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[PMID]:28292054
[Au] Autor:Kalisa R; Malande OO
[Ad] Endereço:Department of Obstetrics and Gynecology, Ruhengeri Hospital, Musanze, Rwanda; Athena Institute for Research on Innovation and Communication in Health and Life Sciences, VU University, Amsterdam, The Netherlands.
[Ti] Título:Birth preparedness, complication readiness and male partner involvement for obstetric emergencies in rural Rwanda.
[So] Source:Pan Afr Med J;25:91, 2016.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Birth preparedness and complication readiness (BP/CR) promotes timely access to skilled maternal and neonatal services, active preparation and decision-making for seeking health care to prevent any adverse outcomes. The aim was to assess level of male partner (MP) involvement in the birth plan, the attitude of the women towards maternal care and factors associated with BP/CR among obstetric referrals in rural Rwanda. METHODS: This was a cross-sectional study among 350 pregnant women who were admitted as referrals at Ruhengeri hospital, between July 2015 and November 2015. Data was collected on socio-demographics, level of MP's participation in maternal health care and domestic activities, women's attitude towards involvement of men in maternal care and BP/CR. Any woman who arranged to have a birth companion, made a plan of where to deliver from, received health education on pregnancy and childbirth complications, saved money in case of pregnancy complication and had attended antenatal care (ANC) at least 4 times, was deemed as having made a birth plan. RESULTS: The mean age was 27.7 years, while mean age of the spouse was 31.3 years. Majority of the women (n=193; 55.1%) and their spouse (n=208; 59.4%) had completed primary education. Men's role was found to be mainly in the area of financial support. The level of men ANC attendance was low (n=103; 29.4%), while 78 (22.3%) women were accompanied to the labor ward. However, there was a strong opposition to the physical presence of MP in the labor room (n=178; 50.9%). The main reason cited by women opposing MP presence is that it is against their culture for a man to witness the delivery of a baby. On multivariable analysis, maternal education level of secondary or higher adjusted odds ratio [AOR] 1.4 95% CI (1.8-2.6), formal occupation of spouse, AOR 2.4 95% CI (1.4-4.2) and personnel checked during ANC being community health worker AOR 2.2, 95% CI; (1.3-3.7) were associated with being well prepared. CONCLUSION: Male involvement in pregnancy and antenatal care is low. To increase men involvement in birth plan addressing cultural barriers and refraining care-givers and health facility policies towards family delivery is paramount.
[Mh] Termos MeSH primário: Conhecimentos, Atitudes e Prática em Saúde
Cuidado Pré-Natal/métodos
Educação Pré-Natal/métodos
Cônjuges/psicologia
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Parto Obstétrico/psicologia
Emergências
Feminino
Seres Humanos
Trabalho de Parto/psicologia
Masculino
Complicações do Trabalho de Parto/psicologia
Gravidez
Complicações na Gravidez/psicologia
Cuidado Pré-Natal/estatística & dados numéricos
Educação Pré-Natal/estatística & dados numéricos
População Rural/estatística & dados numéricos
Ruanda
Adulto Jovem
[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:170316
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2016.25.91.9710


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[PMID]:27513554
[Au] Autor:Wang A; Padula A; Sirota M; Woodruff TJ
[Ad] Endereço:Program on Reproductive Health and the Environment, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, California; Institute for Computational Health Sciences, University of California, San Francisco, San Francisco, California.
[Ti] Título:Environmental influences on reproductive health: the importance of chemical exposures.
[So] Source:Fertil Steril;106(4):905-29, 2016 Sep 15.
[Is] ISSN:1556-5653
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Chemical exposures during pregnancy can have a profound and life-long impact on human health. Because of the omnipresence of chemicals in our daily life, there is continuous contact with chemicals in food, water, air, and consumer products. Consequently, human biomonitoring studies show that pregnant women around the globe are exposed to a variety of chemicals. In this review we provide a summary of current data on maternal and fetal exposure, as well as health consequences from these exposures. We review several chemical classes, including polychlorinated biphenyls, perfluoroalkyl substances, polybrominated diphenyl ethers, phenols, phthalates, pesticides, and metals. Additionally, we discuss environmental disparities and vulnerable populations, and future research directions. We conclude by providing some recommendations for prevention of chemical exposure and its adverse reproductive health consequences.
[Mh] Termos MeSH primário: Disruptores Endócrinos/efeitos adversos
Poluentes Ambientais/efeitos adversos
Exposição Materna/efeitos adversos
Reprodução/efeitos dos fármacos
Saúde Reprodutiva
[Mh] Termos MeSH secundário: Carga Corporal (Radioterapia)
Monitoramento Ambiental
Feminino
Feto/efeitos dos fármacos
Seres Humanos
Masculino
Exposição Materna/prevenção & controle
Troca Materno-Fetal
Exposição Paterna/efeitos adversos
Gravidez
Educação Pré-Natal
Medição de Risco
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Endocrine Disruptors); 0 (Environmental Pollutants)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160812
[St] Status:MEDLINE


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[PMID]:27498186
[Au] Autor:Allen J; Kildea S; Stapleton H
[Ad] Endereço:School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Mater Research Institute - University of Queensland and School of Nursing and Midwifery University of Queensland, Level 2, Aubigny Place, Mater Health Services, Raymond Terrace, South Brisbane, QLD 4101, Australia. Electronic address: jyai.allen@mater.uq.edu.au.
[Ti] Título:How optimal caseload midwifery can modify predictors for preterm birth in young women: Integrated findings from a mixed methods study.
[So] Source:Midwifery;41:30-38, 2016 Oct.
[Is] ISSN:1532-3099
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: to identify possible mechanisms by which caseload midwifery reduces preterm birth for young childbearing women. DESIGN: a mixed methods triangulation, convergence design was used to answer the research question 'How does the way maternity care is provided affect the health and well-being of young women and their babies?' The project generated quantitative and qualitative findings which were collected and analysed concurrently then separately analysed and published. The research design enabled integration of the quantitative and qualitative findings for further interpretation through a critical pragmatic lens. SETTING: a tertiary maternity hospital in Australia providing care to approximately 500 pregnant young women (aged 21 years or less) each year. Three distinct models of care were offered: caseload midwifery, young women's clinic, and standard 'fragmented' care. PARTICIPANTS: a cohort study included data from 1971 young women and babies during 2008-2012. An ethnographic study included analysis of focus group interviews with four caseload midwives in the young women's midwifery group practice; as well as ten pregnant and postnatal young women receiving caseload midwifery care. FINDINGS: integrated analysis of the quantitative and qualitative findings suggested particular features in the model of care which facilitated young women turning up for antenatal care (at an earlier gestation and more frequently) and buying in to the process (disclosing risks, engaging in self-care activities and accepting referrals for assistance). We conceptualised that Optimal Caseload Midwifery promotes Synergistic Health Engagement between midwife and the young woman. KEY CONCLUSIONS: optimal Caseload Midwifery (which includes midwives with specific personal attributes and philosophical commitments, along with appropriate institutional infrastructure and support) facilitates midwives and young clients to develop trusting relationships and engage in maternity care. Health engagement can modify predictors for preterm birth that are common amongst pregnant adolescents by promoting earlier maternity booking, sufficient antenatal care, greater emotional resilience, ideal gestational weight gain, less smoking/drug use, and fewer untreated genito-urinary infections. IMPLICATIONS FOR PRACTICE: the institutional infrastructure and managerial support for caseload midwifery should value and prioritise the philosophical commitments and personal attributes required to optimise the model. Furthermore the location of visits, between appointment access to primary midwife, and back-up system should be organised to optimise the midwife-woman relationship in order to promote the young woman's engagement with maternity care.
[Mh] Termos MeSH primário: Tocologia/métodos
Nascimento Prematuro/psicologia
Qualidade da Assistência à Saúde
Carga de Trabalho/normas
[Mh] Termos MeSH secundário: Adolescente
Austrália
Estudos de Coortes
Feminino
Grupos Focais
Promoção da Saúde/normas
Seres Humanos
Serviços de Saúde Materna/recursos humanos
Serviços de Saúde Materna/normas
Tocologia/normas
Gravidez
Educação Pré-Natal/normas
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170530
[Lr] Data última revisão:
170530
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160808
[St] Status:MEDLINE


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[PMID]:27497838
[Au] Autor:Nisbeth Jensen M; Fage-Butler AM
[Ad] Endereço:Department of Business Communication, Jens Chr. Skous Vej 4, Aarhus University, 8000 Aarhus C, Denmark. Electronic address: matnj@bcom.au.dk.
[Ti] Título:Antenatal group consultations: Facilitating patient-patient education.
[So] Source:Patient Educ Couns;99(12):1999-2004, 2016 Dec.
[Is] ISSN:1873-5134
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This article investigates the perspectives of pregnant women attending antenatal group consultations to gain their understandings of whether and how peer learning is facilitated in this setting. METHODS: We conducted semi-structured individual interviews with 16 women who had participated in group consultations at Aarhus University Hospital, Denmark, and analysed the data using qualitative content analysis. Our research design also included observations and patient guest book data. RESULTS: Women who were pregnant for the first time greatly appreciated the experiential knowledge of multiparous women in the group. Group consultations provided new learning opportunities, as individuals' questions prompted learning within the groups, as well as questions and answers. There was more time for reflection in group consultations than in dyadic communication. Midwives played a key role in facilitating peer learning. Some topics were not deemed appropriate for discussion. CONCLUSION: Antenatal group consultations can support learning, as individuals participate positively both in their own knowledge acquisition and that of others. We call such peer learning patient-patient education. PRACTICE IMPLICATIONS: Our study indicates the strengths of group consultations for learning from the perspective of the group members. It highlights how learning may be facilitated in group consultations, and thus has broad practical relevance.
[Mh] Termos MeSH primário: Processos Grupais
Conhecimento
Educação de Pacientes como Assunto/métodos
Grupo Associado
Gestantes/psicologia
Educação Pré-Natal/métodos
[Mh] Termos MeSH secundário: Adulto
Dinamarca
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Entrevistas como Assunto
Paridade
Participação do Paciente/psicologia
Gravidez
Cuidado Pré-Natal
Aprendizagem Baseada em Problemas
Pesquisa Qualitativa
Encaminhamento e Consulta
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160808
[St] Status:MEDLINE


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[PMID]:27428108
[Au] Autor:Levett KM; Smith CA; Bensoussan A; Dahlen HG
[Ad] Endereço:National Institute of Complementary Medicines (NICM), Western Sydney University, Sydney, Australia. Electronic address: K.Levett@westernsydney.edu.au.
[Ti] Título: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.
[So] Source:Midwifery;40:124-31, 2016 Sep.
[Is] ISSN:1532-3099
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Ab] Resumo: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.
[Mh] Termos MeSH primário: Terapias Complementares/normas
Enfermeiras Obstétricas/educação
Satisfação do Paciente
Educação Pré-Natal/métodos
[Mh] Termos MeSH secundário: Adulto
Austrália
Feminino
Grupos Focais
Seres Humanos
Trabalho de Parto/fisiologia
Gravidez
Gestantes/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170523
[Lr] Data última revisão:
170523
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160719
[St] Status:MEDLINE


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[PMID]:27236388
[Au] Autor:Akbarzadeh M; Dokuhaki A; Joker A; Pishva N; Zare N
[Ad] Endereço:Mrs. Marzieh Akbarzadeh, Department of Midwifery,, School of Nursing and Midwifery,, Shiraz University of Medical Sciences, Shiraz Iran, T: 7193613119, akbarzadm@sums.ac.ir.
[Ti] Título:Teaching attachment behaviors to pregnant women: a randomized controlled trial of effects on infant mental health from birth to the age of three months.
[So] Source:Ann Saudi Med;36(3):175-83, 2016 May-Jun.
[Is] ISSN:0975-4466
[Cp] País de publicação:Saudi Arabia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Maternal-fetal attachment, which forms as soon as pregnancy starts, is essential to an infant's mental development. OBJECTIVE: This study aimed to explore the effect of teaching attachment behaviors to pregnant women on infant mental health from birth to 3 months of age. DESIGN: Randomized controlled trial. SETTING: Hafiz Hospital, Shiraz University of Medical Sciences, Iran, from February to November 2014. PATIENTS AND METHODS: The participants were randomly divided into an intervention and a control group at 28-34 weeks gestation. The participants in the intervention group attended six educational sessions each lasting for 60-90 minutes. After delivery, the infants of mothers in each group were compared in terms of mental health indexes (total mean scores and scores derived from a checklist of questions for infant mental health with results categorized as low, average and high). Maternal anxiety levels were also recorded at birth and at 3 months. MAIN OUTCOME MEASURE(S): Infant mental health index. RESULTS: In 190 pregnant women (96 in the intervention group and 94 in the control group), the total mean (SD) scores for infant mental health at birth were 16.66 (1.51) in the intervention group and 16.07 (1.74) in the control group (P=.013). At 3 months, the total mental health scores infants were 31.05 (1.88) in the intervention group and 30.25 (2.10) in the control group (P=.007). Differences in checklist scores between the groups at 3 months were not statistically significant, except for crying intensity at 3 months (P=.021). Women in the control group had higher anxiety levels at 3 months (P=.01). CONCLUSION: Teaching attachment skills to mothers increased the attachment between the mothers and their infants, and consequently, improved infant mental health. Thus, teaching attachment skills should be incorporated into routine prenatal care. LIMITATIONS: Use of phone calls by the researcher to assess mental health.
[Mh] Termos MeSH primário: Recém-Nascido/psicologia
Saúde Mental
Relações Mãe-Filho/psicologia
Apego ao Objeto
Educação Pré-Natal
[Mh] Termos MeSH secundário: Adulto
Ansiedade/psicologia
Feminino
Seres Humanos
Lactente
Mães/psicologia
Gravidez
Psicologia da Criança/educação
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160530
[St] Status:MEDLINE
[do] DOI:10.5144/0256-4947.2016.175


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[PMID]:27145885
[Au] Autor:Benzies KM; Barker L; Churchill J; Smith J; Horn S
[Ad] Endereço:Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada. benzies@ucalgary.ca.
[Ti] Título:UpStart Parent Survey-Prenatal: A New Tool for Evaluating Prenatal Education Programs.
[So] Source:Public Health Nurs;33(5):440-8, 2016 Sep.
[Is] ISSN:1525-1446
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To evaluate a new prenatal education program evaluation tool, the UpStart Parent Survey - Prenatal, in terms of: (a) reliability and validity; (b) sensitivity to change over time; (c) whether results differed for mothers versus fathers; and (d) whether results differed when using an electronic tablet-computer versus a paper survey. DESIGN AND SAMPLE: Psychometric study. Participants were 277 expectant mothers (n = 161) and fathers (n = 106) enrolled in Childbirth Essentials, a 6-week prenatal education program. MEASURES: The UpStart Parent Survey - Prenatal is a retrospective pretest/posttest survey with three scales: Parenting Knowledge, Parenting Experience, and Program Satisfaction, and three open-ended questions. RESULTS: The UpStart Parent Survey - Prenatal is sensitive to change and demonstrated significant positive differences in parenting knowledge and parenting experience. There was no difference in results whether the survey was completed by mothers or fathers. Results were similar whether paper or electronic formats were used. The survey was easy to complete. CONCLUSION: The UpStart Parent Survey - Prenatal holds promise as a reliable and valid evaluation tool to capture outcomes of brief prenatal education programs that target the general population of expectant parents.
[Mh] Termos MeSH primário: Pais/educação
Educação Pré-Natal
Avaliação de Programas e Projetos de Saúde/métodos
Inquéritos e Questionários
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Masculino
Poder Familiar/psicologia
Pais/psicologia
Satisfação Pessoal
Psicometria
Reprodutibilidade dos Testes
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170720
[Lr] Data última revisão:
170720
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:160506
[St] Status:MEDLINE
[do] DOI:10.1111/phn.12269


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[PMID]:27043416
[Au] Autor:Botkin JR; Rothwell E; Anderson RA; Rose NC; Dolan SM; Kuppermann M; Stark LA; Goldenberg A; Wong B
[Ad] Endereço:University of Utah, Salt Lake City.
[Ti] Título:Prenatal Education of Parents About Newborn Screening and Residual Dried Blood Spots: A Randomized Clinical Trial.
[So] Source:JAMA Pediatr;170(6):543-9, 2016 Jun 01.
[Is] ISSN:2168-6211
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:IMPORTANCE: Research clearly indicates that current approaches to newborn blood spot screening (NBS) education are ineffective. Incorporating NBS education into prenatal care is broadly supported by lay and professional opinion. OBJECTIVE: To determine the efficacy and effect of prenatal education about newborn screening and use of residual dried blood spots (DBS) in research on parental knowledge, attitudes, and behaviors. DESIGN, SETTING, AND PARTICIPANTS: A randomized clinical trial of prenatal educational interventions, with outcomes measured by survey at 2 to 4 weeks postpartum. Participants were recruited from obstetric clinics in Salt Lake City, Utah; San Francisco, California; and the Bronx, New York. Eligible women were English- or Spanish-speaking adults and did not have a high-risk pregnancy. A total of 901 women were enrolled. Participants who completed the follow-up survey included 212 women in the usual care group (70% retention), 231 in the NBS group (77% retention), and 221 women in the NBS + DBS group (75% retention). Those who completed the survey were similar across the 3 groups with respect to age, ethnicity, race, education, marital status, income, obstetric history, and language. INTERVENTIONS: Participants were randomized into 1 of 3 groups: usual care (n = 305), those viewing an NBS movie and brochure (n = 300), and those viewing both the NBS and DBS movies and brochures (n = 296). MAIN OUTCOMES AND MEASURES: Two to four weeks postpartum, women completed a 91-item survey by telephone, addressing knowledge, attitudes, and behavior with respect to opting out of NBS or DBS for their child. RESULTS: A total of 901 women (mean age, 31 years) were randomized and 664 completed the follow-up survey. The total correct responses on the knowledge instrument in regard to NBS were 69% in the usual care group, 79% in the NBS group, and 75% in the NBS + DBS group, a significant between-group difference (P < .05). Although all groups showed strong support for NBS, the percentage of women who were "very supportive" was highest in the NBS group (94%), followed by the NBS + DBS group (86%) and was lowest in the usual care group (73%) (P < .001). The interventions were not associated with decisions to decline newborn screening or withdraw residual DBS. Nine women stated that they had declined NBS (all the usual care group; P < .001). With respect to DBS, 5 participants indicated that they contacted the health department to have their child's sample withdrawn after testing: 3 in the NBS + DBS group and 2 in the usual care group (P = .25). CONCLUSIONS AND RELEVANCE: Educational interventions can be implemented in the prenatal clinic, using multimedia tools and electronic platforms. Prenatal education is effective in increasing postnatal knowledge and support for these programs. These results are relevant to other contexts in which residual clinical specimens and data are used for research purposes. CLINICAL TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT02676245.
[Mh] Termos MeSH primário: Teste em Amostras de Sangue Seco
Mães/educação
Triagem Neonatal
Educação Pré-Natal/métodos
[Mh] Termos MeSH secundário: Adulto
Comportamento de Escolha
Feminino
Comportamentos Relacionados com a Saúde
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Recém-Nascido
Mães/psicologia
Filmes Cinematográficos
Unidade Hospitalar de Ginecologia e Obstetrícia
Folhetos
Aceitação pelo Paciente de Cuidados de Saúde
Parceiros Sexuais/psicologia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160405
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1001/jamapediatrics.2015.4850


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[PMID]:27006008
[Au] Autor:Chauveau L; Di Bartolomeo A; Noblot E; Fanget C; Raia-Barjat T; Chauleur C
[Ad] Endereço:Département de gynécologie, obstétrique et médecine de la reproduction, CHU Saint-Étienne, université de Saint-Étienne-Jean-Monnet, 42055 Saint-Étienne cedex 2, France.
[Ti] Título:[Use of fetal movements counting for prolonged pregnancy: A comparative preliminary cohort study before and after implementation of an information brochure].
[Ti] Título:Utilisation du compte des mouvements actifs fÅ“taux en cas de grossesse prolongée : étude préliminaire comparative de cohorte avant et après mise en place d'une brochure d'information..
[So] Source:J Gynecol Obstet Biol Reprod (Paris);45(7):760-6, 2016 Sep.
[Is] ISSN:1773-0430
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:OBJECTIVES: Compare the number of consultations with the consultation's delay in relation with the sensation of decrease active fetal movements (AFM) in case of late pregnancy, according to the fact if the patients use or not the AFM's count. MATERIALS AND METHODS: We have compared a "control" group made up of 160 patients who received a classic information and observation (from December 18th, 2013 to February 28th, 2014) versus an "educated" group made up of 160 patients who have been educated to the AFM count (from March 1st, 2014 to August 12th, 2014). RESULTS: The consultations for AFM decrease, were significantly more frequent in the "control" group than in the "educated" group (36 versus 8, P=0.0009). Inducing labor due to AFM reduction was not statistically different between both groups (13 patients in the "educated group" versus 7 patients in the "control" group P=0.97). CONCLUSION: Learning a count method seems to decrease the number of consultations for AFM reduction without increasing the perinatal morbidity but maybe at the cost of an increase of obstetric interventions.
[Mh] Termos MeSH primário: Doenças Fetais/diagnóstico
Movimento Fetal
Folhetos
Gravidez Prolongada
Educação Pré-Natal/normas
[Mh] Termos MeSH secundário: Adulto
Estudos de Coortes
Feminino
Seres Humanos
Gravidez
Encaminhamento e Consulta/estatística & dados numéricos
[Pt] Tipo de publicação:COMPARATIVE STUDY; 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:160324
[St] Status:MEDLINE


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[PMID]:26969448
[Au] Autor:Turinawe EB; Rwemisisi JT; Musinguzi LK; de Groot M; Muhangi D; de Vries DH; Mafigiri DK; Katamba A; Parker N; Pool R
[Ad] Endereço:University of Amsterdam, Amsterdam, The Netherlands. tbenoni@gmail.com.
[Ti] Título:Traditional birth attendants (TBAs) as potential agents in promoting male involvement in maternity preparedness: insights from a rural community in Uganda.
[So] Source:Reprod Health;13:24, 2016 Mar 12.
[Is] ISSN:1742-4755
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Since the 1994 International Conference on Population and Development, male involvement in reproductive health issues has been advocated as a means to improve maternal and child health outcomes, but to date, health providers have failed to achieve successful male involvement in pregnancy care especially in rural and remote areas where majority of the underserved populations live. In an effort to enhance community participation in maternity care, TBAs were trained and equipped to ensure better care and quick referral. In 1997, after the advent of the World Health Organization's Safe Motherhood initiative, the enthusiasm turned away from traditional birth attendants (TBAs). However, in many developing countries, and especially in rural areas, TBAs continue to play a significant role. This study explored the interaction between men and TBAs in shaping maternal healthcare in a rural Ugandan context. METHODS: This study employed ethnographic methods including participant observation, which took place in the process of everyday life activities of the respondents within the community; 12 focus group discussions, and 12 in-depth interviews with community members and key informants. Participants in this study were purposively selected to include TBAs, men, opinion leaders like village chairmen, and other key informants who had knowledge about the configuration of maternity services in the community. Data analysis was done inductively through an iterative process in which transcribed data was read to identify themes and codes were assigned to those themes. RESULTS: Contrary to the thinking that TBA services are utilized by women only, we found that men actively seek the services of TBAs and utilize them for their wives' healthcare within the community. TBAs in turn sensitize men using both cultural and biomedical health knowledge, and become allies with women in influencing men to provide resources needed for maternity care. CONCLUSION: In this study area, men trust and have confidence in TBAs; closer collaboration with TBAs may provide a suitable platform through which communities can be sensitized and men actively brought on board in promoting maternal health services for women in rural communities.
[Mh] Termos MeSH primário: Assistência à Saúde Culturalmente Competente/recursos humanos
Tocologia
Comportamento Paterno
Cuidado Pré-Natal/recursos humanos
Papel Profissional
Saúde da População Rural
Apoio Social
[Mh] Termos MeSH secundário: Adulto
Assistência à Saúde Culturalmente Competente/etnologia
Características da Família/etnologia
Feminino
Grupos Focais
Conhecimentos, Atitudes e Prática em Saúde/etnologia
Seres Humanos
Masculino
Comportamento Paterno/etnologia
Aceitação pelo Paciente de Cuidados de Saúde/etnologia
Cooperação do Paciente/etnologia
Guias de Prática Clínica como Assunto
Gravidez
Educação Pré-Natal
Relações Profissional-Paciente
Saúde da População Rural/etnologia
Uganda
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1610
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160313
[St] Status:MEDLINE
[do] DOI:10.1186/s12978-016-0147-7



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