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Pesquisa : N02.421.143.130.660 [Categoria DeCS]
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[PMID]:29246348
[Au] Autor:Chilukuri N; Cheng TL; Psoter KJ; Mistry KB; Connor KA; Levy DJ; Upadhya KK
[Ad] Endereço:Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address: nchiluk1@jhmi.edu.
[Ti] Título:Effectiveness of a Pediatric Primary Care Intervention to Increase Maternal Folate Use: Results from a Cluster Randomized Controlled Trial.
[So] Source:J Pediatr;192:247-252.e1, 2018 Jan.
[Is] ISSN:1097-6833
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess the impact of provision of folate vitamins and a preconception health intervention on folate use among mothers bringing infants to pediatric primary care. STUDY DESIGN: We conducted a cluster randomized trial in mothers presenting with their infants (<12 months) at 4 urban pediatric practices in the Baltimore, Maryland, metropolitan area. There were 45 clinicians randomized into an intervention group (15-item preconception health screening and counseling and 90-day multivitamin supply) and control group (preconception health and community resource handouts and 90-day multivitamin supply). Participating mothers were enrolled in the study group assigned to their child's clinician. Baseline and 6-month follow-up interviews were performed. The outcome was daily use of folate, multivitamin, and a prenatal vitamin containing folate. Primary independent variables were time of assessment and mother's study group (intervention or control groups). Covariates investigated were mother's and child's age, race/ethnicity, education, marital status, income, insurance status, previous live births, and intention to have a pregnancy in the next 6 months. RESULTS: We enrolled 415 mothers at baseline who were majority African American and low income. Of the 415 enrolled participants, 352 (85%) completed follow-up interviews. Among all participants, daily vitamin intake increased from baseline to 6-month follow-up (33.8% vs 42.6%; P = .016). After adjustment for covariates and clustered design, there was an augmented effect in the intervention vs control group (aOR, 2.04; 95% CI, 1.04-3.98). CONCLUSIONS: Offering vitamins and recommending folate intake to mothers within pediatric practice can increase use. Pediatric practice is an important contact point and context for improving maternal folate use. TRIAL REGISTRATION: ClinicalTrials.govNCT02049554.
[Mh] Termos MeSH primário: Ácido Fólico
Comportamento Materno
Serviços de Saúde Materno-Infantil
Cooperação do Paciente/estatística & dados numéricos
Cuidado Pré-Concepcional/métodos
Atenção Primária à Saúde/métodos
Complexo Vitamínico B
[Mh] Termos MeSH secundário: Adulto
Aconselhamento Diretivo
Feminino
Seguimentos
Comportamentos Relacionados com a Saúde
Seres Humanos
Modelos Estatísticos
Avaliação de Resultados (Cuidados de Saúde)
Pediatria
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
12001-76-2 (Vitamin B Complex); 935E97BOY8 (Folic Acid)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171217
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


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[PMID]:28463877
[Au] Autor:Onoya D; Sineke T; Brennan AT; Long L; Fox MP
[Ad] Endereço:aHealth Economics and Epidemiology Research Office, Department of Internal Medicine, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa bDepartment of Global Health cDepartment of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA.
[Ti] Título:Timing of pregnancy, postpartum risk of virologic failure and loss to follow-up among HIV-positive women.
[So] Source:AIDS;31(11):1593-1602, 2017 Jul 17.
[Is] ISSN:1473-5571
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: We assessed the association between the timing of pregnancy with the risk of postpartum virologic failure and loss from HIV care in South Africa. DESIGN: This is a retrospective cohort study of 6306 HIV-positive women aged 15-49 at antiretroviral therapy (ART) initiation, initiated on ART between January 2004 and December 2013 in Johannesburg, South Africa. METHODS: The incidence of virologic failure (two consecutive viral load measurements of >1000 copies/ml) and loss to follow-up (>3 months late for a visit) during 24 months postpartum were assessed using Cox proportional hazards modelling. RESULTS: The rate of postpartum virologic failure was higher following an incident pregnancy on ART [adjusted hazard ratio 1.8, 95% confidence interval (CI): 1.1-2.7] than among women who initiated ART during pregnancy. This difference was sustained among women with CD4 cell count less than 350 cells/µl at delivery (adjusted hazard ratio 1.8, 95% CI: 1.1-3.0). Predictors of postpartum virologic failure were being viremic, longer time on ART, being 25 or less years old and low CD4 cell count and anaemia at delivery, as well as initiating ART on stavudine-containing or abacavir-containing regimen. There was no difference postpartum loss to follow-up rates between the incident pregnancies group (hazard ratio 0.9, 95% CI: 0.7-1.1) and those who initiated ART in pregnancy. CONCLUSION: The risk of virologic failure remains high among postpartum women, particularly those who conceive on ART. The results highlight the need to provide adequate support for HIV-positive women with fertility intention after ART initiation and to strengthen monitoring and retention efforts for postpartum women to sustain the benefits of ART.
[Mh] Termos MeSH primário: Fármacos Anti-HIV/uso terapêutico
Infecções por HIV/virologia
Transmissão Vertical de Doença Infecciosa/prevenção & controle
Serviços de Saúde Materno-Infantil
Pacientes Desistentes do Tratamento
Complicações Infecciosas na Gravidez/virologia
Gestantes
[Mh] Termos MeSH secundário: Adolescente
Adulto
Terapia Antirretroviral de Alta Atividade
Contagem de Linfócito CD4
Esquema de Medicação
Feminino
Seguimentos
Infecções por HIV/complicações
Infecções por HIV/tratamento farmacológico
Seres Humanos
Adesão à Medicação/estatística & dados numéricos
Meia-Idade
Período Pós-Parto
Gravidez
Complicações Infecciosas na Gravidez/tratamento farmacológico
Resultado da Gravidez
Estudos Retrospectivos
África do Sul
Fatores de Tempo
Carga Viral/efeitos dos fármacos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-HIV Agents)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180202
[Lr] Data última revisão:
180202
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1097/QAD.0000000000001517


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[PMID]:28885419
[Au] Autor:Chen CCG; Dougherty A; Whetstone S; Mama ST; Larkins-Pettigrew M; Raine SP; Autry AM; Association of Professors of Gynecology and Obstetrics Committee on Global Health
[Ad] Endereço:Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland; the Department of Obstetrics, Gynecology and Reproductive Sciences, Larner College of Medicine at the University of Vermont, Burlington, Vermont; the Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, California; the Department of Obstetrics/Gynecology, Cooper Medical School of Rowan University, Camden, New Jersey; the Department of Obstetrics/Gynecology and Reproductive Biology, Case Western School of Medicine, Cleveland, Ohio; and the Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.
[Ti] Título:Competency-Based Objectives in Global Underserved Women's Health for Medical Trainees.
[So] Source:Obstet Gynecol;130(4):836-842, 2017 Oct.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Association of Professors of Gynecology and Obstetrics Committee on Global Health developed an inclusive definition of global women's health and competency-based objectives that reflected work internationally, as well as with U.S. vulnerable and underserved populations, such as refugee and immigrant populations or those who would otherwise have compromised access to health care. The knowledge, skill, and attitude-based competencies required to fulfill each learning objective were mapped to the Accreditation Council for Graduate Medical Education Outcomes Project's educational domains and the Consortium of Universities for Global Health competency domains. The proposed global women's health definition and competency-based learning objective framework is a first step in ensuring quality standards for educating trainees to address global women's health needs. By proposing these objectives, we hope to guide future program development and spark a broader conversation that will improve health for vulnerable women and shape educational, ethical, and equitable global health experiences for medical trainees.
[Mh] Termos MeSH primário: Estágio Clínico
Educação Baseada em Competências/normas
Educação de Graduação em Medicina/normas
Área Carente de Assistência Médica
[Mh] Termos MeSH secundário: Benchmarking
Feminino
Saúde Global
Ginecologia/educação
Seres Humanos
Serviços de Saúde Materno-Infantil
Obstetrícia/educação
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170909
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002197


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[PMID]:28882876
[Au] Autor:van der Zee-van den Berg AI; Boere-Boonekamp MM; Groothuis-Oudshoorn CGM; IJzerman MJ; Haasnoot-Smallegange RME; Reijneveld SA
[Ad] Endereço:Department of Health Technology and Services Research, Institute for Innovation and Governance Studies, University of Twente, Enschede, Netherlands; a.i.vandenberg@utwente.nl.
[Ti] Título:Post-Up Study: Postpartum Depression Screening in Well-Child Care and Maternal Outcomes.
[So] Source:Pediatrics;140(4), 2017 Oct.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Postpartum depression often remains unaddressed. Screening in well-child care (WCC) may improve early detection, promote maternal recovery, and reduce effects on child development. We assessed the effectiveness of screening for postpartum depression in WCC compared with care as usual (CAU) on outcomes at mother and child levels. METHODS: In a prospective, quasiexperimental, comparative design, mothers visiting Dutch WCC centers were exposed either to screening at 1, 3, and 6 months postpartum ( = 1843) or to CAU ( = 1246). Assessments were at 3 weeks (baseline), 9 months (the Mini International Neuropsychiatric Interview), and 12 months (the Spielberger State-Trait Anxiety Inventory, the Short-Form 12-Item Health Survey, the Maternal Self-Efficacy in the Nurturing Role questionnaire, and the Ages and Stages Questionnaire-Social Emotional) postpartum. RESULTS: Significantly fewer mothers in the intervention group were depressed at 9 months postpartum compared with the CAU group (0.6% vs 2.5% for major depression). The adjusted odds ratio was 0.28 (95% confidence interval, 0.12 to 0.63; Cohen's d, 0.70). For minor and major depression, figures were 3.0% vs 8.4%, and the adjusted odds ratio was 0.40 (95% confidence interval, 0.27 to 0.58; Cohen's d, 0.51). For parenting, anxiety symptoms, and mental health functioning, the intervention resulted in effect sizes ranging from 0.23 to 0.27. The effect on the child's socioemotional development was negligible. CONCLUSIONS: Implementation of screening for postpartum depression in WCC should be seriously considered given its positive effects on maternal mental health. The benefits of optimizing the trajectory after screening on maternal and child outcomes need further attention.
[Mh] Termos MeSH primário: Depressão Pós-Parto/diagnóstico
Programas de Rastreamento/métodos
Serviços de Saúde Materno-Infantil
Serviços Preventivos de Saúde/métodos
[Mh] Termos MeSH secundário: Depressão Pós-Parto/terapia
Feminino
Seguimentos
Seres Humanos
Lactente
Recém-Nascido
Estudos Prospectivos
Escalas de Graduação Psiquiátrica
Resultado do Tratamento
[Pt] Tipo de publicação:CLINICAL TRIAL; COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170909
[St] Status:MEDLINE


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[PMID]:28880904
[Au] Autor:Bailey RC; Adera F; Mackesy-Amiti ME; Adipo T; Nordstrom SK; Mehta SD; Jaoko W; Langi FLFG; Obiero W; Obat E; Otieno FO; Young MR
[Ad] Endereço:Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, United States of America.
[Ti] Título:Prospective comparison of two models of integrating early infant male circumcision with maternal child health services in Kenya: The Mtoto Msafi Mbili Study.
[So] Source:PLoS One;12(9):e0184170, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:As countries scale up adult voluntary medical male circumcision (VMMC) for HIV prevention, they are looking ahead to long term sustainable strategies, including introduction of early infant male circumcision (EIMC). To address the lack of evidence regarding introduction of EIMC services in sub-Saharan African settings, we conducted a simultaneous, prospective comparison of two models of EIMC service delivery in Homa Bay County, Kenya. In one division a standard delivery package (SDP) was introduced and included health facility-based provision of EIMC services with community engagement for client referral versus in a different division a standard package plus (SDPplus) that included community-delivered EIMC services. Babies 1-60 days old were eligible for EIMC. A representative sample of mothers and fathers of baby boys at 16 health facilities was surveyed. We examined differences between mothers and fathers in the SDP and SDPplus divisions and identified factors associated with EIMC uptake. We report adjusted prevalence ratios (aPR). Of 1660 mothers interviewed, 1501 (89%) gave approval to contact the father, and 1259 fathers (84%) were interviewed. The proportion of babies circumcised was slightly greater in the SDPplus division than the SDP division (27.3% vs 23.7%), but the difference was not significant (p = 0.08). In adjusted analyses, however, the prevalence of babies being circumcised was greater in the SDPplus division (aPR = 1.23, 95% CI:1.04-1.45) and the factors associated with a baby being circumcised were the mother having received information about EIMC (during pregnancy, aPR = 4.81, 95% CI: 2.21-3.42), having discussed circumcision with the father if married or cohabiting (aPR = 5.39, 95% CI: 3.31-8.80) or being single (aPR = 5.67, 95% CI: 3.31-9.69), perceiving herself to be living with HIV (aPR = 1.39, 95% CI: 1.15-1.67), or having a post-secondary education (aPR = 1.33, 95% CI: 1.04-1.69), and the father being Muslim (aPR = 1.85, 95% CI: 1.29-2.65) or circumcised (aPR = 1.34, 95% CI: 1.13-1.59). The median age of 2117 babies circumcised was 8 days (IQR: 1-36), and the median weight was 3.6 kg (IQR: 3.2-4.4). There were 6 moderate adverse events (AEs) (0.28%); 5 severe AEs (0.24%), all involving an injury to the glans penis, requiring hospitalization and corrective surgery; and one death probably related to the procedure. There were no AEs among the 365 procedures performed outside health facilities. Information and education campaigns must reach members of the general population, especially men and fathers, who are influential to the EIMC decision. Serious AEs using the Mogen clamp are rare, but do occur and require efficient, reliable emergency back-up. Our results can assist countries considering scale-up of EIMC services for HIV prevention as their adult VMMC programs mature.
[Mh] Termos MeSH primário: Circuncisão Masculina
Serviços de Saúde Materno-Infantil
Modelos Teóricos
[Mh] Termos MeSH secundário: Adulto
Pai
Seres Humanos
Lactente
Recém-Nascido
Quênia
Masculino
Mães
Análise Multivariada
Estudos Prospectivos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170908
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184170


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[PMID]:28847678
[Au] Autor:Serfaty A; Baron S; Crenn-Hebert C; Barry Y; Tala S
[Ad] Endereço:Département de l'information médicale, Trousseau/La Roche-Guyon, hôpitaux universitaires Est-Parisien, AP-HP, 75012 Paris, France; Réseau de santé périnatale parisien, 75010 Paris, France. Electronic address: annie.serfaty@aphp.fr.
[Ti] Título:[Perinatal health and medical administrative data: What uses, which stakeholders, what the issues for birth data? - Special REDSIAM].
[Ti] Título:Périnatalité et bases de données médico-administratives : quels usages, quels acteurs, quels enjeux pour les données sur les naissances ? ­ Spécial REDSIAM..
[So] Source:Rev Epidemiol Sante Publique;65 Suppl 4:S209-S219, 2017 Oct.
[Is] ISSN:0398-7620
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:BACKGROUND: The uses of medical administrative data (MAD/BDMA) emerged in perinatal health following the work on regionalization of very pre-term birth. They have become more numerous since the late 2000s. The objective of this article is to take stock of the existing work carried out within the REDSIAM-perinatality group, on MAD/BDMA and their uses for the period of "birth". METHODS: The studied MADs are the Hospital Discharge Data (PMSI) and the French national health database (SNIIRAM). The material includes knowledge shared by the members of the REDSIAM-perinatality group, scientific references and gray literature. RESULTS: Our exploratory study shows that the uses of MAD in perinatal health are diversified at the local, regional and national levels. The works and publications, increasing, take the form of public access of processed data. Collective thinking makes it possible to move from a localized use to an institution, a network or several, to a national use and an inscription in public authorities' responses. In 2015/2016, two institutional sites provide access to data on maternal and child health: Data.Drees and ATIH ScanSanté. MAD/BDMA uses are multiple: epidemiological use (count of births by gestational age, weight in particular; perinatal indicators), quality of care, planning (maternity activities, regionalization of care). There is an increasing interest among stakeholders, producers and/or operators of MAD/BDMA (decision-makers, professionals or researchers). CONCLUSION: The BDMA, including the PMSI and the SNIIRAM, are used and relevant in Perinatal health with the rise of health networks, the territorialisation of health, in an increased demand for quality of care. Their use will increase the reliability of the data collected and an inscription in the validation studies, more and more numerous in the field of BDMA. The algorithms need to be more finely compiled, validated and enhanced.
[Mh] Termos MeSH primário: Bases de Dados Factuais/estatística & dados numéricos
Serviços de Saúde Materno-Infantil/estatística & dados numéricos
Programas Nacionais de Saúde/estatística & dados numéricos
Parto
Alta do Paciente/estatística & dados numéricos
Assistência Perinatal/estatística & dados numéricos
[Mh] Termos MeSH secundário: Parto Obstétrico/estatística & dados numéricos
Feminino
França/epidemiologia
Seres Humanos
Recém-Nascido
Serviços de Saúde Materno-Infantil/organização & administração
Serviços de Saúde Materno-Infantil/normas
Assistência Perinatal/normas
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170830
[St] Status:MEDLINE


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Ximenes, Ricardo Arraes de Alencar
Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:28832758
[Au] Autor:Macêdo VC; Lira PIC; Frias PG; Romaguera LMD; Caires SFF; Ximenes RAA
[Ad] Endereço:Programa de Pós-Graduação em Saúde da Criança e Adolescente. Departamento de Enfermagem. Universidade Federal de Pernambuco. Recife, PE, Brasil.
[Ti] Título:Risk factors for syphilis in women: case-control study.
[So] Source:Rev Saude Publica;51:78, 2017 Aug 17.
[Is] ISSN:1518-8787
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Ab] Resumo:OBJECTIVE: To determine the sociodemographic, behavioral, and health care factors related to the occurrence of syphilis in women treated at public maternity hospitals. METHODS: This is a case-control study (239 cases and 322 controls) with women admitted to seven maternity hospitals in the municipality of Recife, Brazil, from July 2013 to July 2014. Eligible women were recruited after the result of the VDRL (Venereal Disease Research Laboratory) under any titration. The selection of cases and controls was based on the result of the serology for syphilis using ELISA (enzyme-linked immunosorbent assay). The independent variables were grouped into: sociodemographic, behavioral, clinical and obstetric history, and health care in prenatal care and maternity hospital. Information was obtained by interview, during hospitalization, with the application of a questionnaire. Odds ratios and 95% confidence intervals were estimated using logistic regression to identify the predicting factors of the variable to be explained. RESULTS: The logistic regression analysis identified as determinant factors for gestational syphilis: education level of incomplete basic education or illiterate (OR = 2.02), lack of access to telephone (OR = 2.4), catholic religion (OR = 1.70 ), four or more pregnancies (OR = 2.2), three or more sexual partners in the last year (OR = 3.1), use of illicit drugs before the age of 18 (OR = 3.0), and use of illicit drugs by the current partner (OR = 1.7). Only one to three prenatal appointments (OR = 3.5) and a previous history of sexually transmitted infection (OR = 9.7) were also identified as determinant factors. CONCLUSIONS: Sociodemographic, behavioral, and health care factors are associated with the occurrence of syphilis in women and should be taken into account in the elaboration of universal strategies aimed at the prevention and control of syphilis, but with a focus on situations of greater vulnerability. OBJETIVO: Determinar os fatores sociodemográficos, comportamentais e de assistência à saúde relacionados à ocorrência de sífilis em mulheres atendidas em maternidades públicas. MÉTODOS: Trata-se de um estudo caso-controle (239 casos e 322 controles) com mulheres admitidas em sete maternidades do município do Recife, no período de julho de 2013 a julho de 2014. As mulheres elegíveis foram recrutadas após o resultado do VDRL (Venereal Disease Research Laboratory) sob qualquer titulação. A seleção dos casos e controles considerou o resultado da sorologia por ELISA (enzyme-linked immunosorbent assay), variável dependente utilizada como diagnóstico para sífilis neste estudo. As variáveis independentes foram agrupadas em: sociodemográficas; comportamentais; e antecedentes clínicos e obstétricos; e assistência à saúde no pré-natal e na maternidade. As informações foram obtidas por meio de entrevista, durante o internamento, por aplicação de um questionário. Foi calculado odds ratio (OR), intervalo de confiança de 95% e realizada análise de regressão logística para identificar os fatores preditores da variável a ser explicada. RESULTADOS: A análise de regressão logística identificou como fatores determinantes para a sífilis gestacional: nível de escolaridade fundamental incompleto ou analfabeta (OR = 2,02), ausência de acesso a telefone (OR = 2,4), religião católica (OR = 1,70), quatro ou mais gestações (OR = 2,2), três ou mais parceiros sexuais no último ano (OR = 3,1), uso de drogas ilícitas antes dos 18 anos (OR = 3,0) e uso de drogas ilícitas por parte do atual companheiro (OR = 1,7). Além desses, foram observadas a ocorrência de apenas uma a três consultas ao pré-natal (OR = 3,5) e história anterior de infecção sexualmente transmissível (OR = 9,7). CONCLUSÕES: Fatores sociodemográficos, comportamentais e de assistência à saúde estão associados à ocorrência de sífilis em mulheres e devem ser levados em consideração na elaboração de estratégias universais direcionadas à prevenção e controle da sífilis, porém com foco em situações de maior vulnerabilidade.
[Mh] Termos MeSH primário: Maternidades/estatística & dados numéricos
Hospitais Públicos/normas
Sífilis/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Brasil/epidemiologia
Estudos de Casos e Controles
Feminino
Seres Humanos
Serviços de Saúde Materno-Infantil/organização & administração
Serviços de Saúde Materno-Infantil/estatística & dados numéricos
Paridade
Gravidez
Cuidado Pré-Natal/organização & administração
Cuidado Pré-Natal/estatística & dados numéricos
Religião
Fatores de Risco
Comportamento Sexual/estatística & dados numéricos
Inquéritos e Questionários
Sífilis/prevenção & controle
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE


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[PMID]:28812317
[Au] Autor:Acharya G
[Ad] Endereço:Department of Clinical Science, Intervention and Technology, Karolinska Institute and Centre for Fetal Medicine, Karolinska University Hospital, Stockholm, Sweden.
[Ti] Título:Seven dangerous Ps of pregnancy and challenges of caring for pregnant women with complex needs.
[So] Source:Acta Obstet Gynecol Scand;96(9):1037-1038, 2017 09.
[Is] ISSN:1600-0412
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Complicações na Gravidez/prevenção & controle
Cuidado Pré-Natal
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Serviços de Saúde Materno-Infantil
Gravidez
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170817
[St] Status:MEDLINE
[do] DOI:10.1111/aogs.13165


  9 / 313 MEDLINE  
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[PMID]:28727535
[Au] Autor:Yimgang DP; Wang Y; Paik G; Hager ER; Black MM
[Ad] Endereço:Doris P. Yimgang, Yan Wang, Grace Paik, Erin R. Hager, and Maureen M. Black are with the Departments of Pediatrics, and Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore. Maureen M. Black is also with RTI International, Research Triangle Park, NC.
[Ti] Título:Civil Unrest in the Context of Chronic Community Violence: Impact on Maternal Depressive Symptoms.
[So] Source:Am J Public Health;107(9):1455-1462, 2017 Sep.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To examine changes in maternal-child health surrounding the April 2015 civil unrest in Baltimore, Maryland, following Freddie Gray's death while in police custody. METHODS: We conducted cross-sectional Children's HealthWatch surveys January 2014 through December 2015 in pediatric emergency departments and primary care clinics on maternal-child health and June 2015 through October 2015 on daily and community routines. We used trend analysis and piecewise logistic regression to examine effects of time, residential proximity moderation, and mediation analysis to assess proximity and maternal-child health relations via maternal concerns. RESULTS: Participants comprised 1095 mothers, 93% of whom were African American and 100% of whom had public or no insurance; 73% of participants' children were younger than 24 months. Following the unrest, prevalence of maternal depressive symptoms increased significantly in proximal, but not distal, neighborhoods (b = 0.41; 95% confidence interval [CI] = 0.03, 0.79; P = .03). Maternal concerns were elevated in proximal neighborhoods and associated with depressive symptoms; mediation through maternal concern was not significant. Five months after the unrest, depressive symptoms returned to previous levels. CONCLUSIONS: Civil unrest has an acute effect on maternal depressive symptoms in neighborhoods proximal to unrest. Public Health Implications. To mitigate depressive symptoms associated with civil unrest, maintain stability of community routines, screen for maternal depressive symptoms, and provide parent-child nurturing programs.
[Mh] Termos MeSH primário: Afroamericanos/estatística & dados numéricos
Distúrbios Civis/etnologia
Depressão/psicologia
Mães/estatística & dados numéricos
Violência/etnologia
[Mh] Termos MeSH secundário: Adulto
Afroamericanos/psicologia
Baltimore/epidemiologia
Pré-Escolar
Estudos Transversais
Depressão/epidemiologia
Depressão/etnologia
Serviço Hospitalar de Emergência
Feminino
Seres Humanos
Lactente
Recém-Nascido
Serviços de Saúde Materno-Infantil/utilização
Mães/psicologia
Saúde Pública
Distribuição Espacial da População
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170902
[Lr] Data última revisão:
170902
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303876


  10 / 313 MEDLINE  
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[PMID]:28704570
[Au] Autor:Bellizzi S; Sobel HL; Ali MM
[Ad] Endereço:UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
[Ti] Título:Signs of eclampsia during singleton deliveries and early neonatal mortality in low- and middle-income countries from three WHO regions.
[So] Source:Int J Gynaecol Obstet;139(1):50-54, 2017 Oct.
[Is] ISSN:1879-3479
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine the prevalence of eclampsia symptoms and to explore associations between eclampsia and early neonatal mortality. METHODS: The present secondary analysis included Demographic and Health Surveys data from 2005 to 2012; details of signs related to severe obstetric adverse events of singleton deliveries during interviewees' most recent delivery in the preceding 5 years were included. Data and delivery history were merged for pooled analyses. Convulsions-used as an indicator for having experienced eclampsia-and early neonatal mortality rates were compared, and a generalized random effect model, adjusted for heterogeneity between and within countries, was used to investigate the impact of presumed eclampsia on early neonatal mortality. RESULTS: The merged dataset included data from six surveys and 55 384 live deliveries that occurred in Colombia, Bangladesh, Indonesia, Mali, Niger, and Peru. Indications of eclampsia were recorded for 1.2% (95% confidence interval [CI] 1.0-1.3), 1.7% (95% CI 1.5-2.1), and 1.7% (95% CI 1.5-2.1) of deliveries reported from the American, South East Asian, and African regions, respectively. Pooled analyses demonstrated that eclampsia was associated with increased risk of early neonatal mortality (adjusted risk ratio 2.1 95% CI 1.4-3.2). CONCLUSION: Increased risk of early neonatal mortality indicates a need for strategies targeting the early detection of eclampsia and early interventions.
[Mh] Termos MeSH primário: Eclampsia/epidemiologia
Cuidado Pré-Natal/normas
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estudos Transversais
Países em Desenvolvimento
Eclampsia/etiologia
Eclampsia/mortalidade
Feminino
Necessidades e Demandas de Serviços de Saúde
Inquéritos Epidemiológicos
Seres Humanos
Lactente
Mortalidade Infantil
Recém-Nascido
Serviços de Saúde Materno-Infantil
Área Carente de Assistência Médica
Meia-Idade
Gravidez
Resultado da Gravidez
Fatores Socioeconômicos
Organização Mundial da Saúde
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170714
[St] Status:MEDLINE
[do] DOI:10.1002/ijgo.12262



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