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[PMID]:27773528
[Au] Autor:Goodman JM; Guendelman S; Kjerulff KH
[Ad] Endereço:Division of Public Administration, Mark O. Hatfield School of Government, Portland State University, Portland, Oregon. Electronic address: julia.goodman@pdx.edu.
[Ti] Título:Antenatal Maternity Leave and Childbirth Using the First Baby Study: A Propensity Score Analysis.
[So] Source:Womens Health Issues;27(1):50-59, 2017 Jan - Feb.
[Is] ISSN:1878-4321
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Most employed American women work during pregnancy and continue working through the month they deliver. Yet, few studies estimate the relationship between maternity leave taken during pregnancy and maternal health. We evaluate the association of antenatal leave (ANL) uptake with obstetric outcomes, assessing the potential role of protective and adverse selection pathways on this relationship. METHODS: We sample 1,740 employed women who delivered at term from the First Baby Study, a prospective cohort of nulliparous women in Pennsylvania. We use propensity scores to estimate the relationship between ANL and negative delivery outcomes (labor induction, long labor duration, unplanned cesarean delivery, and self-reported negative birth experience). We estimated propensity scores using a range of employment, health, and sociodemographic variables. RESULTS: One-half of the sampled women worked until the day before or day of delivery. Women who stopped working at least 2 days before delivery experienced 16% more negative delivery outcomes, on average, than women who worked until delivery, driven largely by a 25% higher predicted probability of unplanned cesarean section deliveries. These robust findings hold up to a range of sensitivity analyses and demonstrate selective mechanisms operating in ANL uptake. CONCLUSION: Our findings suggest that, even after controlling for an extensive set of observable employment, health, and sociodemographic characteristics, women who take ANL continue to differ in unobserved characteristics that lead to negative delivery outcomes. Like most U.S. states, Pennsylvania does not grant paid maternity leave. In a context of limited maternity leave availability, only relatively unhealthy women take ANL.
[Mh] Termos MeSH primário: Parto Obstétrico/métodos
Emprego/estatística & dados numéricos
Licença Parental/estatística & dados numéricos
Parto
Resultado da Gravidez/epidemiologia
Saúde da Mulher
Mulheres Trabalhadoras/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Cesárea/estatística & dados numéricos
Feminino
Seres Humanos
Lactente
Recém-Nascido
Trabalho de Parto Induzido/estatística & dados numéricos
Bem-Estar Materno
Gravidez
Cuidado Pré-Natal/métodos
Pontuação de Propensão
Estudos Prospectivos
Fatores de Tempo
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180124
[Lr] Data última revisão:
180124
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29237246
[Au] Autor:Steen M
[Ti] Título:THE PERFECT MUM DOESN'T EXIST BUT A GOOD ENOUGH MUM DOES: BUILDING RESILIENCE FOR BETTER MATERNAL MENTAL HEALTH.
[So] Source:Aust Nurs Midwifery J;24(1):39, 2016 07.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:The issue of women experiencing mental health problems during pregnancy which can progress and exacerbate into the transition of motherhood is one that midwives need to be alerted to.
[Mh] Termos MeSH primário: Bem-Estar Materno
Transtornos Mentais/enfermagem
Complicações na Gravidez/enfermagem
Resiliência Psicológica
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:28832911
[Au] Autor:Farrar D; Duley L; Dowswell T; Lawlor DA
[Ad] Endereço:Maternal and Child Health, Bradford Institute for Health Research, Bradford Royal Infirmary, Duckworth Lane, Bradford, UK, BD9 6RJ.
[Ti] Título:Different strategies for diagnosing gestational diabetes to improve maternal and infant health.
[So] Source:Cochrane Database Syst Rev;8:CD007122, 2017 08 23.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Gestational diabetes mellitus (GDM) is carbohydrate intolerance resulting in hyperglycaemia with onset or first recognition during pregnancy. If untreated, perinatal morbidity and mortality may be increased. Accurate diagnosis allows appropriate treatment. Use of different tests and different criteria will influence which women are diagnosed with GDM. This is an update of a review published in 2011 and 2015. OBJECTIVES: To evaluate and compare different testing strategies for diagnosis of gestational diabetes mellitus to improve maternal and infant health while assessing their impact on healthcare service costs. SEARCH METHODS: We searched Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials.gov, WHO International Clinical Trials Registry Platform (ICTRP) (9 January 2017) and reference lists of retrieved studies. SELECTION CRITERIA: We included randomised trials if they evaluated tests carried out to diagnose GDM. We excluded studies that used a quasi-random model, cluster-randomised or cross-over trials. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy. The quality of the evidence was assessed using the GRADE approach. MAIN RESULTS: We included a total of seven small trials, with 1420 women. One trial including 726 women was identified by this update and examined the two step versus one step approach. These trials were assessed as having varying risk of bias, with few outcomes reported. We prespecified six outcomes to be assessed for quality using the GRADE approach for one comparison: 75 g oral glucose tolerance test (OGTT) versus 100 g OGTT; data for only one outcome (diagnosis of gestational diabetes) were available for assessment. One trial compared three different methods of delivering glucose: a candy bar (39 women), a 50 g glucose polymer drink (40 women) and a 50 g glucose monomer drink (43 women). We have included the results reported by this trial as separate comparisons. No trial reported on measures of costs of health services.We examined six main comparisons. 75 g OGTT versus 100 g OGTT (1 trial, 248 women): women who received 75 g OGTT had a higher relative risk of being diagnosed with GDM (risk ratio (RR) 2.55, 95% confidence interval (CI) 0.96 to 6.75; very-low quality evidence). No data were reported for the following additional outcomes prespecified for GRADE assessment: caesarean section, macrosomia > 4.5 kg or however defined in the trial, long-term type 2 diabetes maternal, long-term type 2 diabetes infant and economic costs. Candy bar versus 50 g glucose monomer drink (1 trial, 60 women): more women receiving the candy bar, rather than glucose monomer, preferred the taste of the candy bar (RR 0.60, 95% CI 0.42 to 0.86) and 1-hour glucose was less with the candy bar. There were no differences in the other outcomes reported (maternal side effects). No infant outcomes were reported or any review primary outcomes. 50 g glucose polymer drink versus 50 g glucose monomer drink (3 trials, 239 women): mean difference (MD) in gestation at birth was -0.80 weeks (1 trial, 100 women; 95% CI -1.69 to 0.09). Total side effects were less common with the glucose polymer drink (1 trial, 63 women; RR 0.21, 95% CI 0.07 to 0.59), and no clear difference in taste acceptability was reported (1 trial, 63 women; RR 0.99, 95% CI 0.76 to 1.29). Fewer women reported nausea following the 50 g glucose polymer drink compared with the 50 g glucose monomer drink (1 trial, 66 women; RR 0.29, 95% CI 0.11 to 0.78). No other measures of maternal morbidity or outcomes for the infant were reported. 50 g glucose food versus 50 g glucose drink (1 trial, 30 women): women receiving glucose in their food, rather than as a drink, reported fewer side effects (RR 0.08, 95% CI 0.01 to 0.56). No clear difference was noted in the number of women requiring further testing (RR 0.14, 95% CI 0.01 to 2.55). No other measures of maternal morbidity or outcome were reported for the infant or review primary outcomes. 75 g OGTT World Health Organization (WHO) criteria versus 75 g OGTT American Diabetes Association (ADA) criteria (1 trial, 116 women): no clear differences in included outcomes were observed between women who received the 75 g OGTT and were diagnosed using criteria based on WHO (1999) recommendations and women who received the 75 g OGTT and were diagnosed using criteria recommended by the ADA (1979). Outcomes measured included diagnosis of gestational diabetes (RR 1.47, 95% CI 0.66 to 3.25), caesarean section (RR 1.07, 95% CI 0.85 to 1.35), macrosomia defined as > 90th percentile by ultrasound or birthweight equal to or exceeding 4000 g (RR 0.73, 95% CI 0.19 to 2.79), stillbirth (RR 0.49, 95% CI 0.02 to 11.68) and instrumental birth (RR 0.21, 95% CI 0.01 to 3.94). No other secondary outcomes were reported. Two-step approach (50 g oral glucose challenge test followed by selective 100 g OGTT Carpenter and Coustan criteria) versus one-step approach (universal 75 g OGTT ADA criteria) (1 trial, 726 women): women allocated the two-step approach had a lower risk of being diagnosed with GDM at 11 to 14 weeks' gestation compared to women allocated the one-step approach (RR 0.51, 95% CI 0.28 to 0.95). No other primary or secondary outcomes were reported. AUTHORS' CONCLUSIONS: There is insufficient evidence to suggest which strategy is best for diagnosing GDM. Large randomised trials are required to establish the best strategy for correctly identifying women with GDM.
[Mh] Termos MeSH primário: Diabetes Gestacional/diagnóstico
Bem-Estar do Lactente
Bem-Estar Materno
[Mh] Termos MeSH secundário: Bebidas
Doces
Feminino
Glucose/administração & dosagem
Teste de Tolerância a Glucose/métodos
Seres Humanos
Recém-Nascido
Gravidez
Efeitos Tardios da Exposição Pré-Natal/prevenção & controle
Ensaios Clínicos Controlados Aleatórios como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Nm] Nome de substância:
IY9XDZ35W2 (Glucose)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD007122.pub4


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[PMID]:28771289
[Au] Autor:Tieu J; McPhee AJ; Crowther CA; Middleton P; Shepherd E
[Ad] Endereço:ARCH: Australian Research Centre for Health of Women and Babies, Robinson Research Institute, Discipline of Obstetrics and Gynaecology, The University of Adelaide, Women's and Children's Hospital, 1st floor, Queen Victoria Building, 72 King William Road, Adelaide, South Australia, Australia, 5006.
[Ti] Título:Screening for gestational diabetes mellitus based on different risk profiles and settings for improving maternal and infant health.
[So] Source:Cochrane Database Syst Rev;8:CD007222, 2017 08 03.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Gestational diabetes mellitus (GDM) is a form of diabetes that occurs in pregnancy. Although GDM usually resolves following birth, it is associated with significant morbidities for mothers and their infants in the short and long term. There is strong evidence to support treatment for GDM. However, there is uncertainty as to whether or not screening all pregnant women for GDM will improve maternal and infant health and if so, the most appropriate setting for screening. This review updates a Cochrane Review, first published in 2010, and subsequently updated in 2014. OBJECTIVES: To assess the effects of screening for gestational diabetes mellitus based on different risk profiles and settings on maternal and infant outcomes. SEARCH METHODS: We searched Cochrane Pregnancy and Childbirth's Trials Register (31 January 2017), ClinicalTrials.gov, the WHO International Clinical Trials Registry Platform (ICTRP) (14 June 2017), and reference lists of retrieved studies. SELECTION CRITERIA: We included randomised and quasi-randomised trials evaluating the effects of different protocols, guidelines or programmes for screening for GDM based on different risk profiles and settings, compared with the absence of screening, or compared with other protocols, guidelines or programmes for screening. We planned to include trials published as abstracts only and cluster-randomised trials, but we did not identify any. Cross-over trials are not eligible for inclusion in this review. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed study eligibility, extracted data and assessed the risk of bias of the included trials. We resolved disagreements through discussion or through consulting a third reviewer. MAIN RESULTS: We included two trials that randomised 4523 women and their infants. Both trials were conducted in Ireland. One trial (which quasi-randomised 3742 women, and analysed 3152 women) compared universal screening versus risk factor-based screening, and one trial (which randomised 781 women, and analysed 690 women) compared primary care screening versus secondary care screening. We were not able to perform meta-analyses due to the different interventions and comparisons assessed.Overall, there was moderate to high risk of bias due to one trial being quasi-randomised, inadequate blinding, and incomplete outcome data in both trials. We used GRADEpro GDT software to assess the quality of the evidence for selected outcomes for the mother and her child. Evidence was downgraded for study design limitations and imprecision of effect estimates. Universal screening versus risk-factor screening (one trial) MotherMore women were diagnosed with GDM in the universal screening group than in the risk-factor screening group (risk ratio (RR) 1.85, 95% confidence interval (CI) 1.12 to 3.04; participants = 3152; low-quality evidence). There were no data reported under this comparison for other maternal outcomes including hypertensive disorders of pregnancy, caesarean birth, perineal trauma, gestational weight gain, postnatal depression, and type 2 diabetes. ChildNeonatal outcomes: large-for-gestational age, perinatal mortality, mortality or morbidity composite, hypoglycaemia; and childhood/adulthood outcomes: adiposity, type 2 diabetes, and neurosensory disability, were not reported under this comparison. Primary care screening versus secondary care screening (one trial) MotherThere was no clear difference between the primary care and secondary care screening groups for GDM (RR 0.91, 95% CI 0.50 to 1.66; participants = 690; low-quality evidence), hypertension (RR 1.41, 95% CI 0.77 to 2.59; participants = 690; low-quality evidence), pre-eclampsia (RR 0.80, 95% CI 0.36 to 1.78; participants = 690;low-quality evidence), or caesarean section birth (RR 1.00, 95% CI 0.80 to 1.27; participants = 690; low-quality evidence). There were no data reported for perineal trauma, gestational weight gain, postnatal depression, or type 2 diabetes. ChildThere was no clear difference between the primary care and secondary care screening groups for large-for-gestational age (RR 1.37, 95% CI 0.96 to 1.96; participants = 690; low-quality evidence), neonatal complications: composite outcome, including: hypoglycaemia, respiratory distress, need for phototherapy, birth trauma, shoulder dystocia, five minute Apgar less than seven at one or five minutes, prematurity (RR 0.99, 95% CI 0.57 to 1.71; participants = 690; low-quality evidence), or neonatal hypoglycaemia (RR 1.10, 95% CI 0.28 to 4.38; participants = 690; very low-quality evidence). There was one perinatal death in the primary care screening group and two in the secondary care screening group (RR 1.10, 95% CI 0.10 to 12.12; participants = 690; very low-quality evidence). There were no data for neurosensory disability, or childhood/adulthood adiposity or type 2 diabetes. AUTHORS' CONCLUSIONS: There are insufficient randomised controlled trial data evaluating the effects of screening for GDM based on different risk profiles and settings on maternal and infant outcomes. Low-quality evidence suggests universal screening compared with risk factor-based screening leads to more women being diagnosed with GDM. Low to very low-quality evidence suggests no clear differences between primary care and secondary care screening, for outcomes: GDM, hypertension, pre-eclampsia, caesarean birth, large-for-gestational age, neonatal complications composite, and hypoglycaemia.Further, high-quality randomised controlled trials are needed to assess the value of screening for GDM, which may compare different protocols, guidelines or programmes for screening (based on different risk profiles and settings), with the absence of screening, or with other protocols, guidelines or programmes. There is a need for future trials to be sufficiently powered to detect important differences in short- and long-term maternal and infant outcomes, such as those important outcomes pre-specified in this review. As only a proportion of women will be diagnosed with GDM in these trials, large sample sizes may be required.
[Mh] Termos MeSH primário: Diabetes Gestacional/diagnóstico
Teste de Tolerância a Glucose/métodos
Programas de Rastreamento/métodos
[Mh] Termos MeSH secundário: Diabetes Gestacional/terapia
Feminino
Teste de Tolerância a Glucose/efeitos adversos
Seres Humanos
Bem-Estar do Lactente
Recém-Nascido
Bem-Estar Materno
Gravidez
Resultado da Gravidez
Ensaios Clínicos Controlados Aleatórios como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD007222.pub4


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[PMID]:28378956
[Au] Autor:Herbst ChM
[Ad] Endereço:School of Public Affairs, Arizona State University, Phoenix, AZ, USA. chris.herbst@asu.edu
[Ti] Título:Are Parental Welfare Work Requirements Good for Disadvantaged Children? Evidence From Age-of-Youngest-Child Exemptions.
[So] Source:J Policy Anal Manage;36(2):327-57, 2017.
[Is] ISSN:0276-8739
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This paper assesses the impact of welfare reform's parental work requirements on low-income children's cognitive and social-emotional development. The identification strategy exploits an important feature of the work requirement rules­namely, age-of youngest- child exemptions­as a source of quasi-experimental variation in first-year maternal employment. The 1996 welfare reform law empowered states to exempt adult recipients from the work requirements until the youngest child reaches a certain age. This led to substantial variation in the amount of time that mothers can remain home with a newborn child. I use this variation to estimate the impact of work-requirement induced increases in maternal employment. Using a sample of infants from the Birth cohort of the Early Childhood Longitudinal Study, the reduced form and instrumental variables estimates reveal sizable negative effects of maternal employment. An auxiliary analysis of mechanisms finds that working mothers experience an increase in depressive symptoms, and are less likely to breastfeed and read to their children. In addition, such children are exposed to nonparental child care arrangements at a younger age, and they spend more time in these settings throughout the first year of life.
[Mh] Termos MeSH primário: Desenvolvimento Infantil
Bem-Estar da Criança
Emprego
Bem-Estar do Lactente
Bem-Estar Materno
Seguridade Social
[Mh] Termos MeSH secundário: Adulto
Aleitamento Materno
Pré-Escolar
Transtorno Depressivo
Seres Humanos
Lactente
Recém-Nascido
Relações Mãe-Filho
Pobreza
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170419
[Lr] Data última revisão:
170419
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170406
[St] Status:MEDLINE


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[PMID]:28321970
[Au] Autor:Powell RM; Parish SL; Akobirshoev I
[Ad] Endereço:Lurie Institute for Disability Policy, Brandeis University Heller School for Social Policy and Management, Waltham, MA, USA.
[Ti] Título:The Health and Economic Well-Being of US Mothers with Intellectual Impairments.
[So] Source:J Appl Res Intellect Disabil;30(3):456-468, 2017 May.
[Is] ISSN:1468-3148
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: While the United States has seen increased attention by policymakers on the rights of parents with disabilities, there is limited understanding of the health and economic well-being of parents with intellectual impairments. This study compares the health and economic well-being of mothers with and without intellectual impairments. METHODS: This descriptive, exploratory study is a secondary analysis of the Fragile Families and Child Wellbeing Study. This study includes a subsample of mothers of three-year-old children (n = 1561), including mothers with intellectual impairments (n = 263) and without intellectual impairments (n = 1298). RESULTS: US Mothers with intellectual impairments are more likely to report serious health conditions, have less instrumental support, live in poverty, receive public benefits and experience certain material hardships. CONCLUSION: Findings from this study indicate the need for policies and programmes to support parents with intellectual impairments by addressing their health and economic needs.
[Mh] Termos MeSH primário: Nível de Saúde
Renda/estatística & dados numéricos
Deficiência Intelectual/epidemiologia
Bem-Estar Materno/estatística & dados numéricos
Mães/estatística & dados numéricos
Pobreza/estatística & dados numéricos
Qualidade de Vida
Apoio Social
[Mh] Termos MeSH secundário: Adulto
Pré-Escolar
Feminino
Seguimentos
Seres Humanos
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170322
[St] Status:MEDLINE
[do] DOI:10.1111/jar.12308


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[PMID]:28253469
[Au] Autor:Robson SJ; de Costa CM
[Ad] Endereço:Centenary Hospital for Women and Children, ANU Medical School, Canberra, ACT stephen.robson@anu.edu.au.
[Ti] Título:Thirty years of the World Health Organization's target caesarean section rate: time to move on.
[So] Source:Med J Aust;206(4):181-185, 2017 Mar 06.
[Is] ISSN:1326-5377
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:It has been 30 years since the World Health Organization first recommended a "maximum" caesarean section (CS) rate of 15%. There are demographic differences across the 194 WHO member countries; recent analyses suggest the optimal global CS rate is almost 20%. Attempts to reduce CS rates in developed countries have not worked. The strongest predictor of caesarean delivery for the first birth of "low risk" women appears to be maternal age; a factor that continues to increase. Most women whose first baby is born by caesarean delivery will have all subsequent children by caesarean delivery. Outcomes that informed the WHO recommendation primarily relate to maternal and perinatal mortality, which are easy to measure. Longer term outcomes, such as pelvic organ prolapse and urinary incontinence, are closely related to mode of birth, and up to 20% of women will undergo surgery for these conditions. Pelvic floor surgery is typically undertaken for older women who are less fit for surgery. Serious complications such as placenta accreta occur with repeat caesarean deliveries, but the odds only reach statistical significance at the third or subsequent caesarean delivery. However, in Australia, parity is falling, and only 20% of women will have more than two births. We should aim to provide CS to women in need and to continue including women in the conversation about the benefits and disadvantages, both short and long term, of birth by caesarean delivery.
[Mh] Termos MeSH primário: Cesárea/estatística & dados numéricos
Procedimentos Cirúrgicos Eletivos/estatística & dados numéricos
Bem-Estar Materno/estatística & dados numéricos
[Mh] Termos MeSH secundário: Austrália
Traumatismos do Nascimento/prevenção & controle
Feminino
Seres Humanos
Avaliação de Resultados (Cuidados de Saúde)
Gravidez
Organização Mundial da Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170330
[Lr] Data última revisão:
170330
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170303
[St] Status:MEDLINE


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[PMID]:27868308
[Au] Autor:Middleton P; Bubner T; Glover K; Rumbold A; Weetra D; Scheil W; Brown S
[Ad] Endereço:Healthy Mothers, Babies and Children, South Australian Health and Medical Research Institute, South Australia.
[Ti] Título:'Partnerships are crucial': an evaluation of the Aboriginal Family Birthing Program in South Australia.
[So] Source:Aust N Z J Public Health;41(1):21-26, 2017 Feb.
[Is] ISSN:1753-6405
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To evaluate implementation and outcomes of the Aboriginal Family Birthing Program (AFBP), which provides culturally competent antenatal, intrapartum and early postnatal care for Aboriginal families across South Australia (SA). METHODS: Analysis of births to Aboriginal women in SA 2010-2012; interviews with health professionals and AFBP clients. RESULTS: Around a third of all Aboriginal women giving birth in SA 2010-2012 (n=486) attended AFBP services. AFBP women were more likely to be more socially disadvantaged, have poorer pregnancy health and to have inadequate numbers of antenatal visits than Aboriginal women attending other services. Even with greater social disadvantage and higher clinical complexity, pregnancy outcomes were similar for AFBP and other Aboriginal women. Interviews with 107 health professionals (including 20 Aboriginal Maternal and Infant Care (AMIC) workers) indicated differing levels of commitment to the model, with some lack of clarity about AMIC workers and midwives roles. Interviews with 20 AFBP clients showed they highly valued care from another Aboriginal woman. CONCLUSIONS: Despite challenges, the AFBP reaches out to women with the greatest need, providing culturally appropriate, effective care through partnerships. Implications for Public Health: Programs like the AFBP need to be expanded and supported to improve maternal and child health outcomes for Aboriginal families.
[Mh] Termos MeSH primário: Pessoal de Saúde
Serviços de Saúde do Indígena/organização & administração
Bem-Estar Materno/etnologia
Centros de Saúde Materno-Infantil/utilização
Grupo com Ancestrais Oceânicos
Cuidado Pré-Natal/organização & administração
Avaliação de Programas e Projetos de Saúde/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Comportamento Cooperativo
Competência Cultural
Diversidade Cultural
Feminino
Pesquisas sobre Serviços de Saúde
Seres Humanos
Entrevistas como Assunto
Tocologia
Avaliação de Resultados (Cuidados de Saúde)
Assistência Perinatal
Gravidez
Papel Profissional
Austrália do Sul
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170417
[Lr] Data última revisão:
170417
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161122
[St] Status:MEDLINE
[do] DOI:10.1111/1753-6405.12599


  9 / 5594 MEDLINE  
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[PMID]:27790930
[Au] Autor:Lippi D; Di Renzo G
[Ad] Endereço:a Faculty of Medicine and Surgery University of Florence , Anatomy, Histology and Legal Medicine , Viale Morgagni 85 , Florence , Italy and.
[Ti] Título:The MUDI museum in the realm of children and women.
[So] Source:J Matern Fetal Neonatal Med;30(1):1-2, 2017 Jan.
[Is] ISSN:1476-4954
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Bem-Estar da Criança/história
Maternidades/história
Hospitais Pediátricos/história
Bem-Estar Materno/história
Museus/história
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Feminino
História do Século XV
História do Século XVI
História do Século XVII
História do Século XVIII
História Medieval
Seres Humanos
Lactente
Recém-Nascido
Itália
Masculino
[Pt] Tipo de publicação:EDITORIAL; HISTORICAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170609
[Lr] Data última revisão:
170609
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161030
[St] Status:MEDLINE


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[PMID]:27836089
[Au] Autor:Nimi T; Fraga S; Costa D; Campos P; Barros H
[Ad] Endereço:Epidemiology Research Unit, Institute of Public Health University of Porto, Porto, Portugal; Faculty of Medicine of Agostinho Neto University, Luanda, Angola.
[Ti] Título:Prenatal care and pregnancy outcomes: A cross-sectional study in Luanda, Angola.
[So] Source:Int J Gynaecol Obstet;135 Suppl 1:S72-S78, 2016 Nov.
[Is] ISSN:1879-3479
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To describe prenatal care in Angolan women delivered at a large tertiary care unit, and to explore the association between prenatal care and selected perinatal outcomes. METHODS: We conducted a cross-sectional study between December 2012 and February 2013, involving 995 women aged 13-46years, delivered at Lucrécia Paím Maternity, Luanda. Trained interviewers collected information on timing, frequency, place, and satisfaction with prenatal care; sociodemographic and clinical characteristics; birth weight; and gestational age. Logistic regression models were fitted, and odds ratios with 95% confidence intervals (OR, 95%CI) estimated. RESULTS: Quantitatively inadequate prenatal care (<4 visits) was more common in younger, less educated, poorer women, followed in public institutions, and those who felt more dissatisfied with care. More visits, both in primiparas and multiparas, were independently associated with more cesarean deliveries. After adjustment, having fewer than four visits was significantly associated with low birth weight (OR 2.00; 95% CI, 1.15-3.50) and preterm delivery (OR 2.74; 95% CI, 1.69-4.44 for 2-4 visits); similar associations were found regarding late entrance into care. CONCLUSION: Early entrance into prenatal care and the recommended number of visits are major determinants of mode of delivery and pregnancy outcomes, constituting targets to improve perinatal health.
[Mh] Termos MeSH primário: Parto Obstétrico/estatística & dados numéricos
Acesso aos Serviços de Saúde/estatística & dados numéricos
Complicações do Trabalho de Parto/epidemiologia
Cuidado Pré-Natal/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Angola/epidemiologia
Intervalos de Confiança
Estudos Transversais
Feminino
Seres Humanos
Bem-Estar do Lactente/estatística & dados numéricos
Recém-Nascido
Serviços de Saúde Materna/estatística & dados numéricos
Bem-Estar Materno/estatística & dados numéricos
Complicações do Trabalho de Parto/prevenção & controle
Razão de Chances
Gravidez
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170412
[Lr] Data última revisão:
170412
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161113
[St] Status:MEDLINE



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