. Relative to whites, African Americans were at highest risk for homicides (unadjusted and adjusted odds ratios = 3.6 (95% confidence interval = 3.1 to 4.2) and 1.6 (1.3 to 1.9), respectively) and Native Americans at highest risk for unintentional injuries (unadjusted and adjusted odds ratios = 3.8 (3.0 to 4.8) and 2.1 (1.7 to 2.6), respectively). After accounting for other sociodemographic factors, Mexican American infants appeared protected from injury (adjusted odds ratio = 0.7 (0.6 to 1.0) for homicides and 0.7 (0.6 to 0.8) for unintentional injuries). An inverse effect of birth weight was seen-as birth weight decreased, risk of homicides and unintentional injuries increased. After adjustment for the sociodemographic factors, very low birthweight babies were still at substantially increased risk of homicides with an odds ratio of 2.1 (1.4 to 3.1) and unintentional injuries with an odds ratio of 2.9 (2.4 to 3.7). CONCLUSIONS: Using a large national data-set, the effect of race as a risk factor for fatal infant injuries was mostly explained by birth weight and other sociodemographic factors. Preventable risk factors need to be identified for African Americans and Native Americans, in particular. Birth weight is an important independent risk factor; very low birthweight babies should be monitored for both homicide and unintentional injury. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) accident cause of death ethnic group infant mortality injury (diagnosis) race EMTREE MEDICAL INDEX TERMS article birth weight confidence interval female human infant male mortality newborn pregnancy register risk risk assessment risk factor socioeconomics statistical model statistics United States (epidemiology) LANGUAGE OF ARTICLE English MEDLINE PMID 11428561 (http://www.ncbi.nlm.nih.gov/pubmed/11428561) PUI L33495584 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 354 TITLE Parental knowledge and views of pediatric congenital heart disease AUTHOR NAMES Beeri M. Haramati Z. Rein J.A. Nir A. AUTHOR ADDRESSES (Beeri M.; Haramati Z.; Rein J.A.; Nir A., nir@hadassa.org.il) Department of Pediatrics, Pediatric Cardiology Unit, Hadassah University Hospital, Ein Kerem, Jerusalem, Israel. (Beeri M.; Haramati Z.; Rein J.A.; Nir A., nir@hadassa.org.il) Dept of Cardiology, Hadassah University Hospital, P.O.Box 12100, Jerusalem 91120, Israel. CORRESPONDENCE ADDRESS A. Nir, Dept. of Cardiology, Hadassah University Hospital, P.O. Box 12100, Jerusalem 91120, Israel. Email: nir@hadassa.org.il SOURCE Israel Medical Association Journal (2001) 3:3 (194-197). Date of Publication: 2001 ISSN 1565-1088 BOOK PUBLISHER Israel Medical Association, 2 Twin Towers,11th Floor,35 Jabotinsky Street,PO Box 3566, Ramat Gan, Israel. ABSTRACT Background: Parental knowledge of their child's heart disease, while often overlooked, contributes to compliance and reduces anxiety. Prior studies have shown that 36% of parental diagnostic descriptions are incorrect. Objectives: To assess parental knowledge and attitudes among outpatients at a hospital pediatric cardiology clinic. Methods: Seventy-four families completed a questionnaire in which they described their child's condition and stated their attitude towards dental hygiene and future prenatal diagnosis. Results: Eighteen percent of the parents failed to describe their child's malformation correctly. We found that parental understanding of the heart defect correlated with parental education. Future prenatal diagnosis was considered by 88% of families, and termination of pregnancy by 40%. Only 40% of children were aware of their heart problem. Children of parents who were ignorant about the condition tended to lack knowledge themselves. An additional finding was that 68% of Jewish families turn to non-medical personnel for medical advice - an interesting finding not hitherto addressed. Conclusions: Ignorance of their child's problem did not correlate with its severity or complexity but rather with parental background: the less educated the parent, the more likely was the problem perceived incorrectly. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) congenital heart disease (congenital disorder) parental behavior EMTREE MEDICAL INDEX TERMS academic achievement adolescent adult article attitude child child health congenital heart malformation (congenital disorder) consultation correlation function disease severity health education human infant Israel Jew major clinical study male mouth hygiene newborn nonmedical occupations outpatient department patient compliance pregnancy termination prenatal diagnosis questionnaire satisfaction EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) Human Genetics (22) Cardiovascular Diseases and Cardiovascular Surgery (18) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2001175379 MEDLINE PMID 11303378 (http://www.ncbi.nlm.nih.gov/pubmed/11303378) PUI L32432969 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 355 TITLE When should programs for teen parents and babies begin? Longitudinal evaluation of a teen parents and babies program AUTHOR NAMES Honig A.S. Morin C. AUTHOR ADDRESSES (Honig A.S.; Morin C.) 201 Slocum Hall, Syracuse University, Syracuse, NY 13244, United States. CORRESPONDENCE ADDRESS A.S. Honig, 201 Slocum Hall, Syracuse University, Syracuse, NY 13244, United States. SOURCE Journal of Primary Prevention (2001) 21:4 (447-454). Date of Publication: 2001 ISSN 0278-095X ABSTRACT Confirmed child abuse and neglect rates were assessed for a group of 204 low-income, low-education adolescent mothers several years after identification of the teens either as low-risk or as high risk/low-support and eligible for 18 to 27 months of home-visitation by trained child development specialists. Three groups were studied: Low-risk Contrast Group, High-risk Program Graduates, and a Dropout Comparison Group - the last group being formed unintentionally when some participants dropped out of the high risk program. The major finding of this study is that acceptance of high-risk mothers into program prior to the infant's birth made a significant difference in preventing later child abuse/neglect. Child abuse/neglect rates and subsequent parity rates were not different between high-risk program graduates and low-risk contrast group members. Both of these groups differed significantly on these two rates with the Dropout Comparison Group. However, due to the unknown nature of this comparison group, more research is needed to understand this finding. Program costs were significantly lower than county foster care costs for children placed because of child abuse. Thus, prenatal initiation of program for high-risk pregnant adolescents may provide a cost-effective boost for family mental health and prevent child abuse and neglect by at-risk families. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adolescent pregnancy child abuse EMTREE MEDICAL INDEX TERMS adolescent adult family health female health care cost health program high risk population human infant longitudinal study mental health prenatal care review social class EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Health Policy, Economics and Management (36) Pediatrics and Pediatric Surgery (7) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2001067417 PUI L32154386 DOI 10.1023/A:1007106811238 FULL TEXT LINK http://dx.doi.org/10.1023/A:1007106811238 COPYRIGHT Copyright 2007 Elsevier B.V., All rights reserved. RECORD 356 TITLE Changes in testosterone, cortisol, and estradiol levels in men becoming fathers AUTHOR NAMES Berg S.J. Wynne-Edwards K.E. AUTHOR ADDRESSES (Berg S.J.; Wynne-Edwards K.E., wynneedw@biology.queensu.ca) Department of Biology, Queen's University, Kingston, Ont., Canada. CORRESPONDENCE ADDRESS K.E. Wynne-Edwards, Department of Biology, Queen's University, Kingston, Ont. K7L 3N6, Canada. Email: wynneedw@biology.queensu.ca SOURCE Mayo Clinic Proceedings (2001) 76:6 (582-592). Date of Publication: 2001 ISSN 0025-6196 BOOK PUBLISHER Elsevier Ltd ABSTRACT Objective: To quantify longitudinally steroid hormone (testosterone, cortisol, and estradiol) concentrations in men becoming fathers for the first time ("dads"). Subjects and Methods: Volunteer study subjects were recruited from first-trimester prenatal classes in Kingston, Ontario, in February 1999. Twenty-three dads provided saliva samples from recruitment through 3 months after the birth of their children. Fourteen men who were not fathers were recruited from the general population to serve as age-matched controls for season and time of day. Estradiol, testosterone, and cortisol levels were quantified. Results: After controlling for effects of time of day and season, dads had lower mean ± SE testosterone (6.5±0.7 vs 10.0±0.9 ng/dL; P<.005) and cortisol (morning values, 0.30±0.05 vs 0.53±0.05 μg/dL; P<.005) concentrations, a higher proportion of samples with detectable estradiol concentrations (68% [308/454] vs 57% [87/154]; P=.01), and higher estradiol concentrations in those detectable samples (3.81±0.09 pg/mL [13 dads] vs 3.26±0.11 pg/mL [9 controls]; P<.002) than did control men. Within 10 individual dads with frequent samples before and after the birth, the percentage of samples with detectable estradiol was lower during the month before the birth than during the month after (51% vs 71%; P=.02), and cortisol concentration was increased in the week before the birth (to a mean of 0.16 μg/dL). In each of 13 dads providing frequent samples, testosterone concentration and variance were low immediately after the birth (no change from previous levels in 5, decrease after prebirth increase in 3, and decrease relative to all other times in 5). Conclusions: In this population of Canadian volunteers attending prenatal classes, expectant fathers had lower testosterone and cortisol levels and a higher proportion of samples with detectable estradiol concentrations than control subjects. Individual patterns of testosterone variance relative to the birth and estradiol and cortisol concentrations immediately before the birth may be worthy of further investigation. The physiologic importance of these hormonal changes, if any, is not known. However, they are hormones known to influence maternal behavior. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) estradiol (endogenous compound) hydrocortisone (endogenous compound) testosterone (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) paternal behavior EMTREE MEDICAL INDEX TERMS adult article Canada clinical article controlled study estradiol blood level human hydrocortisone blood level male maternal behavior saliva analysis statistical analysis testosterone blood level CAS REGISTRY NUMBERS estradiol (50-28-2) hydrocortisone (50-23-7) testosterone (58-22-0) EMBASE CLASSIFICATIONS Endocrinology (3) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2001207944 MEDLINE PMID 11393496 (http://www.ncbi.nlm.nih.gov/pubmed/11393496) PUI L32525133 COPYRIGHT Copyright 2014 Elsevier B.V., All rights reserved. RECORD 357 TITLE Expectant parents' anticipated changes in workload after the birth of their first child AUTHOR NAMES Gjerdingen D. AUTHOR ADDRESSES (Gjerdingen D.) 580 Rice St, St. Paul, MN 55103, United States. CORRESPONDENCE ADDRESS D. Gjerdingen, 580 Rice St, St. Paul, MN 55103, United States. Email: dgjerdin@famprac.umn.edu SOURCE Journal of Family Practice (2000) 49:11 (993-997). Date of Publication: 2000 ISSN 0094-3509 BOOK PUBLISHER Dowden Health Media,Inc, 110 Summit Avenue, Montvale, United States. ABSTRACT OBJECTIVE: We hoped to evaluate gender differences in prenatal workload and anticipated prenatal to postpartum changes in workload for a group of expectant parents. METHODS: We included a total of 149 couples who were living together, expecting their first child, and enrolled in prenatal classes presented by 2 metropolitan hospitals. The couples completed a prenatal survey containing information about demographic characteristics and prenatal work responsibilities and a worksheet listing the number of hours per week that each partner planned to devote to various household, child care, and employment responsibilities at 6 months postpartum. RESULTS: Though both men and women anticipated large increases in workload from the prenatal to the postpartum period, women expected greater increases (85% vs 53%). As a result of their greater anticipated involvement in household work and child care, women planned to work 9 hours more per week than men after the arrival of the baby. These expectant parents tended to occupy somewhat traditional gender work roles, with women contributing more time to cooking, cleaning, laundry, and shopping, and men devoting more time to lawn care, snow removal, household repairs, and employment. Men appeared to be more satisfied than women with their partner's contribution to household work (mean=6.0 and 5.4; P=.000). Partners' perceptions of how they shared household work were congruent, with 90% of the couples' summed congruency scores in the range within 1 point of a perfect match. CONCLUSIONS: Expectant parents in this study anticipated large increases in workload after childbirth. The projected work increases were greater for women than for men. It is interesting to note that these gender differences are anticipated even when couples were given an opportunity to systematically plan their postpartum work distribution together. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth parental behavior workload EMTREE MEDICAL INDEX TERMS anticipation article employment expectancy prenatal care puerperium responsibility sex difference EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2000408361 MEDLINE PMID 11093564 (http://www.ncbi.nlm.nih.gov/pubmed/11093564) PUI L30841283 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 358 TITLE Individual or group antenatal education for childbirth/parenthood. AUTHOR NAMES Gagnon A.J. AUTHOR ADDRESSES (Gagnon A.J.) School of Nursing, McGill University, 3506 University Street, Montreal, Quebec, Canada, H3A 2A7. CORRESPONDENCE ADDRESS A.J. Gagnon, School of Nursing, McGill University, 3506 University Street, Montreal, Quebec, Canada, H3A 2A7. Email: mdag@musica.mcgill.ca SOURCE Cochrane database of systematic reviews (Online) (2000) :4 (CD002869). Date of Publication: 2000 ISSN 1469-493X (electronic) ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation labor patient education EMTREE MEDICAL INDEX TERMS clinical trial controlled clinical trial female human methodology obstetric delivery pregnancy prenatal care randomized controlled trial review LANGUAGE OF ARTICLE English MEDLINE PMID 11034780 (http://www.ncbi.nlm.nih.gov/pubmed/11034780) PUI L33424059 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 359 TITLE Psychosocial factors influencing personal control in pain relief. AUTHOR NAMES McCrea H. Wright M.E. Stringer M. AUTHOR ADDRESSES (McCrea H.; Wright M.E.; Stringer M.) School of Health Sciences--Nursing, University of Ulster, Coleraine, Co. derry BT52 1SA, London, UK. CORRESPONDENCE ADDRESS H. McCrea, School of Health Sciences--Nursing, University of Ulster, Coleraine, Co. derry BT52 1SA, London, UK. Email: bh.mccrea@ulst.ac.uk SOURCE International journal of nursing studies (2000) 37:6 (493-503). Date of Publication: Dec 2000 ISSN 0020-7489 ABSTRACT A questionnaire was administered to 100 women (50 primigravidae, 50 multigravidae) to investigate the influence of psychosocial factors on personal control in pain relief. Personal control was measured using a 36-item scale based on the concept of 'Rule'. The women were asked to rate each rule on a 7-point Likert scale. Measures of psychosocial factors included assessment of the women's expectations of labour pain, maternal confidence, pain intensity, antenatal training and partner support. Demographic variables including parity were also recorded. The questionnaires were completed prior to and within 48 h following the women's delivery (whilst they were inpatients on the postnatal ward).Two variables, antenatal training and pain intensity, emerged as predictors of personal control in pain relief following stepwise multiple regression analysis. These findings have implications for clinical practice particularly in the area of antenatal care and planning care during labour. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) control labor pain EMTREE MEDICAL INDEX TERMS adult article female human maternal care nursing parity pregnancy psychological aspect questionnaire LANGUAGE OF ARTICLE English MEDLINE PMID 10871659 (http://www.ncbi.nlm.nih.gov/pubmed/10871659) PUI L31336325 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 360 TITLE Gender differences in teen parents' perceptions of parental responsibilities. AUTHOR NAMES Dallas C. Wilson T. Salgado V. AUTHOR ADDRESSES (Dallas C.; Wilson T.; Salgado V.) Department of Maternal-Child Nursing, University of Illinois at Chicago, 60612, USA. CORRESPONDENCE ADDRESS C. Dallas, Department of Maternal-Child Nursing, University of Illinois at Chicago, 60612, USA. Email: Dallascm@uic.edu SOURCE Public health nursing (Boston, Mass.) (2000) 17:6 (423-433). Date of Publication: 2000 Nov-Dec ISSN 0737-1209 ABSTRACT Accurate information concerning teen parents' knowledge of their children's development and their expectations for paternal involvement becomes increasingly important as efforts increase to promote involvement of unmarried fathers with their children. The purpose of this descriptive study was to assess differences in the knowledge and perceptions of normal child development, and expectations for paternal responsibilities between unmarried, low-income African American and Mexican American adolescent mothers and their males partners. Seven unmarried adolescent mothers participated in a focus group interview held at a family service agency in the Midwest. Afterward, their male partners and reported fathers of their babies, participated in a separate focus group interview The mean age of the adolescent mother participants was 16.7 years, the mean age of their partners was 19.3 years. Data were analyzed using a tape-based analysis method. A number of differences were identified between the perceptions of the adolescent mothers and young fathers including their level of child development knowledge, context for selecting physical methods of discipline, expectations for paternal role behaviors, and feelings about child support payments and establishing legal paternity. The study findings may help health care providers develop more effective prenatal and parenting educational experiences for adolescent parents. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health child parent relation father mother social behavior EMTREE MEDICAL INDEX TERMS adolescent African American article comparative study female Hispanic human information processing male poverty psychological aspect sex difference spouse United States LANGUAGE OF ARTICLE English MEDLINE PMID 11115140 (http://www.ncbi.nlm.nih.gov/pubmed/11115140) PUI L31395348 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 361 TITLE Fathers' coping style, antenatal preparation, and experiences of labor and the postpartum. AUTHOR NAMES Greenhalgh R. Slade P. Spiby H. AUTHOR ADDRESSES (Greenhalgh R.; Slade P.; Spiby H.) Department of Psychological Health Care, Barnsley Community and Priority Services National Health Service Trust, United Kingdom. CORRESPONDENCE ADDRESS R. Greenhalgh, Department of Psychological Health Care, Barnsley Community and Priority Services National Health Service Trust, United Kingdom. SOURCE Birth (Berkeley, Calif.) (2000) 27:3 (177-184). Date of Publication: Sep 2000 ISSN 0730-7659 ABSTRACT BACKGROUND: In recent years the trend for fathers in Western postindustrial countries to attend childbirth has increased. This study examined the interaction between fathers' information-seeking coping predispositions and their level of attendance at antenatal classes with respect to their experiences of attending childbirth. Associations between fathers' childbirth experiences, their relationship with their baby, and level of depressive symptomatology at 6 weeks postpartum were also examined. METHODS: A quantitative methodology was employed in which 78 fathers completed several questionnaires, some within 6 days of childbirth and others at 6 weeks postpartum. RESULTS: Fathers who were characterized as high blunters (avoiders) of threat information, from antenatal classes reported that experiencing childbirth was less fulfilling than fathers with similar coping styles who did not attend classes. Fathers' reports of fulfillment and delight while attending childbirth were negatively related to their level of depressive symptomatology at 6 weeks postpartum. Levels of distress were associated with subsequent depressive symptoms, but their effect was removed when preexisting depressive symptoms were partialled out. Fathers whose children were born by cesarean delivery used significantly more negative adjectives to describe their baby at 6 weeks postpartum compared with those born by vaginal delivery. More married fathers attended antenatal classes and reported lower levels of depressive symptomatology than unmarried fathers. CONCLUSIONS: Although fathers' attendance at antenatal classes may have positive consequences for them and their partner, for some fathers, attendance at classes may be associated with less positive reports of experiencing childbirth. The way in which men experience childbirth may have some influence on their subsequent emotional well-being. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adaptive behavior father perinatal care EMTREE MEDICAL INDEX TERMS adult article depression father child relation female human labor male marriage middle aged pregnancy prenatal care psychological aspect puerperium questionnaire social support socioeconomics stress LANGUAGE OF ARTICLE English MEDLINE PMID 11251499 (http://www.ncbi.nlm.nih.gov/pubmed/11251499) PUI L33453594 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 362 TITLE Prevention and control of thalassemia in Ramathibodi Hospital, Thailand. AUTHOR NAMES Jaovisidha A. Ajjimarkorn S. Panburana P. Somboonsub O. Herabutya Y. Rungsiprakarn R. AUTHOR ADDRESSES (Jaovisidha A.; Ajjimarkorn S.; Panburana P.; Somboonsub O.; Herabutya Y.; Rungsiprakarn R.) Department of Obstetrics and Gynecology, Ramathibodi Hospital, Bangkok, Thailand. CORRESPONDENCE ADDRESS A. Jaovisidha, Department of Obstetrics and Gynecology, Ramathibodi Hospital, Bangkok, Thailand. SOURCE The Southeast Asian journal of tropical medicine and public health (2000) 31:3 (561-565). Date of Publication: Sep 2000 ISSN 0125-1562 ABSTRACT Eight thousand seven hundred and thirty-six pregnant women were screened for thalassemia and hemoglobinopathies by mean corpuscular volume less than 80 femtolitres (fl). Three thousand six hundred and seventy women (42%) were MCV less than 80 fl. In this group there were 2,390 women (70%) who had positive Hb typing by high performance liquid chromatography (HPLC) such as beta-thalassemia major, beta-thalassemia hemoglobin E disease, beta-thalassemia trait, heterozygous and homozygous hemoglobin E, alpha-thalassemia-1 trait and hemoglobin H disease and 77% of their partners came and had hemoglobin typing done. Seventy-five couples at risk for having severely affected thalassemia fetuses were detected from this screening program. Prenatal diagnosis was performed in 58 couples (77.3%). Eight affected fetuses were detected. All pregnancies with affected fetuses except one with beta-thalassemia/HbE were terminated. There were 3 fetal losses (6%) as the result of prenatal diagnosis procedure. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) diagnostic test prenatal diagnosis thalassemia (diagnosis, epidemiology, prevention) EMTREE MEDICAL INDEX TERMS article female heterozygote high performance liquid chromatography homozygote hospital human pregnancy risk factor Thailand (epidemiology) LANGUAGE OF ARTICLE English MEDLINE PMID 11289021 (http://www.ncbi.nlm.nih.gov/pubmed/11289021) PUI L33461796 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 363 TITLE Enhancing parent-child interaction with a prenatal couple intervention. AUTHOR NAMES Bryan A.A. AUTHOR ADDRESSES (Bryan A.A.) Department of Family Health Nursing, University of Wisconsin-Eau Claire 74702-4004, USA. CORRESPONDENCE ADDRESS A.A. Bryan, Department of Family Health Nursing, University of Wisconsin-Eau Claire 74702-4004, USA. Email: bryanaa@uwec.edu SOURCE MCN. The American journal of maternal child nursing (2000) 25:3 (139-144; quiz 145). Date of Publication: 2000 May-Jun ISSN 0361-929X ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation parent patient education EMTREE MEDICAL INDEX TERMS adolescent adult analysis of variance article association clinical trial controlled clinical trial controlled study education female health care quality human infant male maternal behavior methodology middle aged paternal behavior psychological aspect role playing videorecording LANGUAGE OF ARTICLE English MEDLINE PMID 10810847 (http://www.ncbi.nlm.nih.gov/pubmed/10810847) PUI L31322993 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 364 TITLE Expectant fathers and labor epidurals. AUTHOR NAMES Chapman L.L. AUTHOR ADDRESSES (Chapman L.L.) Samuel Merritt College, Oakland, California, USA. CORRESPONDENCE ADDRESS L.L. Chapman, Samuel Merritt College, Oakland, California, USA. Email: IMDRMOM@aol.com SOURCE MCN. The American journal of maternal child nursing (2000) 25:3 (133-138). Date of Publication: 2000 May-Jun ISSN 0361-929X ABSTRACT PURPOSE: A qualitative research study was conducted to describe and explain expectant father's experiences during labor when their partners receive labor epidurals. DESIGN: Grounded theory. METHODS: Seventeen couples were interviewed using a semi-structured interview format. RESULTS: Two major concepts were identified: "Losing Her" and "She's Back." The men reported that these were the two critical points at which the epidural affected their experience. The theory, "Cruising through Labor," explained the fathers' experiences. CLINICAL IMPLICATIONS: Childbirth preparation classes that describe and explain women's responses to the increasing pain of labor contractions, the exhaustion of labor, and the effect of epidural analgesia could possibly assist men in preparing for the changes they will witness in their partners during the labor experience. Knowing that these changes are normal responses to the effects of labor might reduce men's levels of anxiety, frustration, and sense of helplessness. The labor nurse is a major support to the expectant fathers. Labor nurses who remain in the room during this phase, explain what is happening, and include the expectant father in their nursing care provide the best support. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health epidural anesthesia father labor obstetric analgesia EMTREE MEDICAL INDEX TERMS adolescent adult article curriculum education female human male methodology middle aged needs assessment nursing nursing methodology research obstetrical nursing patient education physiology pregnancy psychological aspect questionnaire LANGUAGE OF ARTICLE English MEDLINE PMID 10810846 (http://www.ncbi.nlm.nih.gov/pubmed/10810846) PUI L31322992 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 365 TITLE Breastfeeding and postpartum maternal care AUTHOR NAMES Montgomery A.M. AUTHOR ADDRESSES (Montgomery A.M.) St. Peter Family Practice, 525 Lilly Road NE, Olympia, WA 98506, United States. (Montgomery A.M.) CORRESPONDENCE ADDRESS A.M. Montgomery, St. Peter Family Practice, 525 Lilly Road NE, Olympia, WA 98506, United States. Email: amontgomery@sph.fammed.washington.edu SOURCE Primary Care - Clinics in Office Practice (2000) 27:1 (237-250). Date of Publication: 2000 ISSN 0095-4543 BOOK PUBLISHER W.B. Saunders, Independence Square West, Philadelphia, United States. ABSTRACT The postpartum period is sometimes referred to as the 'fourth trimester of pregnancy.' It is a time of transition for mothers and fathers. Although classes for childbirth and books about breast-feeding are available, little attention is typically paid to new families when infants have been born. Discharge from the hospital after birth, early newborn follow-up visits, and postpartum visits provide opportunities for the maternity and newborn care providers to give anticipatory guidance about the transition to parenthood, newborn care, breast-feeding, relationship, and sexuality issues. With adequate support, most new families successfully negotiate this transitional time and enjoy getting to know their infants. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding puerperium EMTREE MEDICAL INDEX TERMS human Human immunodeficiency virus infection maternal care pain (complication) priority journal puerperal depression (complication) review sexual behavior thyroid disease (complication) EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2000100887 MEDLINE PMID 10739467 (http://www.ncbi.nlm.nih.gov/pubmed/10739467) PUI L30151293 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 366 TITLE Relationships between partner's support during labour and maternal outcomes. AUTHOR NAMES Ip W.Y. AUTHOR ADDRESSES (Ip W.Y.) Department of Nursing, Chung Chi College, Chinese University of Hong Kong, Shatin. CORRESPONDENCE ADDRESS W.Y. Ip, Department of Nursing, Chung Chi College, Chinese University of Hong Kong, Shatin. Email: ip2013@cuhk.edu.hk SOURCE Journal of clinical nursing (2000) 9:2 (265-272). Date of Publication: Mar 2000 ISSN 0962-1067 ABSTRACT The objective of this study was to measure the relationship between women's ratings of partners' participation during labour and maternal outcomes as measured by anxiety level, pain perception, dosage of pain-relieving drug used and length of labour. A convenience sample of 45 primigravid women was selected from the postpartum unit of a public hospital in Hong Kong. They were all first-time Chinese mothers, aged 18 or over, who had attended antenatal classes and had their partners present during labour. The State Scale of the State-Trait Anxiety Inventory was used to measure maternal anxiety during labour. Labour pain was measured by the Visual Analogue Scale. A series of scales were developed to measure partners' participation during labour. Women's ratings of partners' practical support were significantly lower than their ratings of partners' emotional support. There were no significant associations between level of emotional support and maternal outcome measures. However, perceived practical support was positively related to the dosage of pain-relieving drug used and total length of labour. Positive relationships between the duration of partners' presence and women's ratings of perceived support provided by partners during labour were also found. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) anxiety (diagnosis, prevention) labor labor complication (diagnosis, prevention) pregnancy outcome social support spouse EMTREE MEDICAL INDEX TERMS adult article female Hong Kong human male nursing methodology research pregnancy psychological aspect psychological rating scale questionnaire retrospective study LANGUAGE OF ARTICLE English MEDLINE PMID 11111618 (http://www.ncbi.nlm.nih.gov/pubmed/11111618) PUI L33419054 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 367 TITLE The use of alternative therapies in the support of breastfeeding. AUTHOR NAMES Ayers J.F. AUTHOR ADDRESSES (Ayers J.F.) Department of Psychology, Towson University, 8000 York Road, Towson, MD 21252, USA. CORRESPONDENCE ADDRESS J.F. Ayers, Department of Psychology, Towson University, 8000 York Road, Towson, MD 21252, USA. Email: jayers@towson.edu SOURCE Journal of human lactation : official journal of International Lactation Consultant Association (2000) 16:1 (52-56). Date of Publication: Feb 2000 ISSN 0890-3344 ABSTRACT Surveys show that a significant percentage of Americans are using alternative therapies. Women are more likely than men to seek alternative health care and often use alternative therapies for childbirth-related concerns. Despite abundant anecdotal evidence supporting the efficacy of alternative practice for the enhancement of breastfeeding, surprisingly little corroborating empirical evidence exists in the medical literature. This article reviews the studies pertaining to the use of several alternative techniques for breastfeeding women including herbalism, acupuncture, imagery, massage, diet, and the application of cabbage leaves. Speculation is made regarding the psychological value of women's use of alternative treatments during breastfeeding. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) alternative medicine breast feeding mother social support EMTREE MEDICAL INDEX TERMS education human methodology patient attitude psychological aspect review statistics United States LANGUAGE OF ARTICLE English MEDLINE PMID 11138225 (http://www.ncbi.nlm.nih.gov/pubmed/11138225) PUI L33421040 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 368 TITLE Perinatal hypophosphatasia: Diagnosis and detection of heterozygote carriers within the family AUTHOR NAMES Gehring B. Mornet E. Plath H. Hansmann M. Bartmann P. Brenner R.E. AUTHOR ADDRESSES (Brenner R.E., rolf.brenner@medizin.uni-ulm.de) Department of Orthopaedics, Div. Biochem. Jt. Connective T., University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Germany. (Gehring B.; Mornet E.; Plath H.; Hansmann M.; Bartmann P.) CORRESPONDENCE ADDRESS R.E. Brenner, Department of Orthopaedics, Div. Biochem. Joint Connect. Tiss., University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Germany. Email: rolf.brenner@medizin.uni-ulm.de SOURCE Clinical Genetics (1999) 56:4 (313-317). Date of Publication: 1999 ISSN 0009-9163 BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT We report on two families in which one or two children had a severe disorder of skeletal development detected by prenatal ultrasonography. The children died postnatally and showed typical radiological and biochemical findings of perinatal hypophosphatasia. Biochemical analysis revealed a low activity of alkaline phosphatase (AP) and a high value of pyridoxal-5-phosphate (PLP), one of its natural substrates. The screening for mutations of the tissue nonspecific alkaline phosphatase (TNSALP) gene showed homozygosity for a point mutation (G 317→D) in the two affected children of the first family. The affected child of the second family was homozygous for a nonsense mutation (R 411→X). Family screening revealed that the determination of AP and PLP is helpful for detection of heterozygotes. However, heterozygote children had values of AP in the lower normal range during phases of rapid growth. The determination of PLP proved to be more sensitive in these cases. It should be kept in mind that during the last trimester of gestation there is an increase in maternal AP activity and a normalization of PLP due to placental AP, which is not affected. Therefore, in the course of a prenatal diagnosis in an index case, paternal blood should be analyzed in parallel. For detailed genetic counseling and early prenatal diagnosis in following pregnancies, the possibility of mutation analysis should be used. EMTREE DRUG INDEX TERMS alkaline phosphatase (endogenous compound) pyridoxal 5 phosphate (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) heterozygote hypophosphatasia (congenital disorder, diagnosis) EMTREE MEDICAL INDEX TERMS adult article bone development child clinical article enzyme activity female fetus fetus echography genetic counseling genetic screening homozygosity human male newborn nonsense mutation point mutation prenatal diagnosis priority journal third trimester pregnancy CAS REGISTRY NUMBERS alkaline phosphatase (9001-78-9) pyridoxal 5 phosphate (54-47-7) EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Human Genetics (22) Orthopedic Surgery (33) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1999421285 MEDLINE PMID 10636450 (http://www.ncbi.nlm.nih.gov/pubmed/10636450) PUI L29567635 DOI 10.1034/j.1399-0004.1999.560409.x FULL TEXT LINK http://dx.doi.org/10.1034/j.1399-0004.1999.560409.x COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 369 TITLE A comparison of two methods of antenatal breast-feeding education. AUTHOR NAMES Sheehan A. AUTHOR ADDRESSES (Sheehan A.) Family Health Research Unit, St George Hospital, Gray St, Kogarah NSW, Australia 2217. CORRESPONDENCE ADDRESS A. Sheehan, Family Health Research Unit, St George Hospital, Gray St, Kogarah NSW, Australia 2217. Email: sheehana@sesahs.nsw.gov.au SOURCE Midwifery (1999) 15:4 (274-282). Date of Publication: Dec 1999 ISSN 0266-6138 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding patient education prenatal care EMTREE MEDICAL INDEX TERMS adult article comparative study female health care quality human organization and management patient care pregnancy teaching LANGUAGE OF ARTICLE English MEDLINE PMID 11216261 (http://www.ncbi.nlm.nih.gov/pubmed/11216261) PUI L33437278 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 370 TITLE Cultural and spiritual meanings of childbirth. Orthodox Jewish and Mormon women. AUTHOR NAMES Callister L.C. Semenic S. Foster J.C. AUTHOR ADDRESSES (Callister L.C.; Semenic S.; Foster J.C.) Brigham Young University College of Nursing, USA. CORRESPONDENCE ADDRESS L.C. Callister, Brigham Young University College of Nursing, USA. SOURCE Journal of holistic nursing : official journal of the American Holistic Nurses' Association (1999) 17:3 (280-295). Date of Publication: Sep 1999 ISSN 0898-0101 ABSTRACT This descriptive, phenomenological study investigated the cultural and spiritual meanings of the childbirth experience from the personal perspectives of 30 Canadian Orthodox Jewish and 30 American Mormon women. Fewer Jewish women had childbirth education and attendance of their partners during childbirth than did Mormon women. Participants in the study, having codified belief systems, expressed the primary importance of bearing children in obedience to religious law. Birth was articulated as a bittersweet paradox, often accompanied by a sense of empowerment. Women described the importance of personal connectedness with others and with God, the importance of childbearing, and the spiritual and emotional dimensions of their childbirth experiences. Religious beliefs help women define the meaning of childbirth and may provide coping mechanisms for the intensity of giving birth. It is essential for holistic nurses to value and acknowledge the cultural and spiritual dimensions of the childbirth experience. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health cultural factor female Jew labor religion EMTREE MEDICAL INDEX TERMS adolescent adult article Canada counseling ethnology holistic nursing human middle aged nursing methodology research pregnancy psychological aspect LANGUAGE OF ARTICLE English MEDLINE PMID 10690070 (http://www.ncbi.nlm.nih.gov/pubmed/10690070) PUI L31289900 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 371 TITLE Swedish fathers' involvement in and experiences of childbirth preparation and childbirth. AUTHOR NAMES Hallgren A. Kihlgren M. Forslin L. Norberg A. AUTHOR ADDRESSES (Hallgren A.; Kihlgren M.; Forslin L.; Norberg A.) Department of Nursing, Umeå University, Sweden. CORRESPONDENCE ADDRESS A. Hallgren, Department of Nursing, Umeå University, Sweden. SOURCE Midwifery (1999) 15:1 (6-15). Date of Publication: Mar 1999 ISSN 0266-6138 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health father labor postnatal care prenatal care EMTREE MEDICAL INDEX TERMS adult article conflict education female human male methodology nurse midwife nursing methodology research patient education pregnancy psychological aspect questionnaire Sweden LANGUAGE OF ARTICLE English MEDLINE PMID 10373868 (http://www.ncbi.nlm.nih.gov/pubmed/10373868) PUI L31400186 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 372 TITLE Men in antenatal classes. Teaching 'the whole birth thing'. AUTHOR NAMES Smith N. AUTHOR ADDRESSES (Smith N.) CORRESPONDENCE ADDRESS N. Smith, SOURCE The practising midwife (1999) 2:1 (23-26). Date of Publication: Jan 1999 ISSN 1461-3123 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father natural childbirth prenatal care EMTREE MEDICAL INDEX TERMS adult article education female human human relation male methodology middle aged nurse midwife pregnancy psychological aspect LANGUAGE OF ARTICLE English MEDLINE PMID 10214303 (http://www.ncbi.nlm.nih.gov/pubmed/10214303) PUI L129416351 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 373 TITLE Fatal maternal β-hemolytic group B streptococcal meningitis: A case report AUTHOR NAMES Wolfe Jr. R.R. Norwick M.L. Bofill J.A. AUTHOR ADDRESSES (Wolfe Jr. R.R.; Norwick M.L.) Department of Obstetrics and Gynecology, Wright-Patterson USAF Medical Center, WPAFB, OH, United States. (Wolfe Jr. R.R.; Norwick M.L.; Bofill J.A.) Department of Obstetrics and Gynecology, Wright State University, School of Medicine, Dayton, OH, United States. (Bofill J.A.) East Carolina University, School of Medicine, Department of Obstetrics and Gynecology, Greenville, NC 27858-4354, United States. CORRESPONDENCE ADDRESS J.A. Bofill, East Carolina Univ. Sch. of Medicine, Dept. of Obstetrics and Gynecology, Greenville, NC 27858-4354, United States. SOURCE American Journal of Perinatology (1998) 15:11 (597-600). Date of Publication: 1998 ISSN 0735-1631 BOOK PUBLISHER Thieme Medical Publishers, Inc., 333 7th Avenue, New York, United States. ABSTRACT Meningitis secondary to β-hemolytic group B streptococcus is rare and represents less than 1% of cases of adult meningitis. We report the first known case of maternal mortality attributed to β-hemolytic group B streptococcal meningitis. A 23-year-old African-American woman with a benign prenatal course delivered a viable male infant at term. Labor was complicated by thick meconium for which a saline amnioinfusion was utilized. On postpartum Day 1, the patient complained of right hip pain and a headache. Within 12 hr the patient was comatose with fixed and dilated pupils. Life support measures were discontinued secondary to absence of electrocortical activity. Postmortem examination revealed endomyometritis and fulminant meningitis with gram-positive cocci. Placental histologic sections demonstrated acute chorioamnionitis and bateriological cultures noted β- hemolytic group B streptococcus. The virulence of β-hemolytic group B streptococcus in the neonate is well recognized. This case demonstrates that β-hemolytic group B streptococcus is also a potentially fatal maternal pathogen. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) bacterial meningitis (diagnosis, etiology) maternal mortality puerperal infection (diagnosis, etiology) EMTREE MEDICAL INDEX TERMS adult article bacterial virulence bacterium culture case report chorioamnionitis (diagnosis, etiology) coma endomyometritis (diagnosis, etiology) female human maternal disease (etiology) meconium aspiration (complication) newborn infection (diagnosis, etiology) priority journal Streptococcus agalactiae EMBASE CLASSIFICATIONS Microbiology: Bacteriology, Mycology, Parasitology and Virology (4) Neurology and Neurosurgery (8) Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1999074787 MEDLINE PMID 10064199 (http://www.ncbi.nlm.nih.gov/pubmed/10064199) PUI L29095775 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 374 TITLE Theory and practice for teaching the childbearing couple. AUTHOR NAMES Farrell M. Bushnell D.D. Haag-Heitman B. AUTHOR ADDRESSES (Farrell M.; Bushnell D.D.; Haag-Heitman B.) University of Wisconsin, School of Nursing, Health Maintenance Department, Milwaukee 53201, USA. CORRESPONDENCE ADDRESS M. Farrell, University of Wisconsin, School of Nursing, Health Maintenance Department, Milwaukee 53201, USA. SOURCE Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG (1998) 27:6 (613-618). Date of Publication: 1998 Nov-Dec ISSN 0884-2175 ABSTRACT Behavioral, cognitive, and humanistic theories are relevant to teaching couples and groups about childbearing. In this article, theories of adult learning are examined and the ways in which they can be used with childbearing couples are illustrated. The process is to identify the learner's needs and apply the appropriate theory and methods. The emotional context in which learning occurs is underscored as is the use of a facilitator rather than a teacher role. In addition, the health care providers' experiences must be considered, because their agreement with the learning plan is critical for developing a partnership with the couple. Two examples are presented, one through a group childbirth education experience and the other through the participation of women and health care providers in developing a hand-held patient record. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) labor learning nurse patient relationship obstetrical nursing patient education EMTREE MEDICAL INDEX TERMS adult female human pregnancy review United States LANGUAGE OF ARTICLE English MEDLINE PMID 9836155 (http://www.ncbi.nlm.nih.gov/pubmed/9836155) PUI L129369096 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 375 TITLE Prenatal and parenting programs for adolescent mothers. AUTHOR NAMES Hoyer P.J. AUTHOR ADDRESSES (Hoyer P.J.) College of Nursing, Wayne State University, USA. CORRESPONDENCE ADDRESS P.J. Hoyer, College of Nursing, Wayne State University, USA. SOURCE Annual review of nursing research (1998) 16 (221-249). Date of Publication: 1998 ISSN 0739-6686 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adolescent pregnancy Adolescents, Female child parent relation Literature Review maternal care mother parenting education prenatal care EMTREE MEDICAL INDEX TERMS adolescent Adolescents age Demographic Factors developed country education Family And Household Family Relationships family size female fertility health health care delivery health service human juvenile maternal child health care methodology North America Northern America parent population population and population related phenomena population dynamics pregnancy primary health care review sexual behavior United States Western Hemisphere LANGUAGE OF ARTICLE English MEDLINE PMID 9695893 (http://www.ncbi.nlm.nih.gov/pubmed/9695893) PUI L128288013 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 376 TITLE Assessing parent-infant interaction during the perinatal period: Some cautions AUTHOR NAMES Lamb M.E. AUTHOR ADDRESSES (Lamb M.E.) Section on Social/Emotional Devt., Natl. Inst. of Child Hlth., Human Development, 9190 Rockville Pike, Bethesda, MD 20814, United States. CORRESPONDENCE ADDRESS M.E. Lamb, Section on Social/Emotional Devt., Natl. Inst. of Child Hlth., Human Development, 9190 Rockville Pike, Bethesda, MD 20814, United States. SOURCE Clinics in Perinatology (1998) 25:2 (461-470). Date of Publication: 1998 ISSN 0095-5108 BOOK PUBLISHER W.B. Saunders, Independence Square West, Philadelphia, United States. ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation EMTREE MEDICAL INDEX TERMS behavior child development distress syndrome emotional attachment human perinatal period priority journal review socialization EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1998217168 MEDLINE PMID 9647004 (http://www.ncbi.nlm.nih.gov/pubmed/9647004) PUI L28299546 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 377 TITLE Parental behavior after perinatal death: Twelve years of observations AUTHOR NAMES Rand C.S.W. Kellner K.R. Revak-Lutz R. Massey J.K. AUTHOR ADDRESSES (Rand C.S.W.) Department of Psychiatry, Gainesville, FL, United States. (Kellner K.R.; Revak-Lutz R.) Division of Maternal-Fetal Medicine, Dept. of Obstetrics and Gynecology, Gainesville, FL, United States. (Massey J.K.) Department of Pathology, University of Florida, Gainesville, FL, United States. (Kellner K.R.) Box 100256, JHMHC, University of Florida, Gainesville, FL 32610-0294, United States. CORRESPONDENCE ADDRESS K.R. Kellner, Box 100256, JHMHC, University of Florida, Gainesville, FL 32610-0294, United States. SOURCE Journal of Psychosomatic Obstetrics and Gynaecology (1998) 19:1 (44-48). Date of Publication: 1998 ISSN 0167-482X BOOK PUBLISHER Taylor and Francis Ltd., 4 Park Square, Milton Park, Abingdon, Oxfordshire, United Kingdom. ABSTRACT Perinatal death is a tragic occurrence, and parents vary in their needs and how they express grief. This prospective study describes choices parents made regarding contact with their baby following stillbirth or immediate neonatal death. Between 1 January 1979 and 1 March 1991, 808 consecutive families were enrolled in the Perinatal Mortality Counseling Program at the University of Florida. Following perinatal death, most parents wanted contact with their baby to personalize the event, information about the death and follow-up from their health care providers. However, no option was chosen by all parents. This large study strongly supports offering choices to all parents. Providers should neither bias parents nor make presumptions that would limit parental choices. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) parental behavior perinatal death EMTREE MEDICAL INDEX TERMS adult article bereavement female follow up grief human human experiment male newborn death normal human parent counseling stillbirth United States EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1998137437 MEDLINE PMID 9575468 (http://www.ncbi.nlm.nih.gov/pubmed/9575468) PUI L28188139 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 378 TITLE Contents of childbirth-related fear among couples wishing the partner's presence at delivery AUTHOR NAMES Szeverényi P. Póka R. Hetey M. Török Z. AUTHOR ADDRESSES (Szeverényi P.; Póka R.; Hetey M.; Török Z.) Dept. of Obstetrics and Gynecology, University Medical School, Debrecen, Hungary. (Szeverényi P.) Dept. of Obstetrics and Gynecology, University Medical School, POB 37, 4012 Debrecen, Hungary. CORRESPONDENCE ADDRESS P. Szeverenyi, Department Obstetrics and Gynecology, University Medical School, POB 37, 4012 Debrecen, Hungary. SOURCE Journal of Psychosomatic Obstetrics and Gynaecology (1998) 19:1 (38-43). Date of Publication: 1998 ISSN 0167-482X BOOK PUBLISHER Taylor and Francis Ltd., 4 Park Square, Milton Park, Abingdon, Oxfordshire, United Kingdom. ABSTRACT In order to explore the contents of childbirth-related fears, a survey war carried out among 216 pairs of prospective parents who opted for the presence of the partner at delivery. Each couple took part in a three-class parentcraft course during the third trimester. During the first antenatal class, couples were asked to fill in a questionnaire with inquiries about specific contents of fear they might have in relation to pregnancy, childbirth and relationship with their partner after childbirth. Each item of the questionnaire called for an answer from a five-grade scale of fear such as 'absolutely not', 'slightly', 'quite', 'quite strongly' and 'very much'. Their worries were ranked according to the weighted average of the frequenty of positive answers. More than 80% of both men and women had some fears relating to childbirth. Women were most worried about, in order of significance, having a malformed or injured baby, assisted or operative delivery, being lonely in a strange environment, doing something wrong, and facing the uncertainties of how the delivery was going to happen. The wife having severe pain and suffering, operative delivery, fetal birth injuries, helplessness, powerlessness and the wife's death in childbirth were the most significant subjects of men's fears. Eighty per cent of women women and 76% of men felt that the presence of the partner at delivery would have no adverse effect on their future personal relationship. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth fear obstetric delivery spouse EMTREE MEDICAL INDEX TERMS adult article birth injury female helplessness human human experiment instrumental delivery male maternal mortality normal human prenatal care questionnaire EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1998137436 MEDLINE PMID 9575467 (http://www.ncbi.nlm.nih.gov/pubmed/9575467) PUI L28188138 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 379 TITLE Breastfeeding information and support services offered by Melbourne hospitals in antenatal classes. AUTHOR NAMES Lowe N. AUTHOR ADDRESSES (Lowe N.) CORRESPONDENCE ADDRESS N. Lowe, SOURCE Breastfeeding review : professional publication of the Nursing Mothers' Association of Australia (1998) 6:1 (23-28). Date of Publication: May 1998 ISSN 0729-2759 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding patient education prenatal care EMTREE MEDICAL INDEX TERMS article Australia economics fee female hospital human information service questionnaire self help LANGUAGE OF ARTICLE English MEDLINE PMID 9618604 (http://www.ncbi.nlm.nih.gov/pubmed/9618604) PUI L128275609 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 380 TITLE Analyzing strategies for developing a prenatal health care outreach program to reduce social and cultural barriers AUTHOR NAMES Andrus N.C. Partner S.F. Leppert P.C. AUTHOR ADDRESSES (Andrus N.C.; Partner S.F.; Leppert P.C.) Rochester General Hospital, Rochester, NY, United States. CORRESPONDENCE ADDRESS N.C. Andrus, Rochester General Hospital, Rochester, NY, United States. SOURCE Journal of Health and Human Services Administration (1997) 20:2 (230-241). Date of Publication: 1997 ISSN 1079-3739 BOOK PUBLISHER Southern Public Administration Education Foundation Inc., 2103 Fairway Lane, Harrisburg, United States. ABSTRACT Beginning in March, 1994, a multi-cultural, interdisciplinary team of health care providers at Rochester General Hospital in Rochester, New York, planned and implemented a prenatal outreach program in partnership with the Rochester YWCA. The purpose of the project is to increase access to obstetric and gynecological services for low-income African-Americans, Hispanic, and white women. The processes involved in developing an outreach intervention program, Opening Doors, are described and the conflicts that surfaced during the initial stages of program development are analyzed. The problems which occurred can be attributed to role boundary conflict and differences in philosophy regarding ethnicity and health behavior. Through interviews with the anthropologist on the management team and some changes in the overall structure of the program administration, resolution of the conflicts became possible. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health care management prenatal care EMTREE MEDICAL INDEX TERMS article Black person ethnic group gynecology health care health program obstetric procedure social aspect EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) Health Policy, Economics and Management (36) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1998058174 MEDLINE PMID 10177080 (http://www.ncbi.nlm.nih.gov/pubmed/10177080) PUI L28082599 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 381 TITLE Assessment of parent education methods for infant immunization AUTHOR NAMES Bjornson G.L. Scheifele D.W. Gold R. AUTHOR ADDRESSES (Bjornson G.L., gbjornson@wpog.childhosp.bc.ca; Scheifele D.W.) Vaccine Evaluation Center, University of British Columbia, . (Gold R.) Hospital for Sick Children, Toronto. (Bjornson G.L., gbjornson@wpog.childhosp.bc.ca) Vaccine Evaluation Center, 4500 Oak Street, Vancouver, BC V6H 3N1, Canada. CORRESPONDENCE ADDRESS G.L. Bjornson, Vaccine Evaluation Center, 4500 Oak Street, Vancouver, BC V6H 3N1, Canada. Email: gbjornson@wpog.childhosp.bc.ca SOURCE Canadian Journal of Public Health (1997) 88:6 (405-408). Date of Publication: November/December 1997 ISSN 0008-4263 BOOK PUBLISHER Canadian Public Health Association, 1565 Carling Avenue, Suite 400, Ottawa, Canada. ABSTRACT Objective: To assess whether a video about infant immunization could inform parents as well as human counselling (oral presentation). Methods: Core information for parents about infant immunization was identified and packaged in an instructional video and a scripted oral presentation. Volunteer prenatal classes were randomly assigned a video or oral presentation. Participants completed pre- and post-test questionnaires covering the same 16 items. Scores were compared for each question and as a group means, using Fisher's exact test, 2-sided. Results: 227 subjects participated, including 102 men and 124 women. Groups were similar in terms of gender mix, parenting experience and recent reading about immunization. Pre-test knowledge scores were similarly low between groups. Post-test scores were much higher but did not differ significantly between groups. Conclusions: In a prenatal classroom setting, video and oral presentation were equally effective in conveying key information about infant immunization. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child health health education immunization parent counseling EMTREE MEDICAL INDEX TERMS article female human human experiment male normal human prenatal care questionnaire videorecording EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English, French EMBASE ACCESSION NUMBER 1998029651 MEDLINE PMID 9458569 (http://www.ncbi.nlm.nih.gov/pubmed/9458569) PUI L28043928 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 382 TITLE Prenatal genetic carrier testing using triple disease screening AUTHOR NAMES Eng C.M. Schechter C. Robinowitz J. Fulop G. Burgert T. Levy B. Zinberg R. Desnick R.J. AUTHOR ADDRESSES (Eng C.M., ceng@smtplink.mssm.edu; Robinowitz J.; Burgert T.; Levy B.; Zinberg R.; Desnick R.J.) Department of Human Genetics, Mount Sinai School of Medicine, New York, NY, United States. (Eng C.M., ceng@smtplink.mssm.edu; Desnick R.J.) Department of Pediatrics, Mount Sinai School of Medicine, New York, NY, United States. (Schechter C.; Fulop G.) Department of Community Medicine, Mount Sinai School of Medicine, New York, NY, United States. (Fulop G.) Department of Psychiatry, Mount Sinai School of Medicine, New York, NY, United States. (Eng C.M., ceng@smtplink.mssm.edu) Department of Human Genetics, Box 1497, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029, United States. CORRESPONDENCE ADDRESS C.M. Eng, Department of Human Genetics, Box 1497, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029, United States. Email: ceng@smtplink.mssm.edu SOURCE Journal of the American Medical Association (1997) 278:15 (1265-1272). Date of Publication: 15 Oct 1997 ISSN 0098-7484 BOOK PUBLISHER American Medical Association, 515 North State Street, Chicago, United States. ABSTRACT Context. - Rapid progress in gene discovery has dramatically increased diagnostic capabilities for carrier screening and prenatal testing for genetic diseases. However, simultaneous prenatal carrier screening for prevalent genetic disease has not been evaluated, and patient acceptance and attitudes toward this testing strategy remain undefined. Objective. - To evaluate an educational, counseling, and carrier testing program for 3 genetic disorders: Tay-Sachs disease (TSD), type 1 Gaucher disease (GD), and cystic fibrosis (CF) that differ in detectability, severity, and availability of therapy. Design. - Potential participants received education and genetic counseling, gave informed consent, chose screening tests, and completed pre- education and posteducation questionnaires that assessed knowledge, attitudes toward genetic testing, and disease testing preferences. Setting. - Medical genetics referral center. Patients. - Volunteer sample of 2824 Ashkenazi Jewish individuals enrolled as couples who were referred for TSD testing. Intervention. - Genetic counseling, education, and if chosen, genetic testing for any or all 3 disorders. Main Outcome Measure. - Acceptance of screening for each of the 3 disorders. Secondary outcomes include attitudes toward genetic testing and reproductive considerations. Results. - Of the 2824 individuals tested for TSD, 97% and 95% also chose testing for CF and GD, respectively. The frequency of detected carriers was 1:21 for TSD, 1:25 for CF, and 1:18 for GD. Twenty-one carrier couples were identified, counseled, and all postconception couples opted for prenatal diagnosis. Pre-education and posteducation questionnaires revealed that patients initially knew little about the diseases, but acquired disease information and increased knowledge of genetic concepts. Education and genetic counseling increased understanding and retention of genetic concepts and disease-related information, and minimized test-related anxiety. Although individuals sought screening for all 3 diseases, reproductive attitudes and decisions varied directly with disease severity and treatability. Conclusions. - These findings emphasize the importance of genetic counseling for prenatal carrier testing and may improve understanding, acceptance, and informed decision making for prenatal carrier screening for multiple genetic diseases. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) cystic fibrosis (epidemiology, etiology) Gaucher disease (epidemiology, etiology) Tay Sachs disease (epidemiology, etiology) EMTREE MEDICAL INDEX TERMS adult article female genetic counseling genetic screening heterozygote detection human major clinical study male medical decision making patient attitude prenatal diagnosis priority journal EMBASE CLASSIFICATIONS Human Genetics (22) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1997313379 MEDLINE PMID 9333269 (http://www.ncbi.nlm.nih.gov/pubmed/9333269) PUI L27435615 COPYRIGHT Copyright 2012 Elsevier B.V., All rights reserved. RECORD 383 TITLE Whose welfare in the labour room? A discussion of the increasing trend of fathers' birth attendance. AUTHOR NAMES Draper J. AUTHOR ADDRESSES (Draper J.) School of Health, University of Hull, UK. CORRESPONDENCE ADDRESS J. Draper, School of Health, University of Hull, UK. SOURCE Midwifery (1997) 13:3 (132-138). Date of Publication: Sep 1997 ISSN 0266-6138 ABSTRACT OBJECTIVE: To review the key literature on fathers' birth attendance, discussing: factors contributing to the increasing trend in men's birth attendance; the different roles and responsibilities men may adopt in the labour room and the implications; and, particularly, the education needs of both the expectant fathers and the professionals. LITERATURE SEARCH: The literature reported here is part of a larger longitudinal ethnographic study of men's experiences of pregnancy and birth, which to date has generated 190 relevant articles. The literature was identified using: the Midwifery Information Resource Service (MIDIRS), PsychLit, Cinahl, Medline, and the Cochrane Pregnancy and Childbirth Database. Keywords were: men, fathers, pregnancy, birth, and birth supporters. Literature was also identified using references quoted in papers and hand searching of journals. KEY CONCLUSIONS: Changing cultural and professional attitudes have encouraged fathers' birth attendance, reflected in an increasing volume of research. This research concentrates almost exclusively on labour coaching roles, neglecting exploration of any independent needs men may have. IMPLICATIONS FOR PRACTICE: A greater awareness of men's experiences will inform midwives and childbirth educators to effectively provide for men's needs during pregnancy and birth. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) delivery room father labor EMTREE MEDICAL INDEX TERMS attitude to health education ethnology female human longitudinal study male nursing methodology research pregnancy psychological aspect review role playing LANGUAGE OF ARTICLE English MEDLINE PMID 9362853 (http://www.ncbi.nlm.nih.gov/pubmed/9362853) PUI L127328422 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 384 TITLE Expectant fathers: influence of perinatal education on stress, coping, and spousal relations. AUTHOR NAMES Diemer G.A. AUTHOR ADDRESSES (Diemer G.A.) University of Wisconsin-Madison, School of Nursing 53792, USA. CORRESPONDENCE ADDRESS G.A. Diemer, University of Wisconsin-Madison, School of Nursing 53792, USA. SOURCE Research in nursing & health (1997) 20:4 (281-293). Date of Publication: Aug 1997 ISSN 0160-6891 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adaptive behavior father marriage mental stress (prevention) prenatal care teaching EMTREE MEDICAL INDEX TERMS adult article clinical trial comparative study controlled clinical trial controlled study curriculum education human male methodology multivariate analysis psychological aspect questionnaire social support LANGUAGE OF ARTICLE English MEDLINE PMID 9256875 (http://www.ncbi.nlm.nih.gov/pubmed/9256875) PUI L127296651 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 385 TITLE Patterns of prenatal care initiation in Georgia, 1980-1992 AUTHOR NAMES Elam-Evans L.D. Adams M.M. Delaney K.M. Wilson H.G. Rochat R.W. Mccarthy B.J. AUTHOR ADDRESSES (Elam-Evans L.D.; Adams M.M.; Delaney K.M.; Wilson H.G.; Rochat R.W.; Mccarthy B.J.) Division of Reproductive Health, Natl. Ctr. Chron. Dis. Prev./H., Centers for Dis. Contr. and Prev., Atlanta, GA, United States. (Elam-Evans L.D.) Division of Reproductive Health, Natl. Ctr. Chron. Dis. Prev./H., Centers for Dis. Contr. and Prev., 4770 Buford Highway NE, Atlanta, GA 30341-3724, United States. CORRESPONDENCE ADDRESS L.D. Elam-Evans, Division of Reproductive Health, NCCDPHP, Ctrs. for Disease Control/Prevention, 4770 Buford Highway NE, Atlanta, GA 30341-3724, United States. SOURCE Obstetrics and Gynecology (1997) 90:1 (71-77). Date of Publication: July 1997 ISSN 0029-7844 BOOK PUBLISHER Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom. ABSTRACT Objective: To determine whether characteristics in a woman's first pregnancy were associated with the trimester in which she initiated prenatal care in her second pregnancy. Methods: Data for white and black women whose first and second pregnancies resulted in singleton live births between 1980 and 1992 were obtained from Georgia birth certificates (n = 177,041). Adjusted relative risks (RRs) for early prenatal care in the second pregnancy were computed by logistic regression models that included trimester of prenatal care initiation, infant outcomes, or maternal conditions in the woman's first pregnancy as the exposure and controlled for maternal age, education, child's year of birth, interval between first and second pregnancy, presence of father's name on the birth certificate, and the interaction between prenatal care and education. Models were stratified by race. Results: Women of both races who initiated prenatal care in the first trimester of their first pregnancies were more likely than those with delayed care to initiate prenatal care in the first trimester of their second pregnancies (RR = 1.25 and 1.63 for white and black women educated beyond high school, respectively). Both white and black women who delivered a baby with very low birth weight (RR = 1.06 and 1.15, respectively) or who suffered an infant death (RR = 1.09 and 1.31, respectively) in their first pregnancies were more likely than those who did not experience these events to begin prenatal care in the first trimester of their second pregnancies. Conclusion: Women with some potentially preventable adverse infant outcomes tend to obtain earlier care in their next pregnancy. Unfortunately, women who delayed prenatal care in their first pregnancy frequently delay prenatal care in their next. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) maternal care prenatal care EMTREE MEDICAL INDEX TERMS article gestational age health care planning health service obstetric delivery priority journal race difference United States EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1997193985 MEDLINE PMID 9207817 (http://www.ncbi.nlm.nih.gov/pubmed/9207817) PUI L27272960 DOI 10.1016/S0029-7844(97)00138-5 FULL TEXT LINK http://dx.doi.org/10.1016/S0029-7844(97)00138-5 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 386 TITLE Couples' attitudes toward childbirth participation: relationship to evaluation of labor and delivery. AUTHOR NAMES Hart M.A. Foster S.N. AUTHOR ADDRESSES (Hart M.A.; Foster S.N.) Graduate Nursing Program, Armstrong Atlantic State University, USA. CORRESPONDENCE ADDRESS M.A. Hart, Graduate Nursing Program, Armstrong Atlantic State University, USA. SOURCE The Journal of perinatal & neonatal nursing (1997) 11:1 (10-20). Date of Publication: Jun 1997 ISSN 0893-2190 ABSTRACT The article reports a correlational, partial replication study investigating the relationship between couples' prenatal attitudes toward childbirth participation and perceptions of their labor and delivery experiences. The Prenatal Attitude toward Childbirth Participation Scale was administered to 119 couples before and after attendance at a childbirth education course. The Labor Delivery Evaluation Scale, the Labor Agency Scale, and the Delivery Agency Scale were administered after delivery. Results showed that childbirth education affected couples' anticipated levels of control during labor and delivery. Anticipated and perceived levels of control were associated, and perceived levels of control correlated with overall evaluations of childbirth experiences. These findings suggest that childbirth educators and health care providers should focus on participants' opportunities to exercise control during childbirth and on identifying emergency situations during which control must be relinquished to the health care team. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health labor parent patient participation EMTREE MEDICAL INDEX TERMS adolescent adult article control education female human male middle aged pregnancy psychological aspect questionnaire LANGUAGE OF ARTICLE English MEDLINE PMID 9214948 (http://www.ncbi.nlm.nih.gov/pubmed/9214948) PUI L127282398 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 387 TITLE Men's experiences during their partner's first pregnancy: a grounded theory analysis. AUTHOR NAMES Barclay L. Donovan J. Genovese A. AUTHOR ADDRESSES (Barclay L.; Donovan J.; Genovese A.) CORRESPONDENCE ADDRESS L. Barclay, SOURCE The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation (1996) 13:3 (12-24). Date of Publication: 1996 Autumn ISSN 0813-0531 ABSTRACT This paper reports on research conducted with 53 men who were attending antenatal classes with their partners who were pregnant for the first time. The men discussed their experience of pregnancy in focus groups that were run by male midwives who were also fathers. A grounded theory analysis of the men's discussions generated the categories of anxiety, ambivalence, adjustment, separation and need to know. There were two core categories, confusion, which was strongly expressed and development which was manifest in a minority of men. A descriptive narrative demonstrated that most first time fathers were confused as their relationship with their partner changed and that their roles in relation to the baby and other people were unclear. The men's sense of self was threatened and they responded negatively to the challenges they experienced and felt distanced from their partners. The findings have implications for clinical and educational services as they show that most men were alienated by the manner in which information was presented. The men also felt that services focused on their partner's labour and the birth of the child and neglected their greatest concerns, that is their changing identity, their relationships and their future role as fathers. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) male pregnancy spouse EMTREE MEDICAL INDEX TERMS adolescent adult article female human nursing methodology research parity psychological aspect psychological model role playing self concept LANGUAGE OF ARTICLE English MEDLINE PMID 8717683 (http://www.ncbi.nlm.nih.gov/pubmed/8717683) PUI L126264212 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 388 TITLE 10-year experience with prenatal intervention for hydronephrosis AUTHOR NAMES Coplen D.E. Hare J.Y. Zderic S.A. Canning D.A. Snyder III H.McC. Duckett J.W. AUTHOR ADDRESSES (Coplen D.E.; Hare J.Y.; Zderic S.A.; Canning D.A.; Snyder III H.McC.; Duckett J.W.) CORRESPONDENCE ADDRESS D.E. Coplen, Division of Urology, Children's Hospital of Philadelphia, Pennsylvania Hospital, Philadelphia, PA, United States. SOURCE Journal of Urology (1996) 156:3 (1142-1145). Date of Publication: September 1996 ISSN 0022-5347 BOOK PUBLISHER Elsevier Inc., 360 Park Avenue South, New York, United States. ABSTRACT 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 (intra-abdominal 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) hydronephrosis (surgery) EMTREE MEDICAL INDEX TERMS article clinical article female fetus human human cell human tissue kidney failure (surgery) laparotomy male oligohydramnios (diagnosis) priority journal shunting treatment failure treatment outcome EMBASE CLASSIFICATIONS Surgery (9) Urology and Nephrology (28) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1996248643 MEDLINE PMID 8709334 (http://www.ncbi.nlm.nih.gov/pubmed/8709334) PUI L26269845 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 389 TITLE What men say about pregnancy, birth and parenthood AUTHOR NAMES Chalmers B. Meyer D. AUTHOR ADDRESSES (Chalmers B.) Mount Sinai Hospital, University of Toronto, Toronto, Ont., Canada. (Meyer D.) Department of Statistics, University of the Witwatersrand, South Africa. (Chalmers B.) 1212 Old Post Drive, Oakville, Ont. L6M 1A6, Canada. CORRESPONDENCE ADDRESS B. Chalmers, Mount Sinai Hospital, University of Toronto, Toronto, Canada. SOURCE Journal of Psychosomatic Obstetrics and Gynaecology (1996) 17:1 (47-52). Date of Publication: 1996 ISSN 0167-482X BOOK PUBLISHER Taylor and Francis Ltd., 4 Park Square, Milton Park, Abingdon, Oxfordshire, United Kingdom. ABSTRACT Fathers' experiences during their transition to parenthood have been less well documented than those of mothers. This study explored the perceptions of three groups of fathers: fathers were asked to complete a questionnaire covering their experiences during their partner's pregnancy, during antenatal preparation programs or during birth. Fathers in all three groups were asked to respond to a follow-up questionnaire about parenthood. Their views are reported. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) parenthood paternal behavior pregnancy EMTREE MEDICAL INDEX TERMS article attitude childbirth father follow up human male normal human prenatal period questionnaire EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1996151288 MEDLINE PMID 8860886 (http://www.ncbi.nlm.nih.gov/pubmed/8860886) PUI L26144134 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 390 TITLE The primary purpose of childbirth education programs is to inform parents. AUTHOR NAMES Noble E. AUTHOR ADDRESSES (Noble E.) CORRESPONDENCE ADDRESS E. Noble, SOURCE Birth (Berkeley, Calif.) (1996) 23:1 (51-52). Date of Publication: Mar 1996 ISSN 0730-7659 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health behavior health service labor parent EMTREE MEDICAL INDEX TERMS education female human note pregnancy psychological aspect LANGUAGE OF ARTICLE English MEDLINE PMID 8703262 (http://www.ncbi.nlm.nih.gov/pubmed/8703262) PUI L126260772 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 391 TITLE Conserving fertility with early management of cervical pregnancy: A case report AUTHOR NAMES Kligman I. Adachi T.J. Katz E. McClamrock H.D. Jockle G.A. Barakat B. AUTHOR ADDRESSES (Kligman I.; Adachi T.J.; Katz E.; McClamrock H.D.; Jockle G.A.; Barakat B.) Dept. of Obstetrics and Gynecology, University of Maryland Hospital, 22 South Greene Street, Baltimore, MD 21201, United States. CORRESPONDENCE ADDRESS H.D. McClamrock, Dept. of Obstetrics and Gynecology, University of Maryland Hospital, 22 South Greene Street, Baltimore, MD 21201, United States. SOURCE Journal of Reproductive Medicine for the Obstetrician and Gynecologist (1995) 40:10 (743-746). Date of Publication: 1995 ISSN 0024-7758 BOOK PUBLISHER Journal of Reproductive Medicine Inc., 8342 Olive Boulevard, P.O. Box 12425, St. Louis, United States. ABSTRACT BACKGROUND: Cervical pregnancy can be a life-threatening entity, with the diagnosis often made on the hysterectomy specimen. A case of distal ectopic pregnancy involved the endocervical canal, and prompt diagnosis and treatment allowed the preservation of fertility. CASE: The patient presented at six weeks' gestation with vaginal bleeding. Serial ultrasound examinations revealed a viable pregnancy and ultimately suggested placental implantation within the endocervical canal. Curettage was performed using cervical stay sutures at the three and nine o'clock positions, with minimal bleeding and no postoperative morbidity. One year after the procedure the patient had a spontaneous delivery of a full-term male following an unremarkable prenatal course. CONCLUSION: Improvements in sonography and serum testing have allowed earlier diagnosis and hence greater success with conservative management of cervical pregnancy. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) ectopic pregnancy (diagnosis) EMTREE MEDICAL INDEX TERMS adult article case report early diagnosis echography female female fertility human human cell human tissue hysterectomy priority journal treatment outcome uterine cervix vagina bleeding (diagnosis) EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1995320642 MEDLINE PMID 8551482 (http://www.ncbi.nlm.nih.gov/pubmed/8551482) PUI L25314755 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 392 TITLE Preparing couples for home birth. Practical suggestions. AUTHOR NAMES Dancy R.B. Fullerton J.T. AUTHOR ADDRESSES (Dancy R.B.; Fullerton J.T.) CORRESPONDENCE ADDRESS R.B. Dancy, SOURCE Journal of nurse-midwifery (1995) 40:6 (522-528). Date of Publication: 1995 Nov-Dec ISSN 0091-2182 ABSTRACT Parents planning a home birth need specific information beyond that which typically is covered in childbirth preparation classes geared for hospital couples. Topics that specifically need to be included in preparation for home birth include the meaning of shared responsibility for the birth at home, informed disclosure of personal and professional data, motivating factors and barriers to a successful birth, coping strategies, preparation of the home environment, contingency plans for referral or emergency transport, and preparation for self-care following the birth. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) home delivery nurse midwife patient education prenatal care spouse EMTREE MEDICAL INDEX TERMS article female human interpersonal communication male methodology natural childbirth nursing pregnancy LANGUAGE OF ARTICLE English MEDLINE PMID 8568576 (http://www.ncbi.nlm.nih.gov/pubmed/8568576) PUI L126200958 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 393 TITLE The cost of a preventable disease: Estimated U.S. national medical expenditures for congenital syphilis, 1990 AUTHOR NAMES De Lissovoy G. Zenilman J. Nelson K.E. Ahmed F. Celentano D.D. AUTHOR ADDRESSES (De Lissovoy G.; Zenilman J.; Nelson K.E.; Ahmed F.; Celentano D.D.) MEDTAP International, 2101 Wilson Blvd., Arlington, VA 22201, United States. CORRESPONDENCE ADDRESS G. De Lissovoy, MEDTAP International, 2101 Wilson Blvd., Arlington, VA 22201, United States. SOURCE Public Health Reports (1995) 110:4 (403-409). Date of Publication: 1995 ISSN 0033-3549 BOOK PUBLISHER Association of Schools of Public Health, 1101 15th Street NW Suite 910, Washington, United States. ABSTRACT Reported cases of congenital syphilis have increased rapidly in recent years. The purpose of this study was to estimate first-year medical care expenditures among 1990 incident cases of infants diagnosed with congenital syphilis. The authors used a synthetic estimation model to calculate expenditures for congenital syphilis as the number of treated cases multiplied by cost per case. The number of cases was derived from surveillance data adjusted for underreporting and presumptive (false- positive) treatment. Cost per case was based on expected hospital and physician charges applied to case treatment protocols appropriate to case severity. Base-case estimated first-year medical expenditure for 1990 treated cases (N = 4,400) in 1990 was $12.5 million. In sensitivity analysis, estimates ranged from $6.2 million to $47 million. Substantial reduction in congenital syphilis treatment costs could be achieved through targeted public health interventions consisting of prenatal maternal screening and contact tracing of males testing positive for syphilis. Physicians should be aggressive in presumptive treatment of newborns, since this usually prevents future disability but represents a small portion of total national expenditure for congenital syphilis. More precise data on severe cases resulting in long-term disability are needed to make reliable cost estimates. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) congenital syphilis health care cost EMTREE MEDICAL INDEX TERMS article disability hospital care hospital cost prenatal screening priority journal public health service scoring system EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) Health Policy, Economics and Management (36) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1995261358 MEDLINE PMID 7638327 (http://www.ncbi.nlm.nih.gov/pubmed/7638327) PUI L25255943 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 394 TITLE Promoting healthy parenting through prenatal education. AUTHOR NAMES Clay L.S. AUTHOR ADDRESSES (Clay L.S.) CORRESPONDENCE ADDRESS L.S. Clay, SOURCE Journal of nurse-midwifery (1995) 40:5 (397-398). Date of Publication: 1995 Sep-Oct ISSN 0091-2182 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation health promotion parent prenatal care EMTREE MEDICAL INDEX TERMS child child abuse (prevention) editorial education human nurse midwife LANGUAGE OF ARTICLE English MEDLINE PMID 7472644 (http://www.ncbi.nlm.nih.gov/pubmed/7472644) PUI L125127307 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 395 TITLE Fathers' parenting attitudes during a child's first year. AUTHOR NAMES Tiller C.M. AUTHOR ADDRESSES (Tiller C.M.) Department of Parent-Child Nursing, Medical College of Georgia, Augusta 30912, USA. CORRESPONDENCE ADDRESS C.M. Tiller, Department of Parent-Child Nursing, Medical College of Georgia, Augusta 30912, USA. SOURCE Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG (1995) 24:6 (508-514). Date of Publication: 1995 Jul-Aug ISSN 0884-2175 ABSTRACT OBJECTIVE: To determine whether fathers' interactions with their children from prebirth to 1 year of age changed the fathers' parenting attitudes as measured by the Adult-Adolescent Parenting Inventory (AAPI). DESIGN: Nonrandomized, longitudinal, descriptive study. SETTING: Private obstetricians' offices, prenatal clinics, and prenatal classes in a large city in the southeastern United States. PARTICIPANTS: White, well-educated, stable, upper-middle class fathers attending prenatal education classes. At time 1 (prebirth), n = 293 with 228 first-time fathers and 65 experienced fathers. At time 2 (3 months), n = 62 with 46 first-time fathers and 16 experienced fathers. At time 3 (1 year), n = 42 with 30 first-time fathers and 12 experienced fathers. MAIN OUTCOME MEASURES: Parenting attitudes as measured by the AAPI. RESULTS: Repeated measures analysis of variance revealed a significant difference in two of the four constructs measured by the AAPI. When their children were 3 months old, fathers scored significantly lower in the areas of expectations and belief in the use of corporal punishment, and their raw scores did not significantly differ in the areas of empathy and appropriate family roles. CONCLUSION: These fathers need education about appropriate expectations of a 3-month-old child and information regarding alternative methods of discipline. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude child parent relation father father child relation EMTREE MEDICAL INDEX TERMS adolescent adult analysis of variance article education empathy female human infant learning longitudinal study male pregnancy psychological aspect punishment role playing third trimester pregnancy LANGUAGE OF ARTICLE English MEDLINE PMID 7562133 (http://www.ncbi.nlm.nih.gov/pubmed/7562133) PUI L125132069 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 396 TITLE Very low maternal serum unconjugated estriol and prenatal diagnosis of steroid sulfatase deficiency AUTHOR NAMES David N. Israel N. Merksamer R. Bar-Nizan N. Borochowitz Z. Bar-El H. Yehudai I. Dar H. AUTHOR ADDRESSES (David N.; Israel N.; Merksamer R.; Bar-Nizan N.; Borochowitz Z.; Bar-El H.; Yehudai I.; Dar H.) Simon Winter Inst. of Human Genetics, Bnai Zion Medical Center, P.O. Box 4940, Haifa 31048, Israel. CORRESPONDENCE ADDRESS N. David, Simon Winter Inst. of Human Genetics, Bnai Zion Medical Center, P.O. Box 4940, Haifa 31048, Israel. SOURCE Fetal Diagnosis and Therapy (1995) 10:2 (76-80). Date of Publication: 1995 ISSN 1015-3837 BOOK PUBLISHER S. Karger AG, Allschwilerstrasse 10, P.O. Box, Basel, Switzerland. ABSTRACT Twenty-four women out of 7,875 pregnant women who enrolled in a prenatal screening program showed extremely low levels of unconjugated estriol (< 0.15 MOM). In 19 cases, intrauterine fetal death was reported. In 1 case anencephalus was detected. In the remaining 4 cases apparently normal healthy babies (1 female and 3 males) were born following uneventful pregnancies. Physical examination of the 3 boys at 4-6 weeks revealed mild ichthyosis compatible with the X-linked type. Two of them had a positive family history of X-linked ichthyosis. The examination of the girl did not reveal any significant findings. In both cases in which amniocentesis was performed, low levels of steroid sulfatase and arylsulfatase C were found. The prevalence of X-linked ichthyosis in this study is higher than previously reported, i.e. 1:1,300 males. Our results suggest that the prenatal screening program for neural tube defects and for Down's syndrome is useful for the prenatal detection of X-linked ichthyosis as well. These results are in accordance with two recent reports. The implications regarding genetic counselling are discussed. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) estriol (endogenous compound) steryl sulfatase (endogenous compound) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) enzyme deficiency (congenital disorder, diagnosis) ichthyosis (congenital disorder, diagnosis) maternal serum prenatal diagnosis EMTREE MEDICAL INDEX TERMS adult amniocentesis anencephalus (congenital disorder, diagnosis) article case report Down syndrome (congenital disorder, diagnosis) estriol blood level family history female fetus death genetic counseling human neural tube defect (congenital disorder, diagnosis) prenatal screening priority journal CAS REGISTRY NUMBERS estriol (50-27-1) steryl sulfatase (9025-62-1) EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Dermatology and Venereology (13) Human Genetics (22) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1995113506 MEDLINE PMID 7794518 (http://www.ncbi.nlm.nih.gov/pubmed/7794518) PUI L25112096 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 397 TITLE The process of analysis during a grounded theory study of men during their partners' pregnancies. AUTHOR NAMES Donovan J. AUTHOR ADDRESSES (Donovan J.) Faculty of Health Sciences, Flinders University of South Australia, Adelaide. CORRESPONDENCE ADDRESS J. Donovan, Faculty of Health Sciences, Flinders University of South Australia, Adelaide. SOURCE Journal of advanced nursing (1995) 21:4 (708-715). Date of Publication: Apr 1995 ISSN 0309-2402 ABSTRACT This research builds on the work of Barclay (1993) who studied couples during pregnancy and discovered that there was a mismatch between sexual interest levels of men and women during pregnancy. As well, little is known about the social and emotional experiences of men during their partners' pregnancies. One antenatal group consisting of six men, whose partners were in the second trimester of pregnancy, attended a series of five meetings and subsequent individual interviews. Additional data and insights were gained by the researcher and the research assistant attending other antenatal classes with men and women present. The research data consisted of transcripts of tape-recorded interviews, group discussions, observations and field notes made by the researcher and co-leader following each of the group sessions. The aim was systematically to develop a substantive grounded theory which was drawn from the experiences of the men during this transitional period in their lives. This paper discusses the process of analysis which led to the central phenomenon, the core category of the research, around which the grounded theory is built. Five theoretical constructs emerged from the data collected: (a) ambivalence in the early stages of pregnancy, (b) relationship with baby not real, (c) how should I be as a father?, (d) coping with the changing roles and lifestyle, and (e) disequilibrium in relationship with female partner. The last construct emerged as the basic social process. The nature of this relationship changed over the duration of the pregnancy. Emotional turmoil and anxiety in men contributed to the 'mismatch' in male and female expectations of the relationship.(ABSTRACT TRUNCATED AT 250 WORDS) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) life event nursing theory pregnancy spouse EMTREE MEDICAL INDEX TERMS article Australia female human human relation information processing male psychological aspect psychometry recording LANGUAGE OF ARTICLE English MEDLINE PMID 7797707 (http://www.ncbi.nlm.nih.gov/pubmed/7797707) PUI L125083581 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 398 TITLE A randomized, controlled trial of the influence of prenatal parenting education on postpartum anxiety and marital adjustment AUTHOR NAMES Midmer D. Wilson L. Cummings S. AUTHOR ADDRESSES (Midmer D.; Wilson L.; Cummings S.) Family/Community Medicine Department, University of Toronto, 222 Elm Street, Toronto, Ont. M5T 1K5, Canada. CORRESPONDENCE ADDRESS D. Midmer, Family/Community Medicine Department, University of Toronto, 222 Elm Street, Toronto, Ont. M5T 1K5, Canada. SOURCE Family Medicine (1995) 27:3 (200-205). Date of Publication: 1995 ISSN 0742-3225 BOOK PUBLISHER Society of Teachers of Family Medicine, Ste 540, Leawood, United States. ABSTRACT Objective: The aim of the study was to measure the impact of two middle- trimester parenting communication classes on postpartum anxiety, marital adjustment, and postpartum adjustment. Methods: Seventy primiparous, low- risk couples enrolled in prenatal classes in a large urban hospital were randomized to experimental and control groups. An educational intervention consisting of two second-trimester classes was facilitated by two social workers. The classes were based on a previous assessment of the educational needs of postpartum couples and contained didactic sessions, role-playing sessions, and values clarification exercises. The Spielberger State-Trait Anxiety Inventory and the Dyadic Adjustment Scale were administered to both groups prenatally in the second trimester and at 6 weeks and 6 months postpartum. A modified version of the O'Hara Postpartum Adjustment Questionnaire was administered at 6 weeks and 6 months postpartum. Results: Both groups scored comparably in the prenatal period. The experimental group scored significantly lower on anxiety and higher on dyadic adjustment at both postpartum time periods than the control group. The experimental group also indicated a higher degree of postpartum adjustment. Conclusion: Prenatal parenting communication classes had a significant impact on postpartum anxiety, postpartum marital satisfaction, and postpartum adjustment. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) anxiety marriage parent counseling prenatal care puerperium EMTREE MEDICAL INDEX TERMS adaptive behavior adjustment adult article clinical trial controlled clinical trial controlled study female human human experiment interpersonal communication male normal human randomized controlled trial EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1995086645 MEDLINE PMID 7774781 (http://www.ncbi.nlm.nih.gov/pubmed/7774781) PUI L25085243 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 399 TITLE Influences on breast-feeding by lower-income women: An incentive-based, partner-supported educational program AUTHOR NAMES Sciacca J.P. Phipps B.L. Dube D.A. Ratliff M.I. AUTHOR ADDRESSES (Sciacca J.P.; Phipps B.L.; Dube D.A.; Ratliff M.I.) Department of Health, Northern Arizona University, Box 15095, Flagstaff, AZ 86011, United States. CORRESPONDENCE ADDRESS J.P. Sciacca, Department of Health, Northern Arizona University, Box 15095, Flagstaff, AZ 86011, United States. SOURCE Journal of the American Dietetic Association (1995) 95:3 (323-328). Date of Publication: 1995 ISSN 0002-8223 BOOK PUBLISHER W.B. Saunders, Independence Square West, Philadelphia, United States. ABSTRACT Objective: To determine the effects of a partner-supported, incentive- based educational program on rates and duration of breast-feeding among low- income women. Design: Women who expressed a willingness to participate in the breast-feeding educational program were randomly assigned to one of two groups: an intervention group and a control group who received usual breast- feeding education. Setting: Clinics of the Special Supplemental Food Program for Women, Infants, and Children Flagstaff, Ariz. Subjects: Sixty-eight primiparous pregnant women with expected due dates between May 1992 and December 1992 were willing to participate in the study. Of these, 34 were randomly assigned to the intervention group and 34 to the control group. Approximately 81% of the women completed the study: 29 in the control group and 26 in the intervention group. Intervention: The intervention consisted of special incentives (prizes) for women and their partners to participate in a breast feeding class for expectant couples and an educational series on childbirth. Women were also encouraged to use a breast-feeding support program in which peers serve as role models. Main outcome measures: The primary outcome measure was infant feeding method. Data were collected from mothers in both groups at the time of discharge from the hospital and at 2 weeks, 6 weeks, and 3 months postpartum. Statistical analyses performed Binomial proportional analyses of the feeding data were performed. Results: Women in the intervention group reported a higher percentage of breast feeding at all measurement times. Applications: These findings suggest that incentives, such as donated prizes, can be used to attract primiparous women from lower socioeconomic groups, along with their partners, to participate in educational interventions designed to promote breast-feeding. Participation by couples in breast-feeding promotion activities can dramatically increase the rate and duration of breast-feeding. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding education program EMTREE MEDICAL INDEX TERMS adult article clinical trial controlled clinical trial controlled study female group psychology health program health promotion human lowest income group patient counseling randomized controlled trial socioeconomics United States EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1995079048 MEDLINE PMID 7860944 (http://www.ncbi.nlm.nih.gov/pubmed/7860944) PUI L25077646 DOI 10.1016/S0002-8223(95)00083-6 FULL TEXT LINK http://dx.doi.org/10.1016/S0002-8223(95)00083-6 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 400 TITLE Adjustment to new parenthood: attenders versus nonattenders at prenatal education classes. AUTHOR NAMES Nichols M.R. AUTHOR ADDRESSES (Nichols M.R.) CORRESPONDENCE ADDRESS M.R. Nichols, SOURCE Birth (Berkeley, Calif.) (1995) 22:1 (21-26, discussion 27-28). Date of Publication: Mar 1995 ISSN 0730-7659 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adaptive behavior health education parent prenatal care EMTREE MEDICAL INDEX TERMS adult article child parent relation clinical trial controlled clinical trial controlled study education female human longitudinal study male middle aged pregnancy psychological aspect LANGUAGE OF ARTICLE English MEDLINE PMID 7741947 (http://www.ncbi.nlm.nih.gov/pubmed/7741947) PUI L125063959 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 401 TITLE The effects of a prenatal course including PREP for effective family living on self-esteem and parenting attitudes of adolescents: a brief report. AUTHOR NAMES Emmons R.D. Nystul M.S. AUTHOR ADDRESSES (Emmons R.D.; Nystul M.S.) Mexico State University, Las Cruces, New Mexico 88003. CORRESPONDENCE ADDRESS R.D. Emmons, Mexico State University, Las Cruces, New Mexico 88003. SOURCE Adolescence (1994) 29:116 (935-938). Date of Publication: 1994 Winter ISSN 0001-8449 ABSTRACT Nine adolescent females were enrolled in a prenatal course that included the PREP for Effective Family Living Program (the treatment group). Two comparison groups were utilized in this study; one attended the prenatal group without the PREP program, and the second did not attend either the prenatal course or the PREP program. The Coopersmith Self-Esteem Inventory and the Attitude Toward the Freedom of Children Scale (a parental attitude scale) was administered to all participants. No significant difference was found among the three groups in terms of self-concept. A significant difference was found among the three groups in terms of parental attitudes, with the treatment group scoring higher on democratic parenting attitudes than did the two comparison groups. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adolescent pregnancy child parent relation family health education prenatal care self concept EMTREE MEDICAL INDEX TERMS adolescent article attitude to health authority clinical trial controlled clinical trial controlled study female health care quality human pregnancy psychological aspect LANGUAGE OF ARTICLE English MEDLINE PMID 7892802 (http://www.ncbi.nlm.nih.gov/pubmed/7892802) PUI L125042671 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 402 TITLE Are fathers prepared to encourage their partners to breast feed? A study about fathers' knowledge of breast feeding AUTHOR NAMES Giugliani E.R.J. Bronner Y. Caiaffa W.T. Vogelhut J. Witter F.R. Perman J.A. AUTHOR ADDRESSES (Giugliani E.R.J.; Bronner Y.; Caiaffa W.T.; Vogelhut J.; Witter F.R.; Perman J.A.) Hosp. Clinicas Dept. de Pediatria, Rua Ramiro Barcelos, 2350 10o andar, 90035-003 Porto Alegre, RS, Brazil. CORRESPONDENCE ADDRESS E.R.J. Giugliani, Hosp. Clinicas Dept. de Pediatria, Rua Ramiro Barcelos, 2350 10o andar, 90035-003 Porto Alegre, RS, Brazil. SOURCE Acta Paediatrica, International Journal of Paediatrics (1994) 83:11 (1127-1131). Date of Publication: 1994 ISSN 0803-5253 BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT In order to study fathers' knowledge of breast feeding and its relationship with paternal factors, fathers of 92 breast feeding and 89 non-breast feeding newborns were compared. Paternal factors included previous children and the way they were fed, participation in prenatal care, attendance at prenatal classes, breast feeding information provided by health professionals, use of reading materials and interest in learning more about the subject. The results indicated that fathers had poor knowledge about breast feeding, especially those whose children were being bottle fed. After adjustments for confounders, fathers who had previous breast-fed child(ren), had attended prenatal classes and who received information about breast feeding from medical personnel had a significantly higher chance of having a better knowledge of breast feeding. It seems that fathers need to be better prepared to assume their new role as breast feeding supporters. Prenatal care was shown to be a good opportunity to improve fathers' knowledge of breast feeding. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding EMTREE MEDICAL INDEX TERMS article family father human newborn priority journal EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1994350001 MEDLINE PMID 7841723 (http://www.ncbi.nlm.nih.gov/pubmed/7841723) PUI L24348077 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 403 TITLE Effect of breastfeeding support from different sources on mothers' decisions to breastfeed. AUTHOR NAMES Giugliani E.R. Caiaffa W.T. Vogelhut J. Witter F.R. Perman J.A. AUTHOR ADDRESSES (Giugliani E.R.; Caiaffa W.T.; Vogelhut J.; Witter F.R.; Perman J.A.) CORRESPONDENCE ADDRESS E.R. Giugliani, SOURCE Journal of human lactation : official journal of International Lactation Consultant Association (1994) 10:3 (157-161). Date of Publication: Sep 1994 ISSN 0890-3344 ABSTRACT A cross-sectional study compared 100 breastfeeding and 100 non-breastfeeding new mothers in order to investigate the relationship between mothers' choice of breastfeeding and support from health professionals and lay people, taking into account potentially confounding sociodemographic influences. The importance of the male partners' opinion about breastfeeding was also examined. A favorable attitude of partners towards breastfeeding was the most important factor associated with breastfeeding (odds ratio = 32.8). Prenatal class attendance and breastfeeding support from lay people increased the odds of breastfeeding 2.7 and 3.3 times, respectively. Breastfeeding orientation provided by doctors, nurses, and nutritionists was not associated with the maternal decision to breastfeed. The results point toward the need for reevaluation of prenatal care interventions, inclusion of fathers in breastfeeding educational programs, and emphasis on community-based programs. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding decision making mother social support EMTREE MEDICAL INDEX TERMS adult article attitude to health case control study comparative study cross-sectional study female human psychological aspect LANGUAGE OF ARTICLE English MEDLINE PMID 7619265 (http://www.ncbi.nlm.nih.gov/pubmed/7619265) PUI L125092895 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 404 TITLE Postpartum depression: how much do obstetric nurses and obstetricians know? AUTHOR NAMES Lepper H.S. DiMatteo M.R. Tinsley B.J. AUTHOR ADDRESSES (Lepper H.S.; DiMatteo M.R.; Tinsley B.J.) CORRESPONDENCE ADDRESS H.S. Lepper, SOURCE Birth (Berkeley, Calif.) (1994) 21:3 (149-154). Date of Publication: Sep 1994 ISSN 0730-7659 ABSTRACT Postpartum depression affects 10 to 15 percent of all mothers. A study of 725 obstetric nurses and 204 obstetricians was conducted using a reliable two-factor scale to measure their knowledge and awareness of postpartum depression. Nurses were more aware than physicians of the emotional impact of postpartum depression. Nurses who demonstrated more empathy and who believed education of postpartum depression does not increase a mother's risk were more aware of the postpartum phenomenon than nurses who were less empathic and who did not hold the same belief. Younger and women physicians recognized the psychosocial antecedents to postpartum depression to a greater degree than did older and men physicians. These findings offer potential use in the training of perinatal health care professionals and in the education of pregnant women about postpartum depression. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health depression (epidemiology) nurse obstetrical nursing obstetrics physician puerperal disorder (epidemiology) EMTREE MEDICAL INDEX TERMS adult article education empathy female human male middle aged pregnancy psychological aspect risk factor LANGUAGE OF ARTICLE English MEDLINE PMID 7857457 (http://www.ncbi.nlm.nih.gov/pubmed/7857457) PUI L125031093 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 405 TITLE Parent-infant interaction during perinatal addiction treatment. AUTHOR NAMES Nardi D.A. AUTHOR ADDRESSES (Nardi D.A.) CORRESPONDENCE ADDRESS D.A. Nardi, SOURCE Issues in comprehensive pediatric nursing (1994) 17:3 (161-175). Date of Publication: 1994 Jul-Sep ISSN 0146-0862 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) mother child relation withdrawal syndrome EMTREE MEDICAL INDEX TERMS adult article chi square distribution female human male newborn nursing nursing methodology research psychological aspect single parent LANGUAGE OF ARTICLE English MEDLINE PMID 7759321 (http://www.ncbi.nlm.nih.gov/pubmed/7759321) PUI L125071105 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 406 TITLE The interaction between prenatal stress and neonatal handling on nociceptive response latencies in male and female rats AUTHOR NAMES Smythe J.W. McCormick C.M. Rochford J. Meaney M.J. AUTHOR ADDRESSES (Smythe J.W.; McCormick C.M.; Rochford J.; Meaney M.J.) Developmental Neuroendocrinology Laboratory, Douglas Hospital Research Centre, McGill University, 6875 LaSalle Blvd., Montreal, Que. H4H 1R3, Canada. (McCormick C.M.) Department of Psychology, Bates College, Lewiston, ME 04240, United States. (Smythe J.W.) Douglas Hospital Research Center, 6875 LaSalle Blvd., Montreal, Que. H4H 1R3, Canada. CORRESPONDENCE ADDRESS J.W. Smythe, Douglas Hospital Research Center, Developm. Neuroendocrinology Lab., McGill University, Dept. Psychiatry, 6875 LaSalle Blvd., Montreal, Que. H4H 1R3, Canada. SOURCE Physiology and Behavior (1994) 55:5 (971-974). Date of Publication: 1994 ISSN 0031-9384 BOOK PUBLISHER Elsevier Inc., 360 Park Avenue South, New York, United States. ABSTRACT 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 handeled. Handling consisted of 15 min of separation from the dam, once per day, from postnatal day 1-14. At 4 months of age, rats were placed on a 50°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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) fetus development nociception stress EMTREE MEDICAL INDEX TERMS animal experiment article controlled study female fetus male newborn nonhuman priority journal rat sex difference EMBASE CLASSIFICATIONS Physiology (2) Endocrinology (3) Developmental Biology and Teratology (21) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1994128082 MEDLINE PMID 8022921 (http://www.ncbi.nlm.nih.gov/pubmed/8022921) PUI L24133818 DOI 10.1016/0031-9384(94)90089-2 FULL TEXT LINK http://dx.doi.org/10.1016/0031-9384(94)90089-2 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 407 TITLE Effects of clarification of support expectations in prenatal couples. AUTHOR NAMES Coffman S. Levitt M.J. Brown L. AUTHOR ADDRESSES (Coffman S.; Levitt M.J.; Brown L.) College of Nursing, Florida Atlantic University, Boca Raton. CORRESPONDENCE ADDRESS S. Coffman, College of Nursing, Florida Atlantic University, Boca Raton. SOURCE Nursing research (1994) 43:2 (111-116). Date of Publication: 1994 Mar-Apr ISSN 0029-6562 ABSTRACT The purpose of this study was to test a theoretical model of confirmation of expectations for mutual support after childbirth and to evaluate an intervention given in prenatal classes during which prospective parents clarified their expectations. Results provided support for the proposed model in that parents with greater confirmation of expectations were found to have more positive relationship satisfaction, emotional affect, and parenting attitudes. Differences in men and women emerged that demonstrated that confirmation of support expectations was more important to women, while the level of support actually received was more important to men. The prenatal class intervention did not significantly affect parent outcomes. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) labor marriage parent prenatal care social support EMTREE MEDICAL INDEX TERMS adult article clinical trial comparative study controlled clinical trial controlled study education female human male pregnancy psychologic test psychological aspect psychological model puerperium randomized controlled trial sex ratio statistics LANGUAGE OF ARTICLE English MEDLINE PMID 8152935 (http://www.ncbi.nlm.nih.gov/pubmed/8152935) PUI L24883171 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 408 TITLE An evaluation of consumer perspectives of childbirth and parenting education. AUTHOR NAMES O'Meara C. AUTHOR ADDRESSES (O'Meara C.) CORRESPONDENCE ADDRESS C. O'Meara, SOURCE Midwifery (1993) 9:4 (210-219). Date of Publication: Dec 1993 ISSN 0266-6138 ABSTRACT As part of a study of childbirth and parenting education in the Australian Capital Territory (O'Meara, 1993a; 1993b) an evaluation of clients' views of the service was undertaken. The evaluation sought to identify indicators of effectiveness and needs. Two independent groups (current and past users, n = 207) were surveyed using an original questionnaire based on predisposing, reinforcing and enabling factors for human behaviour (Green's PRECEDE model). The data were compared and analysed using the related t-test for indicative differences in perceptions of the two groups. Indicative differences that were statistically significant were compared on variables representing users' age, parity and preferred mode of childbirth education (public or private). No evidence was found of significant differences in attitudes, beliefs and values before and after birth attributable to childbirth education. However, the health skills, confidence and emotional preparation for the birth, and the extent of participation in the learning process did not fully measure up to users' expectations. Consumers expect professionalism in the provision of services, with course content specifically tailored to their learning needs, taking into account age and previous experience of childbirth. A comprehensive curriculum is suggested covering all stages of the childbirth process from prepregnancy to parenting. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation labor mother patient education patient satisfaction EMTREE MEDICAL INDEX TERMS adult article education female human pregnancy psychological aspect questionnaire LANGUAGE OF ARTICLE English MEDLINE PMID 8283953 (http://www.ncbi.nlm.nih.gov/pubmed/8283953) PUI L24852342 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 409 TITLE Effect of expectant mothers' feeding plan on prediction of fathers' attitudes regarding breast-feeding AUTHOR NAMES Freed G.L. Fraley J.K. AUTHOR ADDRESSES (Freed G.L.; Fraley J.K.) Sheps Center for Health Svcs. Res., University of North Carolina, CB 7590, Chapel Hill, NC 27599-7590, United States. CORRESPONDENCE ADDRESS G.L. Freed, Sheps Center for Health Svcs. Res., University of North Carolina, CB 7590, Chapel Hill, NC 27599-7590, United States. SOURCE American Journal of Perinatology (1993) 10:4 (300-303). Date of Publication: 1993 ISSN 0735-1631 BOOK PUBLISHER Thieme Medical Publishers, Inc., 333 7th Avenue, New York, United States. ABSTRACT A mother's perception of the father's attitude toward breast-feeding may strongly influence her prenatal choice of infant feeding method; however, research has demonstrated that women do little better than chance in predicting these attitudes. This study sought to determine if differential perceptions of fathers' attitudes regarding breast-feeding existed between women who had made a prenatal decision to breast- or formula-feed their children. The 268 expectant mothers in prenatal classes completed a self- administered questionnaire. Chi-square analysis was performed to determine the significance of the association between maternal attitudes toward breast- feeding and intended feeding plan (breast or formula) and each predicted paternal attitudinal variable. The majority of subjects were white (80%) and married (95%). Seventy percent planned exclusive breast-feeding, and 68% felt the baby's father wanted them to breast-feed. Mothers who planned breast- feeding were more knowledgeable of its benefits, had more favorable perceptions, and were more likely to predict positive attitudes of fathers toward breast-feeding than those who planned formula feeding. Women who planned formula feeding predicted less positive paternal attitudes regarding breast-feeding; this perception (whether correct or incorrect) likely impacted on their choice of infant feeding method. More time should be devoted in prenatal classes and prenatal physician visits to breast-feeding education for mothers and fathers. Active encouragement of paternal participation in breast-feeding classes, usually directed toward women only, would foster understanding of the benefits of breast-feeding and the support fathers can provide. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding parental behavior EMTREE MEDICAL INDEX TERMS article child nutrition female human human experiment prediction priority journal statistical analysis EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1993208738 MEDLINE PMID 8397567 (http://www.ncbi.nlm.nih.gov/pubmed/8397567) PUI L23208724 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 410 TITLE Paternal perspectives of the childbirth experience. AUTHOR NAMES Nichols M.R. AUTHOR ADDRESSES (Nichols M.R.) School of Nursing, Georgetown University, Washington, DC. CORRESPONDENCE ADDRESS M.R. Nichols, School of Nursing, Georgetown University, Washington, DC. SOURCE Maternal-child nursing journal (1993) 21:3 (99-108). Date of Publication: 1993 Jul-Sep ISSN 0090-0702 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude to health father labor EMTREE MEDICAL INDEX TERMS adult article cooperation education educational status female human interpersonal communication male middle aged nursing methodology research paternal behavior pregnancy psychological aspect role playing self concept social support LANGUAGE OF ARTICLE English MEDLINE PMID 8264253 (http://www.ncbi.nlm.nih.gov/pubmed/8264253) PUI L24844094 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 411 TITLE The role of childbirth in smoking cessation AUTHOR NAMES Brenner H. Mielck A. AUTHOR ADDRESSES (Brenner H.; Mielck A.) Unit of Epidemiology, University of Ulm, Am Hochstrasse 8, D-7900 Ulm, Germany. CORRESPONDENCE ADDRESS H. Brenner, Unit of Epidemiology, University of Ulm, Am Hochstrasse 8, D-7900 Ulm, Germany. SOURCE Preventive Medicine (1993) 22:2 (225-236). Date of Publication: 1993 ISSN 0091-7435 BOOK PUBLISHER Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States. ABSTRACT Background. Many women abstain from smoking during pregnancy, but relapse rates in the first year postpartum are high. The impact of childbirth on long-term abstinence from smoking is unknown for both women and men. Methods. We assessed the impact of childbirth on long-term abstinence from smoking (minimum: 17 months, much longer in most cases) in a retrospective cohort analysis of 925 women and 1,494 men who were interviewed in 1984 to 1986 in the national baseline survey of the German Cardiovascular Prevention Study. Results. Among women, smoking cessation rates resulting in long-term abstinence were about three times higher during the year of childbirth and the year before than in other years (adjusted rate ratio, 2.98; 95% confidence interval, 2.21-4.03). Childbirth was also associated with increased cessation rates among better educated men (adjusted rate ratio for this subgroup, 1.84; 95% confidence interval, 1.16-2.92), but not among less educated men. Nevertheless, childbirth led to long-term abstinence from smoking only in a small minority of smoking mothers and fathers. Conclusion. Despite increased cessation rates around childbirth, more effective measures are needed to promote sustained abstinence after childbirth among both parents. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) smoking cessation EMTREE MEDICAL INDEX TERMS adult aged article childbirth education female human male pregnancy priority journal retrospective study statistical analysis EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1993150680 MEDLINE PMID 8483861 (http://www.ncbi.nlm.nih.gov/pubmed/8483861) PUI L23150666 DOI 10.1006/pmed.1993.1019 FULL TEXT LINK http://dx.doi.org/10.1006/pmed.1993.1019 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 412 TITLE Childbirth and parenting education--the providers' viewpoint. AUTHOR NAMES O'Meara C.M. AUTHOR ADDRESSES (O'Meara C.M.) CORRESPONDENCE ADDRESS C.M. O'Meara, SOURCE Midwifery (1993) 9:2 (76-84). Date of Publication: Jun 1993 ISSN 0266-6138 ABSTRACT As part of a study of childbirth and parenting education programmes in the Australian Capital Territory (ACT) service providers were surveyed for information on educational and administrative aspects of the service. Semi-structured interviews were conducted with representatives of both public (hospital-based) and private sector agencies. The survey was structured in a management problem-solving framework to gather data on educational strategies and administrative and organisational factors. This approach provided a coherent view of what health educators in childbirth education were doing and why, and identified needs that could be related to information about programme effectiveness gained from a parallel literature review (O'Meara, 1993) and a survey of client consumers. The study found that the organisation of childbirth and parenting education has not developed professionally in line with other health care services. Goals and objectives are ill-defined, and planning and co-ordination are inadequate for an integrated maternal health care system. Its main resource is a body of highly motivated teachers. Several recommendations are made for measures to enhance service effectiveness, based on needs identified in the study. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health personnel attitude labor parent patient education EMTREE MEDICAL INDEX TERMS adult article education female health service human middle aged organization and management pregnancy questionnaire standard LANGUAGE OF ARTICLE English MEDLINE PMID 8332095 (http://www.ncbi.nlm.nih.gov/pubmed/8332095) PUI L23905190 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 413 TITLE Screening and prenatal diagnosis of the haemoglobinopathies AUTHOR NAMES Cao A. Rosatelli M.C. AUTHOR ADDRESSES (Cao A.; Rosatelli M.C.) SOURCE Bailliere's Clinical Haematology (1993) 6:1 (263-286). Date of Publication: 1993 ISSN 0950-3536 BOOK PUBLISHER Bailliere Tindall Ltd, 32 Jamestown Road, London, United Kingdom. ABSTRACT In this paper we have reviewed the social and technical aspects of carrier screening and prenatal diagnosis of the inherited haemoglobinopathies. The characteristics of programmes based on carrier screening and prenatal diagnosis ongoing in a number of at-risk Mediterranean populations have been described. The most relevant and common aspects of these programmes are the continuous educational campaign directed to the population at large, the voluntary basis and non-directive counselling. The target population has been most commonly couples before or after marriage. The vast majority of couples counselled accepted prenatal diagnosis. All programmes have encountered a high degree of success as indicated by the marked reduction in the birth rate of infants with thalassaemia major. No significant adverse effects have been reported. A programme with similar characteristics and for which the preliminary results are encouraging, is operating for sickle cell anaemia in the Cuban population. In a population with high frequency of hydrops fetalis, screening for deletion α-thalassaemia is recommended to prevent the negative effects on a pregnant woman of the presence of an hydropic fetus. Thalassaemia carrier screening is now carried out by automatic red cell indices and HbA(2) determination. Definition of atypical cases may require iron studies, globin chain synthesis determination and/or α, β and δ-globin gene analysis. Identification of the carrier state is followed by definition of the mutation on enzymatically amplified DNA. Known mutations may be detected by restriction endonuclease analysis, nondenaturing polyacrylamide gel electrophoresis, allele-specific primers or allele-specific probes. The most promising procedures, which are also amenable to complete automation are reverse oligonucleotide hybridization and primer-specific amplification. Unknown mutations are defined by denaturing gradient gel electrophoresis, single-strand conformation polymorphism analysis, and chemical mismatch cleavage analysis followed by direct sequencing. The same methods on enzymatically amplified chorionic villus DNA are used for prenatal diagnosis. The potential pitfall resulting from maternal contamination can be avoided by careful dissection of the maternal decidua from the chorion and by the simultaneous amplification of a suitable polymorphism. EMTREE DRUG INDEX TERMS hemoglobin alpha chain (endogenous compound) hemoglobin beta chain (endogenous compound) hemoglobin gamma chain (endogenous compound) restriction endonuclease EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) hemoglobinopathy (congenital disorder, diagnosis) prenatal diagnosis screening EMTREE MEDICAL INDEX TERMS alpha thalassemia (congenital disorder, diagnosis) beta thalassemia (diagnosis, epidemiology) disease control disease severity DNA determination dot hybridization fetus hydrops (complication) gel electrophoresis gene amplification gene mutation genetic analysis genetic counseling heterozygote detection human molecular biology phenotype prediction review sickle cell anemia (congenital disorder, diagnosis, prevention) social aspect thalassemia major (congenital disorder, diagnosis, prevention) EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Human Genetics (22) Hematology (25) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1993144114 MEDLINE PMID 8394756 (http://www.ncbi.nlm.nih.gov/pubmed/8394756) PUI L23144100 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 414 TITLE Perinatal education for parents of high-risk infants. AUTHOR NAMES Gennaro S. AUTHOR ADDRESSES (Gennaro S.) CORRESPONDENCE ADDRESS S. Gennaro, SOURCE AWHONN's clinical issues in perinatal and women's health nursing (1993) 4:1 (147-157). Date of Publication: 1993 ISSN 1066-3614 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) low birth weight parent prematurity prenatal care EMTREE MEDICAL INDEX TERMS child care child development education female human male methodology newborn pregnancy preschool child review risk factor teaching LANGUAGE OF ARTICLE English MEDLINE PMID 8472045 (http://www.ncbi.nlm.nih.gov/pubmed/8472045) PUI L23887712 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 415 TITLE A diagnostic model for the evaluation of childbirth and parenting education. AUTHOR NAMES O'Meara C.M. AUTHOR ADDRESSES (O'Meara C.M.) CORRESPONDENCE ADDRESS C.M. O'Meara, SOURCE Midwifery (1993) 9:1 (28-34). Date of Publication: Mar 1993 ISSN 0266-6138 ABSTRACT A research study examined current issues in childbirth and parenting education in the Australian Capital Territory (ACT). In this article continuing official scepticism about the effectiveness of these programmes, despite evidence of consumer satisfaction and commitment from service providers, is noted. A critical review of the literature reveals the absence of a systematic framework for evaluation of childbirth education programmes. A framework which incorporates a methodology for health education planning and evaluation in a management context is proposed as a means of overcoming this deficiency. This framework enables a focus on the effectiveness of these health services from the perspective of both clients and providers, and identification of strategic measures for improving programme delivery and educational outcomes. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) model nursing evaluation research patient education prenatal care EMTREE MEDICAL INDEX TERMS article female health service human organization and management pregnancy standard LANGUAGE OF ARTICLE English MEDLINE PMID 8492728 (http://www.ncbi.nlm.nih.gov/pubmed/8492728) PUI L23896420 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 416 TITLE Development of an instrument to study the sexual relationship of partners during pregnancy. AUTHOR NAMES Barclay L. Bond M. Clark M. AUTHOR ADDRESSES (Barclay L.; Bond M.; Clark M.) CORRESPONDENCE ADDRESS L. Barclay, SOURCE The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation (1992) 10:2 (14-21). Date of Publication: 1992 Dec-1993 Feb ISSN 0813-0531 ABSTRACT The development of an objective self-report instrument designed to identify the domain of sexual behaviours during pregnancy is described. The Pregnancy and Sexuality Questionnaire (PSQ) is concerned with sexual interest and arousal and with specific sexual behaviours of partners in a stable heterosexual relationship. Data were obtained two weeks apart from 15 couples presenting to an antenatal class and from two additional females whose partners did not participate. The validity and reliability of the PSQ are considered with particular emphasis on test-retest reliability. The results in general support the reliability of the instrument. The questionable reliability of some items is attributed to the natural sequence of change in sexual behaviours during pregnancy and to the relatively small sample size used. The PSQ appears to be sufficiently robust to be confidently applied both in sexual behaviour research and as an adjunct to clinical practice. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) pregnancy sexual behavior sexuality EMTREE MEDICAL INDEX TERMS adult article female human male psychological aspect questionnaire reproducibility LANGUAGE OF ARTICLE English MEDLINE PMID 1341198 (http://www.ncbi.nlm.nih.gov/pubmed/1341198) PUI L24846208 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 417 TITLE Nursing role supplementation for adolescent parents: prescriptive nursing practice. AUTHOR NAMES Clarke B.A. Strauss S.S. AUTHOR ADDRESSES (Clarke B.A.; Strauss S.S.) CORRESPONDENCE ADDRESS B.A. Clarke, SOURCE Journal of pediatric nursing (1992) 7:5 (312-318). Date of Publication: Oct 1992 ISSN 0882-5963 ABSTRACT Role supplementation interventions were developed to support role taking in parenting and health decision-making for adolescent parents. The prescriptive nursing interventions provided during prenatal, well child, and home visits during the first 2 years of the child's life are based on role supplementation theory. Strategies derived from role theory are integrated with assessment and intervention activities. Adolescents receive role supplementation from a primary nurse who continues to see them and their infants over the 2-year period. The role supplementation intervention is currently being tested in a longitudinal research project. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child psychology mental stress parent pediatric nursing role playing EMTREE MEDICAL INDEX TERMS adolescent article decision making human methodology model nursing psychological aspect LANGUAGE OF ARTICLE English MEDLINE PMID 1479549 (http://www.ncbi.nlm.nih.gov/pubmed/1479549) PUI L23859630 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 418 TITLE Changes in father-infant bonding beliefs across couples' first transition to parenthood. AUTHOR NAMES Palkovitz R. AUTHOR ADDRESSES (Palkovitz R.) CORRESPONDENCE ADDRESS R. Palkovitz, SOURCE Maternal-child nursing journal (1992) 20:3-4 (141-154). Date of Publication: 1992 Fall-Winter ISSN 0090-0702 ABSTRACT Thirty-five couples expecting their first child served as subjects in a study of changes in beliefs concerning father-infant bonding experienced by individuals and couples across the transition to parenthood. Through a series of open-ended interviews and structured questionnaire measures, it was determined that the typical first-time father and mother undergo significant drops in their beliefs about the importance of father-infant bonding across their first transition to parenthood. Regression analyses were employed to construct models predictive of changes in parents' father-infant bonding beliefs. Results indicate that both prenatal beliefs and circumstances of the delivery predict changes in parents' father-infant bonding beliefs. Implications for childbirth educators, delivery staff, and parent support providers are discussed. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude father child relation object relation parent pregnancy EMTREE MEDICAL INDEX TERMS adult article female forecasting human male newborn newborn nursing nursing methodology research obstetric delivery prenatal care psychological aspect psychological model regression analysis standard time LANGUAGE OF ARTICLE English MEDLINE PMID 1301478 (http://www.ncbi.nlm.nih.gov/pubmed/1301478) PUI L23892513 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 419 TITLE School-based prenatal and postpartum care: strategies for meeting the medical and educational needs of pregnant and parenting students. AUTHOR NAMES Stevens-Simon C. Beach R.K. AUTHOR ADDRESSES (Stevens-Simon C.; Beach R.K.) Division of Adolescent Medicine, University of Colorado Health Science Center, Children's Hospital, Denver 80218. CORRESPONDENCE ADDRESS C. Stevens-Simon, Division of Adolescent Medicine, University of Colorado Health Science Center, Children's Hospital, Denver 80218. SOURCE The Journal of school health (1992) 62:7 (304-309). Date of Publication: Sep 1992 ISSN 0022-4391 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adolescent pregnancy postnatal care prenatal care school health service EMTREE MEDICAL INDEX TERMS adolescent child parent relation education female health services research human male pregnancy review LANGUAGE OF ARTICLE English MEDLINE PMID 1434558 (http://www.ncbi.nlm.nih.gov/pubmed/1434558) PUI L22985968 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 420 TITLE Attitudes of expectant fathers regarding breast-feeding AUTHOR NAMES Freed G.L. Fraley J.K. Schanler R.J. AUTHOR ADDRESSES (Freed G.L.; Fraley J.K.; Schanler R.J.) R.W. Johnson Clinical Scholars Prog., University of North Carolina, CB 7105, Chapel Hill, NC 27599-7105, United States. CORRESPONDENCE ADDRESS G.L. Freed, R.W. Johnson Clinical Scholars Prog., University of North Carolina, CB 7105, Chapel Hill, NC 27599-7105, United States. SOURCE Pediatrics (1992) 90:2 (224-227). Date of Publication: 1992 ISSN 0031-4005 BOOK PUBLISHER American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk Grove Village, United States. ABSTRACT Fathers participate in choosing the feeding method for their newborns. However they traditionally have not been included in most breast-feeding education programs. To examine expectant fathers' attitudes and knowledge regarding breast-feeding, we surveyed 268 men during the first session of their childbirth education classes at five private hospitals in Houston, Texas. The study population was 81% white, 8% black, and 6% hispanic. Ninety- seven percent (n = 259) of the total were married. Fifty-eight percent (n = 156) reported that their spouses planned to breast-feed exclusively; several significant differences existed between these men and those who reported plans for exclusive formula feeding. The breast-feeding group was more likely to believe breast-feeding is better for the baby (96% vs 62%; P < .0001), helps with infant bonding (92% vs 53%; P < .0001), and protects the infant from disease (79% vs 47% P < .001). The breast-feeding group was also more likely to want their partner to breast-feed (90% vs 13%; P < .0001) and to have respect for breast-feeding women (57% vs 16%; P < .0001). Conversely, those in the formula feeding group were more likely to think breast-feeding is bad for breasts (52% vs 22%; P < .01), makes breasts ugly (44% vs 23%; P < .05), and interferes with sex (72% vs 24%; P < .0001). The majority of both groups indicated breast-feeding was not acceptable in public (breast-feeding = 71%, formula feeding = 78%, P < .05). These data demonstrate misperceptions and a lack of education regarding breast-feeding in the formula feeding group and a lack of public acceptance in both groups. We conclude that fathers must be included in breast-feeding education programs. Confrontation of myths and misperceptions prenatally may help to overcome obstacles to the initiation of breast-feeding and to provide greater familial support for nursing mothers. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding father EMTREE MEDICAL INDEX TERMS article artificial milk education program human learning male normal human patient attitude patient education priority journal private hospital United States EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1992238929 MEDLINE PMID 1641286 (http://www.ncbi.nlm.nih.gov/pubmed/1641286) PUI L22238928 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 421 TITLE Home visitation for pregnant women and parents of young children AUTHOR NAMES Olds D.L. AUTHOR ADDRESSES (Olds D.L.) Department of Pediatrics, Rochester University Medical Center, Box HWH, 601 Elmwood Ave, Rochester, NY 14642, United States. CORRESPONDENCE ADDRESS D.L. Olds, Department of Pediatrics, Rochester University Medical Center, Box HWH, 601 Elmwood Ave, Rochester, NY 14642, United States. SOURCE American Journal of Diseases of Children (1992) 146:6 (704-708). Date of Publication: 1992 ISSN 0002-922X BOOK PUBLISHER American Medical Association, 515 North State Street, Chicago, United States. ABSTRACT Many of the most pervasive, intractable, and costly problems faced by high-risk women and young children in our society today are a consequence of adverse maternal health-related behaviors (such as cigarette smoking, drinking, and drug use during pregnancy), dysfunctional infant care giving, and stressful environmental conditions that interfere with individual and family functioning. These problems include low birth weight, child abuse and neglect, childhood injuries, unintended and closely spaced pregnancy, and reduced economic self-sufficiency on the part of parents. Evidence is accumulating that these problems can be reduced with comprehensive programs of prenatal and infancy home visitation by nurses. While we are witnessing a renaissance of interest in home visitation as a means of addressing these problems, the recommendations of various health and human service advisory groups about the structure of proposed home-visitation initiatives are uncoordinated and frequently inconsistent with the empirical evidence. Home visitation is a promising strategy, but only when the program meets certain standards. The more successful programs contain the following: (1) a focus on families at greater need for the service, (2) the use of nurses who begin during pregnancy and follow the family at least through the second year of the child's life, (3) the promotion of positive health-related behaviors and qualities of infant care giving, and (4) provisions to reduce family stress by improving the social and physical environments in which families live. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health program home care EMTREE MEDICAL INDEX TERMS adolescent adolescent pregnancy adult article child abuse economic aspect family life female health care policy health promotion health service high risk population human lowest income group normal human nurse parental behavior priority journal rural area single parent EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) Health Policy, Economics and Management (36) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1992198708 MEDLINE PMID 1375807 (http://www.ncbi.nlm.nih.gov/pubmed/1375807) PUI L22198707 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 422 TITLE A comparison of social support variables between women who intend to breast or bottle feed AUTHOR NAMES Matich J.R. Sims L.S. AUTHOR ADDRESSES (Matich J.R.; Sims L.S.) Nutrition Department, Coll of Health and Human Development, The Pennsylvania State University, University Park, PA 16802, United States. CORRESPONDENCE ADDRESS J.R. Matich, Nutrition Department, Coll of Health and Human Development, The Pennsylvania State University, University Park, PA 16802, United States. SOURCE Social Science and Medicine (1992) 34:8 (919-927). Date of Publication: 1992 ISSN 0277-9536 BOOK PUBLISHER Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom. ABSTRACT Social support has been identified as an important element for encouragement and success of lactation. The sources, types and amounts of perceived social support were determined for women during their third trimester of pregnancy and at four weeks of postpartum breastfeeding. Differences in social support were reported for women who stated an intention to breastfeed and those who planned to bottle feed. The tangible, emotional and informational functions of social support were measured as aggregate values across support sources. Tangible and emotional support were not significantly different between intended breast or bottle feeders. However informational support was higher for women who intended to breastfeed compared to those who intended to bottle feed. Mean scores were then analyzed for specific individuals who might provide support. The baby's father was a more important source of tangible support for intended breastfeeders. Intended breastfeeders also indicated they received more emotional and informational support from the baby's father and prenatal classes. Tangible, emotional and information support did not change pre- and postnatally for women who breastfed. However, certain sources did provide more support postnatally. Finally, predictors such as level of education, a belief that breastfeeding was better for health and emotional closeness, fewer children, moderate tangible and emotional support and more informational support were identified for women who intended to breastfeed. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) bottle feeding breast feeding EMTREE MEDICAL INDEX TERMS adult article family female health education human human relation lactation normal human puerperium third trimester pregnancy EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1992141295 MEDLINE PMID 1604381 (http://www.ncbi.nlm.nih.gov/pubmed/1604381) PUI L22141294 DOI 10.1016/0277-9536(92)90260-W FULL TEXT LINK http://dx.doi.org/10.1016/0277-9536(92)90260-W COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 423 TITLE Evaluation of an antenatal education programme: Characteristics of attenders, changes in knowledge and satisfaction of participants AUTHOR NAMES Redman S. Oak S. Booth P. Jensen J. Saxton A. AUTHOR ADDRESSES (Redman S.; Oak S.; Booth P.; Jensen J.; Saxton A.) Behavioural Science in Relation to Medicine, Faculty of Medicine, University of Newcastle, NSW 2308 CORRESPONDENCE ADDRESS Behavioural Science in Relation to Medicine, Faculty of Medicine, University of Newcastle, NSW 2308 SOURCE Australian and New Zealand Journal of Obstetrics and Gynaecology (1991) 31:4 (310-316). Date of Publication: 1991 ISSN 0004-8666 BOOK PUBLISHER Blackwell Publishing, 550 Swanston Street, Carlton South, Australia. ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) education program prenatal period EMTREE MEDICAL INDEX TERMS article Australia breast feeding community education female human marriage maternal age patient satisfaction prenatal care priority journal private health insurance smoking EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1991346125 MEDLINE PMID 1799341 (http://www.ncbi.nlm.nih.gov/pubmed/1799341) PUI L21345431 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 424 TITLE A randomized study of two methods of teaching perineal massage: effects on practice rates, episiotomy rates, and lacerations. AUTHOR NAMES Mynaugh P.A. AUTHOR ADDRESSES (Mynaugh P.A.) CORRESPONDENCE ADDRESS P.A. Mynaugh, SOURCE Birth (Berkeley, Calif.) (1991) 18:3 (153-159). Date of Publication: Sep 1991 ISSN 0730-7659 ABSTRACT This study examined the effects of two methods of teaching perineal massage on the rates of practice of perineal massage, of episiotomy, and of lacerations in primiparas at birth. Couples in 20 randomly selected sections of four prenatal class series received routine printed and verbal instruction and a 12-minute video demonstration of perineal massage, or only the routine printed and verbal instruction. Women reported their practice rates in daily diary records, which were mailed to the researcher weekly. Hospital records provided delivery data. Of the 83 women, 23 (28%) practiced perineal massage: 16 (35.6%) in the experimental group, 7 (18.4%) controls. Even though the rate of practice almost doubled among experimental group women, the videotape instruction method was statistically nonsignificant. Episiotomy and laceration rates were not affected by teaching method. More severe lacerations occurred among the experimental group; however, the control group had almost four times as many severe (21%) as minor (5.3%) lacerations. The experimental group had twice as many severe (28.9%) as minor (13.3%) lacerations. These results were also nonsignificant. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) massage patient education perineum prenatal care EMTREE MEDICAL INDEX TERMS adult article clinical trial episiotomy female human methodology penetrating trauma (epidemiology) pregnancy randomized controlled trial standard statistics videorecording LANGUAGE OF ARTICLE English MEDLINE PMID 1930444 (http://www.ncbi.nlm.nih.gov/pubmed/1930444) PUI L21877996 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 425 TITLE Maternal glucocorticoid therapy and reduced risk of bronchopulmonary dysplasia AUTHOR NAMES Van Marter L.J. Leviton A. Kuban K.C.K. Pagano M. Allred E.N. AUTHOR ADDRESSES (Van Marter L.J.; Leviton A.; Kuban K.C.K.; Pagano M.; Allred E.N.) Joint Program in Neonatology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, United States. CORRESPONDENCE ADDRESS L.J. Van Marter, Joint Program in Neonatology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, United States. SOURCE Pediatrics (1990) 86:3 (331-336). Date of Publication: 1990 ISSN 0031-4005 BOOK PUBLISHER American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk Grove Village, United States. ABSTRACT Because of substantial clinical and laboratory evidence of the efficacy of glucocorticoids in the treatment of acute pulmonary surfactant deficiency in preterm newborns, we explored the hypothesis that maternal antenatal glucocorticoid receipt is followed by reduced risk of bronchopulmonary dysplasia (BPD). A sample of 223 intubated infants weighing less than 1751 g birth weight provided 76 infants with BPD (defined by both oxygen requirement and compatible chest radiograph) and 147 who had neither BPD characteristic by day 28 of life. When compared to babies who received a complete and timely course of antenatal glucocorticoids, those whose mothers received no glucocorticoids were at prominently increased risk of BPD (odds ratio = 3.0; 95% confidence interval = 1.1, 8.2). Babies whose mothers received a partial course of glucocorticoids were not at increased risk of BPD (odds ratio = 1.3; 95% confidence interval = 0.4, 4.3). Stratification by gender and birth weight at 1 kg showed a benefit of therapy in all strata except that of extremely low birth weight male infants. These data support the hypothesis that maternal antenatal glucocorticoid therapy offers very low birth weight infants protection against BPD. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) glucocorticoid (clinical trial, drug therapy) EMTREE DRUG INDEX TERMS betamethasone dexamethasone EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) lung dysplasia (prevention) EMTREE MEDICAL INDEX TERMS article birth weight controlled study drug efficacy female fetus human major clinical study male maternal treatment newborn priority journal sex difference very low birth weight CAS REGISTRY NUMBERS betamethasone (378-44-9) dexamethasone (50-02-2) EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) Chest Diseases, Thoracic Surgery and Tuberculosis (15) Drug Literature Index (37) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1990340873 MEDLINE PMID 2201940 (http://www.ncbi.nlm.nih.gov/pubmed/2201940) PUI L20334962 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 426 TITLE Incorporating infant stimulation concepts into prenatal classes. AUTHOR NAMES Broussard A.B. Rich S.K. AUTHOR ADDRESSES (Broussard A.B.; Rich S.K.) College of Nursing, University of Southwestern Louisiana, Lafayette. CORRESPONDENCE ADDRESS A.B. Broussard, College of Nursing, University of Southwestern Louisiana, Lafayette. SOURCE Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG (1990) 19:5 (381-387). Date of Publication: 1990 Sep-Oct ISSN 0884-2175 ABSTRACT Prenatal classes provide an opportunity for childbirth educators to teach couples about parenting, as well as labor and delivery. Infant stimulation concepts can be interwoven into prenatal classes to help facilitate the development of prenatal bonding and parenting skills. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child care parent prenatal care stimulation EMTREE MEDICAL INDEX TERMS adolescent adult article child parent relation cultural factor education ethnic group female human male methodology newborn psychological aspect United States LANGUAGE OF ARTICLE English MEDLINE PMID 2231076 (http://www.ncbi.nlm.nih.gov/pubmed/2231076) PUI L20881556 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 427 TITLE Parents' constructions of their infants' personalities before and after birth: A descriptive study AUTHOR NAMES Zeanah Ch. H. Zeanah P.D. Stewart L.K. AUTHOR ADDRESSES (Zeanah Ch. H.; Zeanah P.D.; Stewart L.K.) Women and Infants' Hospital, 101 Dudley Street, Providence, RI 02905 CORRESPONDENCE ADDRESS Women and Infants' Hospital, 101 Dudley Street, Providence, RI 02905 SOURCE Child Psychiatry and Human Development (1990) 20:3 (191-206). Date of Publication: 1990 ISSN 0009-398X BOOK PUBLISHER Kluwer Academic/Human Sciences Press Inc., 233 Spring Street, New York, United States. ABSTRACT Thirty five middle class parents, pregnant for the first time, were recruited from childbirth classes for participation in a shortterm longitudinal study of parents' constructions of their infants' personalities during pregnancy and in early infancy. Here we report qualitative findings about parents' descriptions of their infants' personalities before and after birth, as well as descriptions of their relationships with their infants and their first feelings of love for their infants. Descriptions of infant personalities were remarkably vivid before and after birth, but there were changes in the prominence of several attributes over time. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) perception personality EMTREE MEDICAL INDEX TERMS article female human infant male normal human pregnancy psychological aspect EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Psychiatry (32) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1990217185 MEDLINE PMID 2347251 (http://www.ncbi.nlm.nih.gov/pubmed/2347251) PUI L20211320 DOI 10.1007/BF00710188 FULL TEXT LINK http://dx.doi.org/10.1007/BF00710188 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 428 TITLE Inherited disorders of vitamin B12 utilization. AUTHOR NAMES Rosenblatt D.S. Cooper B.A. AUTHOR ADDRESSES (Rosenblatt D.S.; Cooper B.A.) Hess B. and Diane Finestone Laboratory, Division of Medical Genetics, Royal Victoria Hospital, Montreal, Quebec, Canada. CORRESPONDENCE ADDRESS D.S. Rosenblatt, Hess B. and Diane Finestone Laboratory, Division of Medical Genetics, Royal Victoria Hospital, Montreal, Quebec, Canada. SOURCE BioEssays : news and reviews in molecular, cellular and developmental biology (1990) 12:7 (331-334). Date of Publication: Jul 1990 ISSN 0265-9247 ABSTRACT Inborn errors of vitamin B12 (cobalamin) metabolism are associated with homocystinuria and methylmalonic aciduria, either alone or in combination. A number of these disorders have provided the first evidence for the existence of important steps in the transport or metabolism of cobalamin in eukaryotic cells. Eight complementation classes have been defined on the basis of somatic cell hybridization studies. Although the majority of patients present in infancy or early childhood, some are not diagnosed until adolescence or later. For some of these disorders, prenatal diagnosis and therapy with cobalamin during pregnancy has been attempted. Although only males have been described with cblE disease, all of these disorders are presumed to be autosomal recessive in inheritance. The clinical and laboratory aspects of the different complementation classes (cblA-cblG) are reviewed here. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) cyanocobalamin (pharmacology) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) inborn error of metabolism EMTREE MEDICAL INDEX TERMS biological model cell culture genetics human infant metabolism pathophysiology review CAS REGISTRY NUMBERS cyanocobalamin (53570-76-6, 68-19-9, 8064-09-3) LANGUAGE OF ARTICLE English MEDLINE PMID 2203337 (http://www.ncbi.nlm.nih.gov/pubmed/2203337) PUI L20867569 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 429 TITLE Prospective counselling after prenatal diagnosis of fetal malformations: interventions and parental reactions AUTHOR NAMES Langer M. Ringler M. AUTHOR ADDRESSES (Langer M.; Ringler M.) 1st Department of Obstetrics and Gynecology, Spitalgasse 23, 1090 Vienna CORRESPONDENCE ADDRESS M. Langer, 1st Dept. Ob/Gyn., Spitalgasse 23, A-1090 Vienna, Austria. SOURCE Acta Obstetricia et Gynecologica Scandinavica (1989) 68:4 (323-329). Date of Publication: 1989 ISSN 0001-6349 BOOK PUBLISHER Taylor and Francis Ltd., 4 Park Square, Milton Park, Abingdon, Oxfordshire, United Kingdom. ABSTRACT A model of prospective counselling and intervention after prenatal diagnosis of fetal malformation is presented. 13 patients/couples with severe malformations were fully counselled, 3 patients/couples interviewed post-termination. Objectives of the counselling strategy were to support patient autonomy, facilitate mourning and reduce narcissistic damage. Counselled patients showed certain benefits concerning the acceptance of the malformation and feelings of autonomy. Integration of psychodynamic knowledge into routine care and obligatory psychotherapeutic counselling are proposed. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) fetus malformation genetic counseling prenatal diagnosis EMTREE MEDICAL INDEX TERMS article female human male parental behavior priority journal EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1990069076 MEDLINE PMID 2618620 (http://www.ncbi.nlm.nih.gov/pubmed/2618620) PUI L20068732 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 430 TITLE Effects of continuous intrapartum professional support on childbirth outcomes. AUTHOR NAMES Hodnett E.D. Osborn R.W. AUTHOR ADDRESSES (Hodnett E.D.; Osborn R.W.) University of Toronto Faculty of Nursing, Ontario, Canada. CORRESPONDENCE ADDRESS E.D. Hodnett, University of Toronto Faculty of Nursing, Ontario, Canada. SOURCE Research in nursing & health (1989) 12:5 (289-297). Date of Publication: Oct 1989 ISSN 0160-6891 ABSTRACT The purpose of this stratified randomized trial was to determine the physical and psychological effects of continuous, one-to-one professional support on childbirth outcomes. Data were gathered during prenatal and postpartum interviews with, and from the medical records of, 103 low-risk women. All subjects had attended one of two types of prenatal education programs, were accompanied by husbands or partners during labor, and had vaginal deliveries. Subjects in the experimental group were less likely to have medication for pain relief and less likely to have episiotomies. Three variables were found to predict perceived control during childbirth--expectations of control, the presence of a continuous professional caregiver, and pain medication usage. The results demonstrate the importance of the traditional nursing support role during childbirth. EMTREE DRUG INDEX TERMS analgesic agent (drug therapy) EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) control labor nursing care EMTREE MEDICAL INDEX TERMS adult anxiety (diagnosis) article clinical trial female human nurse patient relationship pain (drug therapy) physiology pregnancy psychological aspect randomization randomized controlled trial social support LANGUAGE OF ARTICLE English MEDLINE PMID 2798949 (http://www.ncbi.nlm.nih.gov/pubmed/2798949) PUI L19494222 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 431 TITLE Effects of cesarean delivery on parental depression, marital adjustment, and mother-infant interaction. AUTHOR NAMES Culp R.E. Osofsky H.J. AUTHOR ADDRESSES (Culp R.E.; Osofsky H.J.) CORRESPONDENCE ADDRESS R.E. Culp, SOURCE Birth (Berkeley, Calif.) (1989) 16:2 (53-57). Date of Publication: Jun 1989 ISSN 0730-7659 ABSTRACT To further our understanding of the effects of cesarean delivery on maternal and paternal depression, marital adjustment, and mother-infant interaction during perinatal and three-month postpartum feeding, data were prospectively collected on 80 primiparous married women and their infants, and 76 of their husbands. There were 56 vaginal deliveries and 24 cesarean section deliveries. Data were collected by interview at the latter part of the second trimester and three months post-partum by examination of the mothers' and infants' medical records, and by observation of mother-infant feedings at two days and three months postpartum. The infants' birthweight, weeks of gestation, and Apgar scores at five minutes, maternal age at delivery, and maternal and child health index risk scores were not significantly different between the two groups. Mothers who had cesarean delivery had significantly higher labor index risk scores than those with vaginal birth. The mothers and fathers were not significantly different on levels of depression or marital adjustment prenatally or at three months postpartum. There were no significant differences in mother-infant behaviors during the feedings observed. That we found no differences after cesarean and vaginal delivery would support the theory that mothers respond to infants' behavioral repertoire and not to the mode of delivery. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) cesarean section depression (etiology) parent EMTREE MEDICAL INDEX TERMS article female human infant male marriage mother child relation newborn prospective study psychological aspect LANGUAGE OF ARTICLE English MEDLINE PMID 2757719 (http://www.ncbi.nlm.nih.gov/pubmed/2757719) PUI L19473891 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 432 TITLE Demographic factors influencing the initiation of breast-feeding in an Israeli urban population AUTHOR NAMES Birenbaum E. Fuchs C. Reichman B. AUTHOR ADDRESSES (Birenbaum E.; Fuchs C.; Reichman B.) Department of Neonatology, Chaim Sheba Medical Center, Tel Hashomer 52621 CORRESPONDENCE ADDRESS Department of Neonatology, Chaim Sheba Medical Center, Tel Hashomer 52621 SOURCE Pediatrics (1989) 83:4 (519-523). Date of Publication: 1989 ISSN 0031-4005 BOOK PUBLISHER American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk Grove Village, United States. ABSTRACT The influence of demographic and prenatal factors on the initiation of breast-feeding in an urban Israeli population was evaluated by interviewing 1,000 parturients prior to discharge from the hospital. The mothers were all Jewish, none were single, and none were social welfare dependents. Of these mothers, 72% were breast-feeding. 6% stated an intent to breast-feed, and 22% were formula feeding their infants. A significantly increased rate of breast-feeding was found among mothers with the following characteristics: those of orthodox religious belief, high educational level, in the academic and paraacademic professions, nonsmokers, those who worked outside of the home during the pregnancy, those who had previous breast-feeding success, and mothers whose husbands' attitude toward breast-feeding was positive. The decision to breast-feed was made prior to delivery in 85% of mothers. Participation of the mother and/or father in antenatal preparation courses did not significantly influence the initiation of breast-feeding. Multivariant analysis with a stepwise logistic regression model delineated the four factors most significantly associated with the initiation of breast-feeding: positive spousal attitude toward breast-feeding, orthodox religious belief, nonsmoking, and work outside of the home during the pregnancy. The expected probability for initiating breast-feeding was computed for the various combinations of these four categories and ranged from .94 with all factors present to .33 in the absence of these characteristics. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding parental behavior religion smoking work EMTREE MEDICAL INDEX TERMS human Israel normal human priority journal urban population EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1989092621 MEDLINE PMID 2927991 (http://www.ncbi.nlm.nih.gov/pubmed/2927991) PUI L19092582 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 433 TITLE The effect on father-infant interaction of demonstrating the neonatal behavioral assessment scale. AUTHOR NAMES Beal J.A. AUTHOR ADDRESSES (Beal J.A.) CORRESPONDENCE ADDRESS J.A. Beal, SOURCE Birth (Berkeley, Calif.) (1989) 16:1 (18-22). Date of Publication: Mar 1989 ISSN 0730-7659 ABSTRACT Forty-four first-time fathers who had attended prenatal classes and were present during labor and delivery of their healthy infants were divided randomly into an experimental group of 22 who observed the Brazelton neonatal behavioral assessment scale performed on their 2- to 3-day-old infants, or into a control group of 22 who did not receive this intervention. Paternal involvement in, and attitudes toward, infant caretaking and ratings of infant difficultness were compared in the two groups. Father-infant interaction was measured by two-minute videotape analysis at eight weeks postpartum. Paternal attitudes, caretaking activities, and perceptions of their infants were measured by questionnaire self-reports. There were significant differences in the quality, but not quantity, of father-infant interactions, and in one of four measures of infant difficultness (unpredictability) between the two groups. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child behavior father child relation EMTREE MEDICAL INDEX TERMS adult article attitude child care clinical trial comparative study human male newborn paternal behavior psychologic test questionnaire randomized controlled trial LANGUAGE OF ARTICLE English MEDLINE PMID 2742633 (http://www.ncbi.nlm.nih.gov/pubmed/2742633) PUI L19456305 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 434 TITLE Realistic expectations of the labor coach. AUTHOR NAMES Berry L.M. AUTHOR ADDRESSES (Berry L.M.) Dalhousie University School of Nursing, Halifax, Nova Scotia, Canada. CORRESPONDENCE ADDRESS L.M. Berry, Dalhousie University School of Nursing, Halifax, Nova Scotia, Canada. SOURCE Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG (1988) 17:5 (354-355). Date of Publication: 1988 Sep-Oct ISSN 0884-2175 ABSTRACT This descriptive, retrospective survey (part of a larger study) employed a questionnaire to determine the behaviors of 40 expectant fathers to the stress generated by their spouses' labors and deliveries. Results indicated that the experience was stressful for all the expectant fathers, and expectant fathers only coached their spouses with their breathing exercises at labor's peak. Fathers spent more time trying to hide their feelings and worrying about their usefulness. These findings have significance for the prenatal education of couples, the education of health professionals, and the practice of labor and delivery nursing. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father labor nurse patient relationship EMTREE MEDICAL INDEX TERMS article female human male pregnancy prenatal care psychological aspect LANGUAGE OF ARTICLE English MEDLINE PMID 3225684 (http://www.ncbi.nlm.nih.gov/pubmed/3225684) PUI L19375657 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 435 TITLE Unstable translocation t(14;21) in a man, inherited as a t(13;14) in one of his daughters AUTHOR NAMES Siffroi J.P. Viguie F. Romani F. AUTHOR ADDRESSES (Siffroi J.P.; Viguie F.; Romani F.) Service d'Histologie, Embryologie, Cytogenetique, Hotel-Dieu de Paris, 75181 Paris Cedex 04 CORRESPONDENCE ADDRESS Service d'Histologie, Embryologie, Cytogenetique, Hotel-Dieu de Paris, 75181 Paris Cedex 04 SOURCE Clinical Genetics (1988) 34:1 (15-19). Date of Publication: 1988 ISSN 0009-9163 BOOK PUBLISHER Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom. ABSTRACT The transmission of a Robertsonian translocation was studied in a family after diagnosis of a t rob.(13;14) in a foetus, in the course of a prenatal diagnosis for maternal age. The father was found to be a carrier of a balanced t rob.(14;21) in mosaicism with a normal karyotype. The t rob.(14;21) was inherited from the paternal grandfather. A second prenatal diagnosis, 1 year later, revealed a girl with the paternal t rob. (14;21). Mitotic and germinal instability of the paternal t rob. (14;21) is discussed, with relation to the long period of drug addiction. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) robertsonian translocation 13|14 (etiology) robertsonian translocation 14|21 (etiology) EMTREE DRUG INDEX TERMS unclassified drug EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) autosome mosaicism drug dependence meiosis EMTREE MEDICAL INDEX TERMS article case report cytology family study female fetus heredity human human cell male pedigree EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) Human Genetics (22) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1988180995 MEDLINE PMID 3409535 (http://www.ncbi.nlm.nih.gov/pubmed/3409535) PUI L18180995 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 436 TITLE The effects of prenatal education intervention on unwed prospective adolescent fathers AUTHOR NAMES Westney O.E. Cole O.J. Munford T.L. AUTHOR ADDRESSES (Westney O.E.; Cole O.J.; Munford T.L.) School of Human Ecology, Howard University, Washington, DC CORRESPONDENCE ADDRESS School of Human Ecology, Howard University, Washington, DC SOURCE Journal of Adolescent Health Care (1988) 9:3 (214-218). Date of Publication: 1988 ISSN 0197-0070 BOOK PUBLISHER Elsevier Inc., 360 Park Avenue South, New York, United States. ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child care pregnancy EMTREE MEDICAL INDEX TERMS adolescent education normal human EMBASE CLASSIFICATIONS Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 1988134338 MEDLINE PMID 3372288 (http://www.ncbi.nlm.nih.gov/pubmed/3372288) PUI L18134338 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 437 TITLE Sources of father-infant bonding beliefs: implications for childbirth educators. AUTHOR NAMES Palkovitz R. AUTHOR ADDRESSES (Palkovitz R.) CORRESPONDENCE ADDRESS R. Palkovitz, SOURCE Maternal-child nursing journal (1988) 17:2 (101-113). Date of Publication: 1988 Summer ISSN 0090-0702 ABSTRACT Media presentations, anecdotal reports, and survey data suggest that the public is invested in the concept of father-infant bonding. The purpose of the present study was to examine information sources influencing persons' beliefs concerning father-infant bonding. As a follow-up to their participation in a larger survey (N = 244), 17 subjects responded to individual, in-depth interviews investigating the strength and direction of laypersons' bonding beliefs. Specifically, the investigator wanted to know what types and sources of evidence people would cite as influencing their beliefs about father-infant bonding. Although a majority of respondents expressed strong belief in both the phenomenon of bonding and the existence of scientific evidence to support it, only one subject had direct exposure to a professional journal article on the topic. Of those subjects able to cite information sources impacting upon their bonding beliefs, "general knowledge" was most frequently cited, followed by mass media, classes, and popular readings. These findings can explain the mismatch between the lack of unequivocal empirical evidence supportive of father-infant bonding and the strength and pervasiveness of the subjects' beliefs. Implications are discussed for medical personnel and childbirth and parent educators. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father child relation information service object relation parent public opinion EMTREE MEDICAL INDEX TERMS adult article education female follow up human male middle aged LANGUAGE OF ARTICLE English MEDLINE PMID 3230960 (http://www.ncbi.nlm.nih.gov/pubmed/3230960) PUI L19395688 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 438 TITLE The perinatal period, a window of opportunity for enhancing parent-infant communication: an approach to prevention. AUTHOR NAMES Helfer R.E. AUTHOR ADDRESSES (Helfer R.E.) Department of Pediatrics and Human Development, Michigan State University, East Lansing 48824. CORRESPONDENCE ADDRESS R.E. Helfer, Department of Pediatrics and Human Development, Michigan State University, East Lansing 48824. SOURCE Child abuse & neglect (1987) 11:4 (565-579). Date of Publication: 1987 ISSN 0145-2134 ABSTRACT The perinatal period, broadly defined, encompasses the time frame from one year before to 18 to 24 months after the birth of the child. This period constitutes a window of opportunity through which parent-infant interaction may be reinforced, offering the possibility of decreasing the risk of family dysfunction. This review article clarifies the relationship between the enhancement of parent-infant interactions and the prevention of child abuse and neglect. It contains a detailed discussion of the capabilities of the newborn and places in perspective the difficulty experienced when parents who were themselves mistreated in childhood struggle to establish a system of communication with their own newborn children. The perinatal intervention program, a program intended to teach new parents the skills of interaction with their newborns, is described and placed into perspective with other perinatal programs which have been reported to be capable of augmenting the capacity for communication. The authors review the research data demonstrating the efficacy of these perinatal parent-infant programs. The paper concludes with a review of effective interventions, a discussion of what can be expected of each, and suggestions for the practical application of the programs during the perinatal period. The authors recognize that no program taken in isolation is sufficient; taken together they have the ability to improve parent-child relations, and they thus constitute a multifaceted approach to the prevention of child abuse and neglect. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child abuse (prevention) child parent relation parent EMTREE MEDICAL INDEX TERMS education female human infant newborn pregnancy preventive health service psychological aspect review LANGUAGE OF ARTICLE English MEDLINE PMID 3322517 (http://www.ncbi.nlm.nih.gov/pubmed/3322517) PUI L18692387 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 439 TITLE Early and late discharge after hospital birth. A comparative study of parental background characteristics AUTHOR NAMES Waldenstrom U. Lindmark G. AUTHOR ADDRESSES (Waldenstrom U.; Lindmark G.) Department of Obstetrics and Gynaecology, University Hospital, 751 85 Uppsala CORRESPONDENCE ADDRESS Department of Obstetrics and Gynaecology, University Hospital, 751 85 Uppsala SOURCE Scandinavian Journal of Social Medicine (1987) 15:3 (159-167). Date of Publication: 1987 ISSN 0300-8037 ABSTRACT When an early postnatal discharge program was introduced in Falun, Sweden in 1984, with early discharge defined as discharge 24-48 hours after birth combined with home visits on the following days, an investigation into background characteristics of parents choosing to participate and not to participate in the evaluative study of the program was initiated. 164 participants were compared with 354 non-participants. Data were collected mainly from questionnaires, 8 weeks before term. The participants were a more heterogeneous group than was expected when starting the program. Compared with the non-participants, they were characterized by: a less positive attitude to post-partum care in hospital and greater self-confidence in terms of confidence when thinking of birth and parenthood. They were more often multipara and had experienced rather less complicated pregnancies. They were a little younger and somewhat less well educated as a group, but the proportion of well educated women was the same as among non-participants. They had attended antenatal classes this pregnancy to a lesser extent, but felt better prepared for th delivery. They had a greater number of supportive persons available in case of early discharge. There was no difference between participants and non-participants as regards economy, housing conditions, distance to hospital, proportion of immigrants, paternal interest in childbirth and parenthood, equality in parental relations, social contacts, and leisure activities. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) hospital care hospital discharge newborn care parent socioeconomics EMTREE MEDICAL INDEX TERMS economic aspect human newborn priority journal short survey social aspect Sweden EMBASE CLASSIFICATIONS Health Policy, Economics and Management (36) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1987159439 MEDLINE PMID 3616531 (http://www.ncbi.nlm.nih.gov/pubmed/3616531) PUI L17091939 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 440 TITLE The hospital inpatient stay: the experience of first-time parents. AUTHOR NAMES Moss P. Bolland G. Foxman R. Owen C. AUTHOR ADDRESSES (Moss P.; Bolland G.; Foxman R.; Owen C.) CORRESPONDENCE ADDRESS P. Moss, SOURCE Child: care, health and development (1987) 13:3 (153-167). Date of Publication: 1987 May-Jun ISSN 0305-1862 ABSTRACT The experience of hospital inpatient stays at childbirth was studied in a longitudinal study of the experiences of 96 first-time parents during the transition to parenthood. For women, the prospect of birth was a major worry during pregnancy. Negative expectations proved in general to be justified by events, with many women reporting predominantly bad memories of the experience. Satisfaction with the hospital inpatient stay is also considered: a major source of dissatisfaction was inadequate help with breast feeding, which produced many difficulties. Middle class mothers were in general more dissatisfied with their hospital stay, as were women who had Caesarean births. Relationships were found between antenatal class attendances and the likelihood of a normal delivery and reported pain during childbirth. The role and experience of fathers was also considered. Most expected to be at the birth from an early stage in pregnancy; more than two-thirds were present for the delivery and half or more at the labour. Their experience at this time was more positive than that of their partners. But during the hospital stay, this role was much more marginal. The results are discussed in terms of their implications for antenatal preparation, breast feeding and paternal involvement. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) hospitalization labor parent EMTREE MEDICAL INDEX TERMS adult article consumer female human length of stay male pregnancy psychological aspect socioeconomics United Kingdom LANGUAGE OF ARTICLE English MEDLINE PMID 3621475 (http://www.ncbi.nlm.nih.gov/pubmed/3621475) PUI L17778147 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 441 TITLE Pregnant adolescents attending prenatal parent education classes: self-concept, anxiety and depression levels. AUTHOR NAMES Lineberger M.R. AUTHOR ADDRESSES (Lineberger M.R.) CORRESPONDENCE ADDRESS M.R. Lineberger, SOURCE Adolescence (1987) 22:85 (179-193). Date of Publication: 1987 Spring ISSN 0001-8449 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adolescent pregnancy Adolescents, Female anxiety comparative study depression Educational Activities health education Northern America parent Pregnancy Outcomes prenatal care Psychological Factors research self concept EMTREE MEDICAL INDEX TERMS adolescent Adolescents age article behavior child rearing Demographic Factors developed country developing country diseases education female fertility health health care delivery health service human juvenile maternal child health care mental disease methodology North America perception personality test population population and population related phenomena population dynamics pregnancy primary health care prognosis psychological aspect reproduction self concept sexual behavior Studies United States Western Hemisphere LANGUAGE OF ARTICLE English MEDLINE PMID 3591495 (http://www.ncbi.nlm.nih.gov/pubmed/3591495) PUI L17744059 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 442 TITLE The national childbirth education, and parenting association (NCEPA). AUTHOR NAMES Hanrahan B. AUTHOR ADDRESSES (Hanrahan B.) CORRESPONDENCE ADDRESS B. Hanrahan, SOURCE Nursing RSA = Verpleging RSA (1987) 2:3 (27). Date of Publication: Mar 1987 ISSN 0258-1647 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child care consumer EMTREE MEDICAL INDEX TERMS article family planning female human newborn pregnancy South Africa LANGUAGE OF ARTICLE English MEDLINE PMID 3647246 (http://www.ncbi.nlm.nih.gov/pubmed/3647246) PUI L17737966 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 443 TITLE Antenatal education for cesarean birth: extension of a field test. AUTHOR NAMES Fawcett J. Henklein J.C. AUTHOR ADDRESSES (Fawcett J.; Henklein J.C.) CORRESPONDENCE ADDRESS J. Fawcett, SOURCE Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG (1987) 16:1 (61-65). Date of Publication: 1987 Jan-Feb ISSN 0884-2175 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) cesarean section health education EMTREE MEDICAL INDEX TERMS adult article education feasibility study female human male methodology natural childbirth pregnancy prenatal care publication LANGUAGE OF ARTICLE English MEDLINE PMID 3643995 (http://www.ncbi.nlm.nih.gov/pubmed/3643995) PUI L17696278 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 444 TITLE A meta-analytic study of the effect of childbirth education on the parent-infant relationship. AUTHOR NAMES Jones L.C. AUTHOR ADDRESSES (Jones L.C.) CORRESPONDENCE ADDRESS L.C. Jones, SOURCE Health care for women international (1986) 7:5 (357-370). Date of Publication: 1986 ISSN 0739-9332 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation health education labor EMTREE MEDICAL INDEX TERMS article female human male newborn pregnancy prenatal care research standard LANGUAGE OF ARTICLE English MEDLINE PMID 3639869 (http://www.ncbi.nlm.nih.gov/pubmed/3639869) PUI L16776046 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 445 TITLE Adolescent unwed prospective fathers: readiness for fatherhood and behaviors toward the mother and the expected infant. AUTHOR NAMES Westney O.E. Cole O.J. Munford T.L. AUTHOR ADDRESSES (Westney O.E.; Cole O.J.; Munford T.L.) CORRESPONDENCE ADDRESS O.E. Westney, SOURCE Adolescence (1986) 21:84 (901-911). Date of Publication: 1986 Winter ISSN 0001-8449 ABSTRACT Despite the increased emphasis on assessing and meeting the needs of unmarried pregnant adolescents, less than adequate attention has been directed toward understanding unwed adolescent prospective fathers who frequently are the mates of pregnant teenagers. As part of a prenatal education intervention study, 28 unmarried adolescent fathers responded to a questionnaire containing items about their readiness for fatherhood, antepartal behavioral interactions, and projected postpartal behaviors with their pregnant adolescent partners, as well as their projected behaviors with their infants. The adolescent males reported that initially they either were definitely unready for paternity (75%) or were undecided about readiness for fatherhood (21%). However, as pregnancy advanced beyond the second trimester, only 57% of the respondents did not want to become fathers. To a significant extent, those who did not were least likely to engage in behaviors supportive of their mate's health antepartally, or to indicate a desire to care for and interact with their expected infant. In addition, they tended to project lower levels of postnatal involvement with the adolescent mothers of their children as compared to those males who were more accepting of their pending fatherhood. Moreover, males who had maintained long prepregnancy relationships with their mates tended to be more supportive of them prenatally, and to perceive themselves as maintaining close relationships with both the mothers and infants after delivery. Finally, 86% of the adolescent fathers planned to work to contribute to the support of their infants. The data demonstrate that unreadiness for fatherhood may be associated with responsible as well as irresponsible behaviors. Accordingly, these data are interpreted as having implications for the establishment of programs and policies which focus on the adolescent male population in order to interdict the high rate of unwed adolescent pregnancy. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adaptive behavior adolescent pregnancy Adolescents, Male child rearing Family Relationships father child relation illegitimacy Male Role Northern America research satisfaction Unmarried Fathers EMTREE MEDICAL INDEX TERMS adolescent Adolescents age article attitude behavior Demographic Factors developed country developing country Family And Household family size father female fertility gender identity human human relation juvenile male North America parent population population and population related phenomena population dynamics pregnancy Psychological Factors sexual behavior social behavior United States Western Hemisphere LANGUAGE OF ARTICLE English MEDLINE PMID 3644587 (http://www.ncbi.nlm.nih.gov/pubmed/3644587) PUI L17703788 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 446 TITLE Prenatal identification of a Y-chromosome deletion by Y-specific single copy DNA probes AUTHOR NAMES Gilgenkrantz S. Droulle P. Seboun E. AUTHOR ADDRESSES (Gilgenkrantz S.; Droulle P.; Seboun E.) Cytogenetic Department, Blood Center, 54511 Vandoeuvre Les Nancy Cedex CORRESPONDENCE ADDRESS Cytogenetic Department, Blood Center, 54511 Vandoeuvre Les Nancy Cedex SOURCE Prenatal Diagnosis (1986) 6:4 (307-311). Date of Publication: 1986 ISSN 0197-3851 ABSTRACT A sex chromosome deletion was identified in the course of prenatal diagnosis for maternal age. Ultrasound pictures revealed male fetal sex and a comparison with the father's Y chromosome suggested that the altered chromosome might be a de novo deletion of the Y chromosome. DNA hybridization with five human Y-specific probes shows that, among the Y-specific sequences recognized by the probes, only two of them are absent. The normal infant, at birth, was mosaic 46,XYq-/46,XY. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) chromosome deletion Y DNA probe prenatal diagnosis EMTREE MEDICAL INDEX TERMS case report congenital disorder diagnosis fetus genetic engineering heredity histology human phenotype pregnancy EMBASE CLASSIFICATIONS Human Genetics (22) Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1986198550 MEDLINE PMID 3748996 (http://www.ncbi.nlm.nih.gov/pubmed/3748996) PUI L16074489 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 447 TITLE Postpartum moods in men and women AUTHOR NAMES Quadagno D.M. Dixon L.A. Denney N.W. Buck H.W. AUTHOR ADDRESSES (Quadagno D.M.; Dixon L.A.; Denney N.W.; Buck H.W.) Department of Physiology and Cell Biology, University of Kansas, Lawrence, KS 66045 CORRESPONDENCE ADDRESS Department of Physiology and Cell Biology, University of Kansas, Lawrence, KS 66045 SOURCE American Journal of Obstetrics and Gynecology (1986) 154:5 (1018-1023). Date of Publication: 1986 ISSN 0002-9378 ABSTRACT Twenty-one married couples, recruited from childbirth classes (mean age 29.6 years), were administered questionnaires measuring 20 different moods during the third trimester of pregnancy (prepartum period), during the postpartum period, and at 6 months after birth (follow-up period). In each questionnaire period individual questionnaires were filled out daily by both the mother and father for 10 consecutive days. The results indicated that the postpartum period, compared with the prepartum and follow-up periods, is an emotionally unique time but not a period marked by depression. The moods that were rated as being experienced more strongly by men and women during the postpartum period were associated with anxiety and concern for one's ability to cope such as 'nervousness', worried, 'helpless', and 'anxious' or positive emotions such as 'enthusiastic' and 'happy'. It is concluded that men and women in this sample tend to experience the postpartum period in an emotionally similar way. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) anxiety depression puerperium EMTREE MEDICAL INDEX TERMS adult clinical article etiology female female genital system human normal human pregnancy priority journal psychological aspect sex difference EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Psychiatry (32) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1986164780 MEDLINE PMID 3706424 (http://www.ncbi.nlm.nih.gov/pubmed/3706424) PUI L16085719 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 448 TITLE Childbirth classes for couples desiring VBAC (vaginal birth after cesarean). AUTHOR NAMES Austin S.E. AUTHOR ADDRESSES (Austin S.E.) CORRESPONDENCE ADDRESS S.E. Austin, SOURCE MCN. The American journal of maternal child nursing (1986) 11:4 (250-255). Date of Publication: 1986 Jul-Aug ISSN 0361-929X EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) cesarean section labor parent prenatal care EMTREE MEDICAL INDEX TERMS adult article education female human male pregnancy LANGUAGE OF ARTICLE English MEDLINE PMID 3088369 (http://www.ncbi.nlm.nih.gov/pubmed/3088369) PUI L16723185 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 449 TITLE Developing perceptions of temperament and their relation to mother and infant behavior. AUTHOR NAMES Zeanah C.H. Keener M.A. Anders T.F. AUTHOR ADDRESSES (Zeanah C.H.; Keener M.A.; Anders T.F.) CORRESPONDENCE ADDRESS C.H. Zeanah, SOURCE Journal of child psychology and psychiatry, and allied disciplines (1986) 27:4 (499-512). Date of Publication: Jul 1986 ISSN 0021-9630 ABSTRACT Controversies about temperamental assessments raise questions about whether questionnaires, which assess parental perceptions of temperament, validly measure within-child characteristics. Thirty-eight couples were recruited from childbirth classes for a short-term longitudinal study. Mother's perceptions of activity, rhythmicity and mood were moderately stable from late pregnancy to 6 mth postnatally. Only father's perceptions of activity were stable during this time. Infants rated by parents as difficult on the Carey Infant Temperament Questionnaire at 6 mth were rated by observers as less responsive while being fed by their mothers. Results are discussed in the context of influences on parental perceptions of temperament. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) parent perception personality temperament EMTREE MEDICAL INDEX TERMS article child behavior female human infant male maternal behavior newborn pregnancy psychological aspect questionnaire LANGUAGE OF ARTICLE English MEDLINE PMID 3745349 (http://www.ncbi.nlm.nih.gov/pubmed/3745349) PUI L16760982 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 450 TITLE Laypersons' beliefs about the "critical" nature of father-infant bonding: implications for childbirth educators. AUTHOR NAMES Palkovitz R. AUTHOR ADDRESSES (Palkovitz R.) CORRESPONDENCE ADDRESS R. Palkovitz, SOURCE Maternal-child nursing journal (1986) 15:1 (39-46). Date of Publication: 1986 Spring ISSN 0090-0702 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) father child relation health education labor object relation public opinion EMTREE MEDICAL INDEX TERMS adolescent adult article female human male middle aged newborn pregnancy puerperium LANGUAGE OF ARTICLE English MEDLINE PMID 3635659 (http://www.ncbi.nlm.nih.gov/pubmed/3635659) PUI L16711466 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 451 TITLE A male with two different familial autosomal fragile sites and a cytogenetically abnormal offspring AUTHOR NAMES Smith A. Manuel A. Den Dulk G. Lawrence R. AUTHOR ADDRESSES (Smith A.; Manuel A.; Den Dulk G.; Lawrence R.) Cytogenetics Unit, Oliver Latham Laboratory, Health Commission of NSW, North Ryde, NSW 2113 CORRESPONDENCE ADDRESS Cytogenetics Unit, Oliver Latham Laboratory, Health Commission of NSW, North Ryde, NSW 2113 SOURCE Annales de Genetique (1985) 28:4 (245-247). Date of Publication: 1985 ISSN 0003-3995 ABSTRACT During the course of routine prenatal cytogenetics, a male with 2 different autosomal fragile sites (FS) was detected. The FS were at 9p21 and 12q13 and his sister also had both fragile sites, inherited from an abligate carrier father. He was the father of a foetus with an abnormal chromosome complement 46,XY/47,XY,+frag. The origin of the fragment could not be determined. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) chromosome 12q chromosome 9p chromosome aberration chromosome fragile site chromosome fragility spontaneous abortion EMTREE MEDICAL INDEX TERMS adult case report diagnosis etiology fetus heredity histology human pregnancy priority journal EMBASE CLASSIFICATIONS Human Genetics (22) Pediatrics and Pediatric Surgery (7) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY French EMBASE ACCESSION NUMBER 1986078219 MEDLINE PMID 3879439 (http://www.ncbi.nlm.nih.gov/pubmed/3879439) PUI L16179158 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 452 TITLE Deaf couples experience rewards of childbirth education. AUTHOR NAMES Lawson M. AUTHOR ADDRESSES (Lawson M.) CORRESPONDENCE ADDRESS M. Lawson, SOURCE Health progress (Saint Louis, Mo.) (1985) 66:6 (78, 80). Date of Publication: 1985 Jul-Aug ISSN 0882-1577 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child care health education hearing impairment labor EMTREE MEDICAL INDEX TERMS article education female hospital bed capacity human male newborn pregnancy psychological aspect United States LANGUAGE OF ARTICLE English MEDLINE PMID 10274189 (http://www.ncbi.nlm.nih.gov/pubmed/10274189) PUI L15740515 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 453 TITLE Childbirth education classes: expectant parents' expectations. AUTHOR NAMES Maloney R. AUTHOR ADDRESSES (Maloney R.) CORRESPONDENCE ADDRESS R. Maloney, SOURCE Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG (1985) 14:3 (245-248). Date of Publication: 1985 May-Jun ISSN 0884-2175 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health education obstetric delivery parent prenatal care EMTREE MEDICAL INDEX TERMS adult article comparative study consumer curriculum education female human male pregnancy psychological aspect standard LANGUAGE OF ARTICLE English MEDLINE PMID 3847485 (http://www.ncbi.nlm.nih.gov/pubmed/3847485) PUI L15686205 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 454 TITLE Parental behavior after perinatal death: Lack of predictive demographic and obstetric variables AUTHOR NAMES Kellner K.R. Donnelly W.H. Gould S.D. AUTHOR ADDRESSES (Kellner K.R.; Donnelly W.H.; Gould S.D.) Perinatal Mortality Counseling Program, Department of Obstetrics and Gynecology, University of Florida, Gainesville, FL 32610 CORRESPONDENCE ADDRESS Perinatal Mortality Counseling Program, Department of Obstetrics and Gynecology, University of Florida, Gainesville, FL 32610 SOURCE Obstetrics and Gynecology (1984) 63:6 (809-814). Date of Publication: 1984 ISSN 0029-7844 ABSTRACT Traditional care for mothers after stillbirth has been based on untested assumptions about appropriate parental behavior. To evaluate these assumptions, 165 families cared for by the Perinatal Mortality Counseling Program because of stillbirth or immediate neonatal death were offered a series of choices about their case, including how they wished to deal with their baby's death. Parental decisions were compared with selected demographic and obstetric features considered as underlying those decisions that traditionally have been made by physicians or the hospital staff. The authors found that parents desire contact with their baby, attention to their feelings, counseling from those providing their care, and information about their baby's death. Few demographic and obstetric features seemed to influence the choices. This suggests that physicians and hospital staff should not presume to determine the wishes of any parent or family faced with this tragedy. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) parental behavior perinatal mortality EMTREE MEDICAL INDEX TERMS demography ethnic or racial aspects fatality human pregnancy psychological aspect short survey EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Psychiatry (32) Forensic Science Abstracts (49) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1984130177 MEDLINE PMID 6728362 (http://www.ncbi.nlm.nih.gov/pubmed/6728362) PUI L14105229 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 455 TITLE Allegiance, profit and parent power: issues for childbirth educators in the 1980s. AUTHOR NAMES McKay S. AUTHOR ADDRESSES (McKay S.) CORRESPONDENCE ADDRESS S. McKay, SOURCE Birth (Berkeley, Calif.) (1984) 11:2 (112). Date of Publication: 1984 Summer ISSN 0730-7659 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) labor parent teaching EMTREE MEDICAL INDEX TERMS article education female human income male methodology pregnancy LANGUAGE OF ARTICLE English MEDLINE PMID 6562895 (http://www.ncbi.nlm.nih.gov/pubmed/6562895) PUI L14742289 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 456 TITLE Prenatal care and childbirth education. Adolescent couples and childbirth education. AUTHOR NAMES Moore M.L. AUTHOR ADDRESSES (Moore M.L.) CORRESPONDENCE ADDRESS M.L. Moore, SOURCE American Nurses Association Publications (1984) :MCH-14 (5-7). Date of Publication: Mar 1984 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adolescent pregnancy health education prenatal care EMTREE MEDICAL INDEX TERMS adolescent article female human male organization and management pregnancy United States LANGUAGE OF ARTICLE English MEDLINE PMID 6561944 (http://www.ncbi.nlm.nih.gov/pubmed/6561944) PUI L14729136 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 457 TITLE Preconceptual female gender selection AUTHOR NAMES Corson S.L. Batzer F.R. Schlaff S. AUTHOR ADDRESSES (Corson S.L.; Batzer F.R.; Schlaff S.) Philadelphia Fertil. Inst., Univ. Pennsylvania Sch. Med., Philadelphia, PA 19107 CORRESPONDENCE ADDRESS Philadelphia Fertil. Inst., Univ. Pennsylvania Sch. Med., Philadelphia, PA 19107 SOURCE Fertility and Sterility (1983) 40:3 (384-385). Date of Publication: 1983 ISSN 0015-0282 ABSTRACT While most techniques of prenatal sex gender determination have focused on male preference as a function of societal or cultural customs, the identification of roughly 200 sex-linked diseases in the medical literature argues for a reliable method of enhancing the female/male birth ratio as a form of prenatal medical therapy. To date, none of the apocryphal methods of prenatal sex selection, including douches, diet, and coital timing, has proven successful when subjected to close scientific scrutiny. Therefore, the efforts of Steeno et al. And Quilivan et al. in obtaining X-enriched populations of sperm were of great interest to us. This communication concerns what we believe to be the first human pregnancy achieved with X enrichment by gel filtration reported in the literature. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) cell selection sex determination sex linked disease spermatozoon X chromosome linkage EMTREE MEDICAL INDEX TERMS congenital disorder diagnosis female histology human male genital system methodology pregnancy short survey EMBASE CLASSIFICATIONS Human Genetics (22) Obstetrics and Gynecology (10) Pediatrics and Pediatric Surgery (7) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1983231579 MEDLINE PMID 6576914 (http://www.ncbi.nlm.nih.gov/pubmed/6576914) PUI L13000579 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 458 TITLE How Lamaze-prepared expectant parents select obstetricians. AUTHOR NAMES Brien M. Haverfield N. Shanteau J. AUTHOR ADDRESSES (Brien M.; Haverfield N.; Shanteau J.) CORRESPONDENCE ADDRESS M. Brien, SOURCE Research in nursing & health (1983) 6:3 (143-150). Date of Publication: Sep 1983 ISSN 0160-6891 ABSTRACT One form of consumer involvement in the health-care process pertains to the selection of a physician. Expectant parents enrolled in prepared childbirth classes were asked to evaluate, individually, the importance of issues associated with selecting an obstetrician, both before and after childbirth. The data indicated that the ability of the obstetrician to communicate effectively with patients was the most important factor; of little importance were factors related to the obstetrician's personal characteristics (e.g., age, sex) and professional training. Although the husband/wife rankings showed a high degree of similarity, some differences were observed: husbands had a greater concern for the wife's treatment by medical personnel, while wives had a greater concern for the husband's involvement in the childbirth process. The obstetrician's office nursing staff was more important than such factors as recommendations, fees, and medical experience. Given the young and involved nature of the sample, these results may represent a future trend in health-care consumers. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) human relation natural childbirth obstetrics EMTREE MEDICAL INDEX TERMS adult article comparative study consumer female human interpersonal communication male methodology nursing LANGUAGE OF ARTICLE English MEDLINE PMID 6556700 (http://www.ncbi.nlm.nih.gov/pubmed/6556700) PUI L13751485 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 459 TITLE Parental information and circumcision in highly motivated couples with higher education AUTHOR NAMES Herrera A.J. Cochran B. Herrera A. Wallace B. AUTHOR ADDRESSES (Herrera A.J.; Cochran B.; Herrera A.; Wallace B.) Div. Neonatol., Dep. Pediatr., St Agnes Hosp., Baltimore, MD 21229 CORRESPONDENCE ADDRESS Div. Neonatol., Dep. Pediatr., St Agnes Hosp., Baltimore, MD 21229 SOURCE Pediatrics (1983) 71:2 (233-234). Date of Publication: 1983 ISSN 0031-4005 ABSTRACT Neonatal circumcision is a routine procedure performed in most male neonates. The American Academy of Pediatrics emphasizes the importance of parental information in the decision-making process. If correct medical information is going to make a difference in the performance of this procedure, the population more likely to show this difference is the highly motivated one with higher education. Parents attending childbirth classes (Lamaze) were randomized into two groups: group 1 was given verbal and written information on the risks and benefits of circumcision following the guidelines of the Ad Hoc Task Force on Circumcision at about the seventh month of pregnancy; group 2 was not given any special counseling. There were 181 couples: 97 in group 1 and 84 in group 2; both populations were closely matched. There was no statistically significant difference in the incidence of circumcision in these two groups. The implications of these findings are discussed. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation circumcision education patient counseling EMTREE MEDICAL INDEX TERMS adult central nervous system clinical trial controlled study human informed consent major clinical study newborn newborn surgery normal human psychological aspect randomized controlled trial therapy EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1983082039 MEDLINE PMID 6823425 (http://www.ncbi.nlm.nih.gov/pubmed/6823425) PUI L13188189 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 460 TITLE Childbirth education classes for expectant deaf parents. AUTHOR NAMES Baranowski E. AUTHOR ADDRESSES (Baranowski E.) CORRESPONDENCE ADDRESS E. Baranowski, SOURCE MCN. The American journal of maternal child nursing (1983) 8:2 (143-146). Date of Publication: 1983 Mar-Apr ISSN 0361-929X EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health education hearing impairment (complication) pregnancy complication EMTREE MEDICAL INDEX TERMS adult article child care female human labor male postnatal care pregnancy prenatal care LANGUAGE OF ARTICLE English MEDLINE PMID 6402641 (http://www.ncbi.nlm.nih.gov/pubmed/6402641) PUI L13655232 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 461 TITLE II. Factors affecting the continuance of breast feeding AUTHOR NAMES Bloom K. Goldbloom R.B. Robinson S.C. Stevens F.E. AUTHOR ADDRESSES (Bloom K.; Goldbloom R.B.; Robinson S.C.; Stevens F.E.) Dep. Psychol., Dalhousie Univ., Grace Matern. Hosp., Halifax, NS CORRESPONDENCE ADDRESS Dep. Psychol., Dalhousie Univ., Grace Matern. Hosp., Halifax, NS SOURCE Acta Paediatrica Scandinavica (1982) 71:Suppl. 300 (9-14). Date of Publication: 1982 ISSN 0001-656X ABSTRACT Study 1. A prospective, longitudinal study of 249 breast feeding mothers revealed that continuance of breast feeding was positively associated with breast feeding preparation (prenatal breast feeding class p = 0.04, preparation of breast p = 0.02) paternal preference (p = 0.02), early contact (immediate post-delivery contact, early initiation of breast feeding and daily rooming-in while in hospital, p = 0.002), maternal education (p = 0.001), and paternal occupational status (p = 0.005). Duration of breast feeding was longer for multiparas (p = 0.009). Mothers who stopped breast feeding in the first 6 weeks breast fed for only 18.2 days. Early termination was related (p = 0.01) to reported infant behaviours (crying, waking) which were assumed to indicate hunger. Study 2. An experimental study was conducted to evaluate the effect of social support on increasing the duration of breast feeding. Three groups (N = 50 each, primiparas) were randomly selected: Formula, Breast Control, Breast Experimental. During weeks 1-4, Breast Experimental mothers were telephoned weekly by a nurse to provide informed support for breast feeding and related infant care. Social support for these primiparous mothers increased their duration of breast feeding (p = 0.05). EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding EMTREE MEDICAL INDEX TERMS adult breast breast milk clinical trial controlled study human major clinical study normal human normal value randomized controlled trial social welfare EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1983091126 PUI L13138276 COPYRIGHT Copyright 2007 Elsevier B.V., All rights reserved. RECORD 462 TITLE Three phases of father involvement in pregnancy. AUTHOR NAMES May K.A. AUTHOR ADDRESSES (May K.A.) CORRESPONDENCE ADDRESS K.A. May, SOURCE Nursing research (1982) 31:6 (337-342). Date of Publication: 1982 Nov-Dec ISSN 0029-6562 ABSTRACT A field study focusing on men's experiences of first-time expectant fatherhood, including intensive interviews with 20 expectant couples, short field interviews with 80 additional fathers, participant observation in prenatal classes and clinics, and content analysis of popular literature was conducted for the purpose of description and generation of substantive theory. Interview and field data were analyzed using constant comparative analytic technique for qualitative data. Evidence suggest a characteristic pattern of development of subjective emotional involvement in pregnancy among first-time expectant fathers. This pattern consists of three phases: an announcement phase, a moratorium and a focusing phase. The length of the second phase appears to be related to the man's perception of his own readiness for pregnancy. The father's speed of progression though these phases may affect later adjustment to fatherhood. Further testing and validation of these findings is indicated. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) adaptive behavior father pregnancy EMTREE MEDICAL INDEX TERMS article concept formation education emotion female human human relation interview male parent prenatal care psychological aspect LANGUAGE OF ARTICLE English MEDLINE PMID 6924216 (http://www.ncbi.nlm.nih.gov/pubmed/6924216) PUI L13612065 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 463 TITLE Prevalence and duration of breast-feeding in Manitoba AUTHOR NAMES Clark L.L. Beal V.A. AUTHOR ADDRESSES (Clark L.L.; Beal V.A.) Province of Manitoba Dept. Hlth, Winnipeg, Man. R3G 0P1 CORRESPONDENCE ADDRESS Province of Manitoba Dept. Hlth, Winnipeg, Man. R3G 0P1 SOURCE Canadian Medical Association Journal (1982) 126:10 (1173-1175). Date of Publication: 1982 ISSN 0820-3946 ABSTRACT The rate of breast-feeding in the first 3 months post partum was studied in a group of 456 mothers. At 3 months 58% had been or still were breast-feeding their infants. The mothers who breast-fed were older, had a higher level of education, ahd a higher socioeconomic status, and were more likely to live on farms or in small towns, to have attended prenatal education classes and to have previously breast-fed. There were no significant differences between the method of feeding and the sex or birthweight of the infant, the maternal weight/height ratio or the participation of the father in the prenatal education classes. At 1 month 45% of the infants, at 2 months 35% and at 3 months 28% were being breast-fed. Public programs to promote breast-feeding as normal, beneficial and satisfying to both mother and infant are necessary so that more mothers will attempt to breast-feed their infants. Support for continuance of breast-feeding is needed in the hospital as well as in the home and the community. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding education socioeconomics EMTREE MEDICAL INDEX TERMS adult breast economic aspect geographic distribution infant newborn normal human normal value therapy EMBASE CLASSIFICATIONS Pediatrics and Pediatric Surgery (7) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY French EMBASE ACCESSION NUMBER 1982149308 MEDLINE PMID 7074439 (http://www.ncbi.nlm.nih.gov/pubmed/7074439) PUI L12125382 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 464 TITLE Roots of attachment: The relationship of parents with their unborn AUTHOR NAMES Cranley M.S. AUTHOR ADDRESSES (Cranley M.S.) Univ. Wisconsin-Madison Sch. Nurs., Madison, WI 53792 CORRESPONDENCE ADDRESS Univ. Wisconsin-Madison Sch. Nurs., Madison, WI 53792 SOURCE Birth Defects: Original Article Series (1981) 17:6 (59-83). Date of Publication: 1981 ISSN 0547-6844 ABSTRACT Two studies were undertaken to examine the degree to which parents engage in attachment behaviors toward their unborn children during gestation, the ways those behaviors may be modified by several intra and interpersonal and environmental variables, and the relationship between these attachment behaviors and the parents' later perception of their infants. In the first study, 30 women were interviewed during the last 6 weeks of gestation and again at 3 days after birth. Measures were obtained for the following variables: age, parity, socioeconomic status, self-esteem, anxiety, perceived stress, social support, attachment to the fetus, perception of birth, and perception of the infant. The results of this study indicated that pregnant women in the third trimester of gestation demonstrate a significant level of attachment to their fetuses. The presence of a social support system composed of family, friends, and helping professionals was positively associated with the level of attachment. Perceived stress had a negative association with attachment. No relationship was found between parity, socioeconomic status, or self-esteem and maternal-fetal attachment. Higher levels of maternal-fetal attachment were positively associated with the mothers' assessment of average babies and, in particular, with positive views of average babies' output behaviors. One hundred expectant fathers attending childbirth education classes completed a questionnaire designed to explore paternal-fetal attachment and the strength of their marital relationship. The responses of the expectant fathers provided demographic and descriptive data concerning educational level; number of times he had been an expectant father; and feelings concerning the marital relationship, behavioral involvement, and physical health during the current pregnancy. The results of this study revealed that men enrolled in childbirth education classes demonstrated attachment to their fetuses in 3 areas of paternal-fetal attachment: differentiation of self, roletaking, and giving of self. The strength of the marital relationship as perceived by the expectant father during pregnancy was positively associated with paternal-fetal attachment. The incidence of physical symptoms resembling pregnancy in the expectant father was positively associated with a father's attachment to the fetus, although the association was not striking. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) behavior fetus parent EMTREE MEDICAL INDEX TERMS human human experiment methodology normal human normal value pregnancy psychological aspect EMBASE CLASSIFICATIONS Human Genetics (22) Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1983031210 MEDLINE PMID 7326376 (http://www.ncbi.nlm.nih.gov/pubmed/7326376) PUI L13197360 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 465 TITLE Correlates of parent-infant interaction: An exploratory study AUTHOR NAMES Humenick S.S. Bugen L.A. AUTHOR ADDRESSES (Humenick S.S.; Bugen L.A.) Univ. Texas Austin Sch. Nurs., Austin, TX 78701 CORRESPONDENCE ADDRESS Univ. Texas Austin Sch. Nurs., Austin, TX 78701 SOURCE Birth Defects: Original Article Series (1981) 17:6 (181-199). Date of Publication: 1981 ISSN 0547-6844 ABSTRACT The self-reported parent-infant interaction scores of 66 new parents were compared to selected prenatal, birth, and postpartum experiences. For women, prenatal expectations for interaction intercation accounted for 61% of the variance in their parent-infant interaction. For men, a combination of low trait anxiety and high prenatal expectations accounted for 52% of the total variance. Low trait anxiety alone accounted for 27% of the variance and prenatal expectations another 26% of the variance for men, indicating little potential overlap in the combined predictive potential of these variables. Furthermore, the difference between expectation to interact and self-reported interaction for men correlated significantly with trait anxiety (r = 0.50, p = 0.001). No similar correlations of anxiety and parent-infant interaction were noted in women. All other variables relating to parent characteristics and/or the labor/delivery experience were found to have little relationship to parent-infant interaction. More research is recommended to further explore anxiety in new fathers. Parenting education for both parents is discussed in terms of role mastery techniques which can begin in childbirth preparation classes. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) anxiety child parent relation obstetric delivery progeny EMTREE MEDICAL INDEX TERMS education etiology female genital system fetus human human experiment newborn normal human pregnancy psychological aspect EMBASE CLASSIFICATIONS Human Genetics (22) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1983031215 MEDLINE PMID 7326371 (http://www.ncbi.nlm.nih.gov/pubmed/7326371) PUI L13197365 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 466 TITLE Parental α(1)-antitrypsin (PI) types and meiotic nondisjunction in the aetiology of Down syndrome AUTHOR NAMES Jongbloet P.H. Frants R.R. Hamers A.J. AUTHOR ADDRESSES (Jongbloet P.H.; Frants R.R.; Hamers A.J.) Huize Maria Roepaan, Inst. Ment. Retardates, 6595 NX Ottersum CORRESPONDENCE ADDRESS Huize Maria Roepaan, Inst. Ment. Retardates, 6595 NX Ottersum SOURCE Clinical Genetics (1981) 20:4 (304-309). Date of Publication: 1981 ISSN 0009-9163 ABSTRACT In 100 children with Down syndrome (DS), the parental origin of the supernumery chromosome 21 was investigated. In 76 out of the 100 cases the polymorphic regions were informative, i.e. the nondisjunction could be traced. Assessment of the α(1)-antitrypsin/α(1)-protease inhibitor (PI) types in these DS children revealed a significantly higher value of non-M PI variants (P < 0.05). In their fathers the non-M PI variants were not increased, not even in those in whom nondisjunction had taken place. A clearly significantly higher value (P < < 0.001) of non-M PI variants was found in their mothers, particularly when only the MS and MZ types which are recognized as deficiency variants were considered. Most striking, however, is the almost 5-fold increased frequency of MS and MZ types found in mothers where the nondisjunction had occurred during the first meiotic division. This would suggest that PI deficiency interferes with some process leading to nondisjunction. If these findings are confirmed, application of Bayes' theorem enables us to estimate the risk for MZ and MS heterozygous women to have a DS child: this would be 3- to 4-fold higher than for MM homozygous women. This would be of interest for genetic counselling and enhance the benefits of prenatal diagnosis programs. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) alpha 1 antitrypsin EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) Down syndrome meiosis nondisjunction serum group Pi system EMTREE MEDICAL INDEX TERMS congenital disorder etiology heredity human cell major clinical study parent trisomy 21 CAS REGISTRY NUMBERS alpha 1 antitrypsin (9041-92-3) EMBASE CLASSIFICATIONS Human Genetics (22) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1982026565 MEDLINE PMID 6460570 (http://www.ncbi.nlm.nih.gov/pubmed/6460570) PUI L12250614 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 467 TITLE Enhancing couple relationship during prenatal and postnatal classes. AUTHOR NAMES Woolery L. Barkley N. AUTHOR ADDRESSES (Woolery L.; Barkley N.) CORRESPONDENCE ADDRESS L. Woolery, SOURCE MCN. The American journal of maternal child nursing (1981) 6:3 (184-188). Date of Publication: 1981 May-Jun ISSN 0361-929X EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) human relation marriage parent EMTREE MEDICAL INDEX TERMS article emotion female human male mental stress postnatal care pregnancy prenatal care psychological aspect LANGUAGE OF ARTICLE English MEDLINE PMID 6787365 (http://www.ncbi.nlm.nih.gov/pubmed/6787365) PUI L11601646 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 468 TITLE Fetal sex and prenatal betamethasone therapy AUTHOR NAMES Ballard P.L. Ballard R.A. Granberg J.P. AUTHOR ADDRESSES (Ballard P.L.; Ballard R.A.; Granberg J.P.) Dept. Ped., Univ. California, San Francisco, Calif. 94143 CORRESPONDENCE ADDRESS Dept. Ped., Univ. California, San Francisco, Calif. 94143 SOURCE Journal of Pediatrics (1980) 97:3 (451-454). Date of Publication: 1980 ISSN 0022-3476 ABSTRACT We examined the influence of fetal sex on the occurrence of respiratory distress syndrome in premature infants after maternal treatment with betamethasone. Among treated infants of 1,251 to 1,750 gm birth weight, the incidence of RDS was 40.9% in 22 males and 7.1% (P = 0.03) in 14 females. Cord serum levels of betamethasone were similar for infants of both sexes, and there was no sex difference in suppression of serum cortisol, dehydroepiandrosterone sulfate, and growth hormone after treatment. These findings suggest that prenatal corticosteroid therapy is less effective in male infants than in female infants. This effect is not due to a difference in transfer or metabolism of betamethasone, nor is it reflected in the responsiveness of the fetal hypothalamic-pituitary-adrenal axis to synthetic glucocorticoid. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) betamethasone fetus sex placebo teratogenic agent EMTREE DRUG INDEX TERMS prasterone unclassified drug EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) fetus prematurity respiratory distress syndrome sex EMTREE MEDICAL INDEX TERMS article drug blood level major clinical study newborn respiratory system therapy umbilical cord CAS REGISTRY NUMBERS betamethasone (378-44-9) prasterone (53-43-0) EMBASE CLASSIFICATIONS Drug Literature Index (37) Pediatrics and Pediatric Surgery (7) Endocrinology (3) Developmental Biology and Teratology (21) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1981002071 MEDLINE PMID 7411310 (http://www.ncbi.nlm.nih.gov/pubmed/7411310) PUI L11225858 DOI 10.1016/S0022-3476(80)80204-6 FULL TEXT LINK http://dx.doi.org/10.1016/S0022-3476(80)80204-6 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 469 TITLE Prenatal education - parentcraft classes. AUTHOR NAMES Michie M. AUTHOR ADDRESSES (Michie M.) CORRESPONDENCE ADDRESS M. Michie, SOURCE Midwives chronicle (1980) 93:1112 (326-327). Date of Publication: Sep 1980 ISSN 0026-3524 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) breast feeding parent prenatal care EMTREE MEDICAL INDEX TERMS article child child parent relation education female human infant postnatal care pregnancy LANGUAGE OF ARTICLE English MEDLINE PMID 6902026 (http://www.ncbi.nlm.nih.gov/pubmed/6902026) PUI L10600292 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 470 TITLE Sexual needs and concerns of expectant parents. AUTHOR NAMES Ellis D.J. AUTHOR ADDRESSES (Ellis D.J.) CORRESPONDENCE ADDRESS D.J. Ellis, SOURCE JOGN nursing; journal of obstetric, gynecologic, and neonatal nursing (1980) 9:5 (306-308). Date of Publication: 1980 Sep-Oct ISSN 0090-0311 ABSTRACT Pregnancy is a maturational crisis which involves changes in the sexually related roles and functions of an expectant couple. The needs and concerns of such couples regarding sexuality are often not readily communicated and are therefore potential contributors to marital stress. in order to assist prenatal instructors to deal with these needs a questionnaire was developed in three phases to elicit perceived needs from a total of 50 individuals. The needs elicited were categorized and subsequently directed the formulation of objectives for a prenatal teaching program. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) parent pregnancy sex EMTREE MEDICAL INDEX TERMS article evaluation study female human male marriage patient education prenatal care sexual behavior LANGUAGE OF ARTICLE English MEDLINE PMID 6904656 (http://www.ncbi.nlm.nih.gov/pubmed/6904656) PUI L11543203 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 471 TITLE Child abuse. Prevention in teen-age parent AUTHOR NAMES Fontana V.J. AUTHOR ADDRESSES (Fontana V.J.) New York Foundling Hosp. Cent. Parent Child Developm., New York, N.Y. 10021 CORRESPONDENCE ADDRESS New York Foundling Hosp. Cent. Parent Child Developm., New York, N.Y. 10021 SOURCE New York State Journal of Medicine (1980) 80:1 (53-56). Date of Publication: 1980 ISSN 0028-7628 ABSTRACT Teen-age pregnancies have reached epidemic proportions. Adolescent parents are at high risk in the maltreatment of children. At especially high risk are those adolescent parents who have themselves experienced maltreatment in early childhood. Suggested solutions to the child abuse problem include: sessions on 'good parenting' in elementary and high school classes; perinatal assessment for high-risk characteristics for potential child abusers by hospital personnel; community adolescent maternity health services; preventive services, for example, shelters for pregnant teen-agers and infant day-care services; and comprehensive education in human sexuality which includes learning to accept responsibility for one's actions. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) abortion child abuse prophylaxis EMTREE MEDICAL INDEX TERMS adolescent injury prevention EMBASE CLASSIFICATIONS Psychiatry (32) Pediatrics and Pediatric Surgery (7) Forensic Science Abstracts (49) Public Health, Social Medicine and Epidemiology (17) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1980109166 MEDLINE PMID 6928520 (http://www.ncbi.nlm.nih.gov/pubmed/6928520) PUI L10139884 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 472 TITLE Cultural variations in professional and parenting patterns. AUTHOR NAMES Johnston M. AUTHOR ADDRESSES (Johnston M.) CORRESPONDENCE ADDRESS M. Johnston, SOURCE JOGN nursing; journal of obstetric, gynecologic, and neonatal nursing (1980) 9:1 (9-13). Date of Publication: 1980 Jan-Feb ISSN 0090-0311 ABSTRACT Existing parental and professional caring patterns are explored in an attempt to lay a foundation for the development of culturally relevant perinatal programs. Beliefs about bonding behavior are discussed as well as exploring whether this new knowledge is consistent with cross-cultural adaptations to the birth process. New rules and customs being introduced by professionals may be fostering a "detachment" phenomenon rather than the desired result of bonding behavior between parent and infant. Finally, a method of examining culturally divergent health beliefs and practices is discussed as a means of evaluating whether such practices are likely to be beneficial or harmful. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation cultural anthropology nurse patient relationship EMTREE MEDICAL INDEX TERMS article child rearing female human male newborn object relation obstetrical nursing postnatal care pregnancy prenatal care LANGUAGE OF ARTICLE English MEDLINE PMID 6898714 (http://www.ncbi.nlm.nih.gov/pubmed/6898714) PUI L10531353 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 473 TITLE Masculinization diminished by disruption of prenatal estrogen biosynthesis in male rats AUTHOR NAMES Gladue B.A. Clemens L.G. AUTHOR ADDRESSES (Gladue B.A.; Clemens L.G.) Dept. Zool., Hormones Behav. Lab., Michigan State Univ., East Lansing, Mich. 48824 SOURCE Physiology and Behavior (1980) 25:4 (589-593). Date of Publication: 1980 ISSN 0031-9384 ABSTRACT Male rats were exposed to the aromatization inhibitor 1,4,6-androstatriene-3,17-dione (ATD) in utero via prenatal injections to the mother on days 10 through 22 of gestation. At birth anogenital distance (AGD) and body weight (BW) were measured to assess effects of ATD on the development of genital morphology and body weight. Animals were castrated in adulthood and tested for the display of masculine sexual behavior in response to daily injections of 100 μg testosterone propionate replacement therapy. Prenatal exposure to ATD resulted in males with significantly decreased copulatory rates (MIPM) and slightly diminished probabilities of ejaculating when compared to control animals. Overall mounting, and intromission frequencies as well as percentages of animals displaying mounts and intromissions did not differ significantly across groups. These data lend support to the idea of a prenatal androgen-sensitive phase of neural sexual differentiation in which masculinization occurs, and further suggests that androgen aromatized to estrogen may be important for masculinization prenatally. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) androsta 1,4,6 triene 3,17 dione estradiol benzoate estrogen progesterone testosterone propionate EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) male genital system masculinization sexual behavior EMTREE MEDICAL INDEX TERMS animal experiment endocrine system fetus pregnancy prenatal care prenatal drug exposure rat CAS REGISTRY NUMBERS androsta 1,4,6 triene 3,17 dione (633-35-2) estradiol benzoate (50-50-0) progesterone (57-83-0) testosterone propionate (57-85-2) EMBASE CLASSIFICATIONS Physiology (2) Endocrinology (3) Drug Literature Index (37) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1981054054 MEDLINE PMID 7208655 (http://www.ncbi.nlm.nih.gov/pubmed/7208655) PUI L11213841 DOI 10.1016/0031-9384(80)90126-2 FULL TEXT LINK http://dx.doi.org/10.1016/0031-9384(80)90126-2 COPYRIGHT Copyright 2017 Elsevier B.V., All rights reserved. RECORD 474 TITLE Prenatal classes for repeat parents: a distinct need. AUTHOR NAMES Jimenez S.M. Jones L.C. Jungman R.G. AUTHOR ADDRESSES (Jimenez S.M.; Jones L.C.; Jungman R.G.) CORRESPONDENCE ADDRESS S.M. Jimenez, SOURCE MCN. The American journal of maternal child nursing (1979) 4:5 (305-308). Date of Publication: 1979 Sep-Oct ISSN 0361-929X EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child parent relation parent sibling relation EMTREE MEDICAL INDEX TERMS article birth order child education female human newborn pregnancy LANGUAGE OF ARTICLE English MEDLINE PMID 112346 (http://www.ncbi.nlm.nih.gov/pubmed/112346) PUI L9573542 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 475 TITLE The role of some birth-related variables in father attachment AUTHOR NAMES Peterson G.H. Mehl L.E. Leiderman P.H. AUTHOR ADDRESSES (Peterson G.H.; Mehl L.E.; Leiderman P.H.) Cent. Res. Birth and Hum. Developm., Berkeley, Calif. CORRESPONDENCE ADDRESS Cent. Res. Birth and Hum. Developm., Berkeley, Calif. SOURCE American Journal of Orthopsychiatry (1979) 49:2 (330-338). Date of Publication: 1979 ISSN 0002-9432 ABSTRACT 46 middle-income couples planning different childbirth methods - natural hospital delivery; home delivery; hospital delivery with anaesthesia - were studied from the sixth month of pregnancy until six months after the birth. The father's participation in the birth and his attitude toward it were found to constitute the most significant variable in predicting father attachment. Prenatal education and structuring of the birth environment are suggested to obtain maximum participation and involvement of fathers. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) obstetric delivery EMTREE MEDICAL INDEX TERMS central nervous system normal human EMBASE CLASSIFICATIONS Psychiatry (32) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1979144376 MEDLINE PMID 434127 (http://www.ncbi.nlm.nih.gov/pubmed/434127) PUI L9143992 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 476 TITLE A comparison of prepared childbirth couples and conventional prenatal class couples. AUTHOR NAMES Whitley N. AUTHOR ADDRESSES (Whitley N.) CORRESPONDENCE ADDRESS N. Whitley, SOURCE JOGN nursing; journal of obstetric, gynecologic, and neonatal nursing (1979) 8:2 (109-111). Date of Publication: 1979 Mar-Apr ISSN 0090-0311 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) labor parent prenatal care EMTREE MEDICAL INDEX TERMS adult article comparative study education evaluation study female human male pregnancy LANGUAGE OF ARTICLE English MEDLINE PMID 255180 (http://www.ncbi.nlm.nih.gov/pubmed/255180) PUI L9555280 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 477 TITLE Toward improvements in parenting. A description of prenatal and postpartum classes with teaching guide AUTHOR NAMES Smith D. Smith H.L. AUTHOR ADDRESSES (Smith D.; Smith H.L.) Parent Educ. Project, Northwest Hosp., Seattle, Wash. CORRESPONDENCE ADDRESS Parent Educ. Project, Northwest Hosp., Seattle, Wash. SOURCE Journal of Obstetric Gynecologic and Neonatal Nursing (1978) 7:6 (22-27). Date of Publication: 1978 ISSN 0884-2175 ABSTRACT 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. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) nursing education obstetrics EMTREE MEDICAL INDEX TERMS methodology psychological aspect United States EMBASE CLASSIFICATIONS Health Policy, Economics and Management (36) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1979089238 MEDLINE PMID 252551 (http://www.ncbi.nlm.nih.gov/pubmed/252551) PUI L9089018 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 478 TITLE An evaluation of the effectiveness of an educational program for expectant parents AUTHOR NAMES Thordarson L. Costanzo G.A. AUTHOR ADDRESSES (Thordarson L.; Costanzo G.A.) Metrop. Hlth Serv. Greater Vancouver CORRESPONDENCE ADDRESS Metrop. Hlth Serv. Greater Vancouver SOURCE Canadian Journal of Public Health (1976) 67:2 (117-121). Date of Publication: 1976 ISSN 0008-4263 ABSTRACT A survey to assess the impact of a prenatal preparation program in terms of birth outcome and consumer perception and satisfaction was conducted by means of a questionnaire administered by a public health nurse during her scheduled postnatal visit. Information gathered in the questionnaire coupled with data from the physician's notice of birth were analyzed by multivariate methods. It was found that mothers who attended the preparatory program had a lesser incidence of prematurity, longer gestation periods, and heavier babies. They also experienced greater satisfaction with the overall course of labour and delivery. Implications for future planning and development are discussed. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health education newborn nurse parent EMTREE MEDICAL INDEX TERMS maternity ward prevention primary prevention public health service EMBASE CLASSIFICATIONS Health Policy, Economics and Management (36) Public Health, Social Medicine and Epidemiology (17) Obstetrics and Gynecology (10) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1977078356 MEDLINE PMID 1260631 (http://www.ncbi.nlm.nih.gov/pubmed/1260631) PUI L7078330 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 479 TITLE The significance of reported childbirth pain AUTHOR NAMES Nettelbladt P. Fagerstrom C.F. Uddenberg N. AUTHOR ADDRESSES (Nettelbladt P.; Fagerstrom C.F.; Uddenberg N.) Psykiat. Klin., Las., Lund CORRESPONDENCE ADDRESS Psykiat. Klin., Las., Lund SOURCE Journal of Psychosomatic Research (1976) 20:3 (215-221). Date of Publication: 1976 ISSN 0022-3999 ABSTRACT Self reported childbirth pain was studied in 78 randomly selected primiparae, followed by semi structured interviews during pregnancy and the post partum period. Intense childbirth pain was more common in women having a low educational level. A negative attitude towards the present pregnancy and motherhood was also associated with painful deliveries. There was a high incidence of mental disturbance during pregnancy in women reporting intense pain. Antenatal training and the partner's presence in the delivery room did not influence the woman's experience of pain. The course of the delivery from an obstetrical point of view was unrelated to the women's self reports of pain. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) attitude education labor mental disease obstetric delivery pain EMTREE MEDICAL INDEX TERMS major clinical study normal human pregnancy prevention EMBASE CLASSIFICATIONS Obstetrics and Gynecology (10) Anesthesiology (24) Psychiatry (32) LANGUAGE OF ARTICLE English EMBASE ACCESSION NUMBER 1977120520 MEDLINE PMID 985618 (http://www.ncbi.nlm.nih.gov/pubmed/985618) PUI L7120467 DOI 10.1016/0022-3999(76)90024-6 FULL TEXT LINK http://dx.doi.org/10.1016/0022-3999(76)90024-6 COPYRIGHT Copyright 2009 Elsevier B.V., All rights reserved. RECORD 480 TITLE Giving expectant parents the help they need: the ABCs of prenatal education. AUTHOR NAMES Sumner G. AUTHOR ADDRESSES (Sumner G.) CORRESPONDENCE ADDRESS G. Sumner, SOURCE MCN. The American journal of maternal child nursing (1976) 1:4 (220-225). Date of Publication: 1976 Jul-Aug ISSN 0361-929X EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) family parent prenatal care EMTREE MEDICAL INDEX TERMS article biomechanics body posture education female human male pregnancy United States LANGUAGE OF ARTICLE English MEDLINE PMID 818462 (http://www.ncbi.nlm.nih.gov/pubmed/818462) PUI L6538774 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 481 TITLE Antenatal education for parenthood, as an aspect of preventive psychiatry. Some suggestions for programme content and objectives. AUTHOR NAMES Cook P.S. AUTHOR ADDRESSES (Cook P.S.) CORRESPONDENCE ADDRESS P.S. Cook, SOURCE The Medical journal of Australia (1970) 1:13 (676-681). Date of Publication: 28 Mar 1970 ISSN 0025-729X EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) child rearing mental disease (prevention) EMTREE MEDICAL INDEX TERMS article child parent relation child psychiatry education human preventive medicine LANGUAGE OF ARTICLE English MEDLINE PMID 5445864 (http://www.ncbi.nlm.nih.gov/pubmed/5445864) PUI L90383117 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 482 TITLE Do prenatal educational programs really prepare for parenthood? AUTHOR NAMES Bruce S.J. AUTHOR ADDRESSES (Bruce S.J.) CORRESPONDENCE ADDRESS S.J. Bruce, SOURCE Hospital topics (1965) 43:11 (104-106). Date of Publication: Nov 1965 ISSN 0018-5868 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) health education prenatal care EMTREE MEDICAL INDEX TERMS article human LANGUAGE OF ARTICLE English MEDLINE PMID 5843050 (http://www.ncbi.nlm.nih.gov/pubmed/5843050) PUI L86016574 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 483 TITLE Prolonged postpartum dysfunctional uterine bleeding subsequent to prenatal therapy with parenteral potent progestogens AUTHOR NAMES Turner S.J. AUTHOR ADDRESSES (Turner S.J.) Dept. of Obstet., Chicago Med. Sch., IL, United States. CORRESPONDENCE ADDRESS S.J. Turner, Dept. of Obstet., Chicago Med. Sch., IL, United States. SOURCE Obstetrics and Gynecology (1964) 24:2 (218-221). Date of Publication: 1964 ISSN 0029-7844 ABSTRACT Prolonged dysfunctional postpartum uterine bleeding was noted in 72.7% of 77 patients treated prenatally with Depo-medroxyprogesterone acetate, in 16.1% of 31 patients treated with 17α-hydroxyprogesterone n caproate, and in 3.7% of 27 patients treated with oral medroxyprogesterone acetate, as compared with 2.7% of 631 patients who received no progestogens during pregnancy. Characteristic appearance of endometrial specimens included endometrial sparsity and unbalanced structural appearance between the glands and the stroma, which consisted of tubular proliferative glands and considerable stromal edema, lacking decidualization. The cause for the described iatrogenic syndrome is not fully understood. Hormonal studies are in progress through which it is hoped an explanation will be forthcoming. EMTREE DRUG INDEX TERMS (MAJOR FOCUS) gestagen EMTREE DRUG INDEX TERMS hexanoic acid hydroxyprogesterone medroxyprogesterone acetate EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) metrorrhagia therapy EMTREE MEDICAL INDEX TERMS decidualization edema patient pregnancy stroma uterus bleeding LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2007753741 PUI L281123784 COPYRIGHT Copyright 2007 Elsevier B.V., All rights reserved. RECORD 484 TITLE Can X-irradiation prior to sexual maturity affect the fertility of the male mammal (mouse)? AUTHOR NAMES Rugh R. Wohlfromm M. AUTHOR ADDRESSES (Rugh R.; Wohlfromm M.) Radiol. Res. Lab., Dept. of Radiol., Columbia Univ., New York, NY, United States. CORRESPONDENCE ADDRESS R. Rugh, Radiol. Res. Lab., Dept. of Radiol., Columbia Univ., New York, NY, United States. SOURCE Atompraxis (1964) 10:1 (33-41). Date of Publication: 1964 ISSN 0571-8198 ABSTRACT CF(1) pregnant mice were X-irradiated to 25 r. or 100 r. at gestation ages 0.5 to 18.5. Post-natal males were irradiated at birth, 1, 2, 3 weeks, 1 and 2 mth. to either 100 r. or 400 r. Pre- and post-natal X-irradiated males were tested for reproductive potential from 2 mth. of age either to 8 mth. (for pre-natal series) or to 12 mth. of age (post-natal series). Pre-natal male mice exposed to 100 r. on days 10.5 to 12.5 showed a slight but significant reduction in their reproductive quotient but this was due more to fewer impregnations than to a reduction in litter size, when mated with normal females. This may reflect general physiological disability rather than reduced reproductive potential. The average litter size was not affected. X-irradiation of the neo-natal male mouse had no significant effect on fertility when the level of exposure was 100 r. All post-natal males showed some effect at 400 r. X-irradiation. Exposure of the male mouse at 1 or 2 mth. of age to 400 r. X-rays reduced their reproductive quotient considerably (67% and 71% respectively). This study shows that the pre-gonad embryonic stages (0 to 11.5 days) and the stages of active gonad differentiation (12 days gestation to 1 mth. post-natal) are very radioresistant when the mouse is subsequently fertility-tested. While 400 r. did have an immediate effect on the neo-natal testes, this dose was not sufficient to permanently sterilize any male mouse when exposures occurred at any time during the post-natal period of testis differentiation. Further, the neo-natal testes damaged by 400 r. X-rays (as seen at 2 mth. of age) showed almost complete recovery by the termination of the study. This recovery of the X-irradiated testis was made from the few early maturation (spermatogonial) stages that escaped X-irradiation insult. These became the stem cells for the ultimately recovered testis at 12 mth. of age. It must be concluded that the unformed, undifferentiated testis, and the actively maturing testis are both sufficiently radioresistant as to make full recovery if a few spermatogonia escape X-irradiation death, and that 100 r. to the male embryo or 400 r. to the sexually maturing male are not sufficient exposures to seriously affect reproductive activity over the normal reproductive period. No consideration is given to any possible genetic sequelae in the offspring produced by these sexually 'recovered' males. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) fertility male mammal mouse sexual maturity X irradiation EMTREE MEDICAL INDEX TERMS death disability embryo exposure female gestational age gonad gonad development irradiation litter size maturation pregnancy progeny radiation response spermatogonium stem cell temperature sensitivity testis X ray LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2008909559 PUI L281563710 COPYRIGHT Copyright 2007 Elsevier B.V., All rights reserved. RECORD 485 TITLE Preparation for parenthood in the childbirth program. AUTHOR NAMES Thoms H. AUTHOR ADDRESSES (Thoms H.) CORRESPONDENCE ADDRESS H. Thoms, SOURCE Obstetrics and gynecology (1957) 10:4 (434-436). Date of Publication: Oct 1957 ISSN 0029-7844 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) prenatal care EMTREE MEDICAL INDEX TERMS article LANGUAGE OF ARTICLE English MEDLINE PMID 13477608 (http://www.ncbi.nlm.nih.gov/pubmed/13477608) PUI L80190041 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 486 TITLE Prenatal classes for parents. AUTHOR NAMES Sister Annunciata AUTHOR ADDRESSES (Sister Annunciata) CORRESPONDENCE ADDRESS Sister Annunciata, SOURCE Hospital progress (1953) 34:6 (47-48). Date of Publication: Jun 1953 ISSN 0018-5817 EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) prenatal care EMTREE MEDICAL INDEX TERMS article LANGUAGE OF ARTICLE English MEDLINE PMID 13068987 (http://www.ncbi.nlm.nih.gov/pubmed/13068987) PUI L81033282 COPYRIGHT MEDLINE® is the source for the citation and abstract of this record. RECORD 487 TITLE Some observations on childbirth AUTHOR NAMES Rutherford R.N. AUTHOR ADDRESSES (Rutherford R.N.) SOURCE Western Journal of Surgery, Obstetrics and Gynecology (1950) 58:1 (32-35). Date of Publication: 1950 ISSN 0099-5665 ABSTRACT A philosophical article in which the author describes his antenatal lectures for expectant mothers and fathers, his preference for regional anaesthesia in labour, rooming-in arrangement for the newborn, and his liberal attitude toward father-participation in the experiences of childbirth. EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS) childbirth EMTREE MEDICAL INDEX TERMS expectant mother father newborn regional anesthesia rooming in LANGUAGE OF ARTICLE English LANGUAGE OF SUMMARY English EMBASE ACCESSION NUMBER 2007065940 PUI L280466269 COPYRIGHT Copyright 2007 Elsevier B.V., All rights reserved.