جستجوی مقالات مرتبط با کلیدواژه "perinatal care" در نشریات گروه "پزشکی"

 Cognitive development during childhood has significant implications for an individual's cognitive functioning throughout life. Perinatal and postnatal factors may influence this function.

 In this study, we aimed to investigate the relationship between perinatal and postnatal factors and cognitive development in healthy toddlers aged 18 – 22 months.

 In this retrospective cross-sectional study, we examined 50 toddlers born between March 2015 and March 2016 at a teaching hospital in Zahedan, Iran. This study focused on perinatal and neonatal risk factors based on the results of the Bayley-3 test. Data were analyzed using Mann–Whitney U, Kruskal–Wallis, and Pearson correlation coefficient tests.

 Analysis revealed significant correlations between several perinatal factors and subsequent cognitive performance in toddlers. Greater maternal chronological age at the time of parturition, higher levels of mother's attained education, increased neonatal weight at delivery, augmented body weight in the toddler phase, as well as the documented occurrence of neonatal hyperbilirubinemia within the initial postpartum period, demonstrated meaningful associations with enhanced cognitive functioning as assessed during the toddler stage of development.

 Based on the results, it is advised that pregnancy commences at a maternal age that circumvents risks of very young childbearing. Offspring growth should be closely tracked, and neonatal jaundice promptly treated, as these perinatal factors impact cognitive performance. Giving priority to these factors improves a child's chances of healthy cognitive development, which is essential for success in life.

People all over the world, including pregnant women, have experienced stress and anxiety due to the coronavirus disease 2019 (COVID‑19) pandemic. Providing services during the pandemic is something that midwives in primary health care cannot avoid. This study assesses a midwife’s knowledge, attitude, and anxiety toward providing maternal care during the pandemic.

A cross‑sectional design was used in this study, which involved 183 midwives who provided midwifery services at hospitals and health centers and had experience with the perinatal and breastfeeding phases. Using the Google Forms tool, respondents completed a questionnaire regarding their knowledge, attitudes, and anxiety toward maternal care during the COVID‑19 pandemic.

One hundred eighty‑two midwives (99.50%) understood maternal care well during the COVID‑19 pandemic. In addition, the maternal care provided during the COVID‑19 pandemic was viewed favorably by almost all the participants. The percentage of midwives working in primary care in the perinatal phase who had moderate‑to‑severe anxiety levels during the COVID‑19 pandemic was 17 women (27.42%).

The knowledge and attitudes of midwives about the COVID‑19 pandemic in this study were good, and there was a smaller percentage of midwives with an extreme level of anxiety.

Background:

To investigate the total survival of low birth weight infants (LBWIs) in the Federation of Bosnia and Herzegovina (FB and H) and selected by subgroups of birth weight (BW) and gestational age (GA). 

Methods:

This cross‑sectional study included newborns of both genders,GA of 22–42 weeks and BW of less than 2500 g of 10 cantons territory of the FB and H. In the examined period, 22,897 children were born in the FB and H, of which 669 (2.9%) had BW less than 2500 g. 

Results:

Surviving of LBWIs in the FB and H out of the 669 LBWIs in the first levelperinatal healthcare institutions (PHI) was 29 (4.3%), the second level was 286 (42.8%), and the third level was 354 (52.9%). The total stillborn rate was 3.9%. The overall perinatal mortality rate for all levels of PHI was 8.6%. The overall rate of early neonatal mortality of LBWIs in all three levels of PHI in the FB and H was 12.7%. By the end of the first month of life (up to 28 days) and to the end of the neonatal period, 385 (57.5%) of LBWIs survived, and 284 (42.4%) died. TheLBWIs by subgroups of BW up to 28 days had lower survival rates in second‑level PHI than infants of the same BW subgroups (500–999 and 1000–1499) treated in third‑level PHI (</span>P </span>= 0.0089 and </span>P </span>= 0.004). Our results show that B and H belongs to developing countries according to perinatal mortality. A unique database system is necessary to follow progress and trends.

Strengthening of midwives’ position and support for freestanding birth centers, frequently referred to as Freestanding Midwife‑led Units (FMUs), raise hopes for a return to humanized labor. Our study aimed to review published evidence regarding FMUs to systematize the knowledge of their functioning and to identify potential gaps in this matter. 

A structured integrative review of theoretical papers and empirical studies was conducted. The literature search included MEDLINE, Cochrane, Scopus, and Embase databases. The analysis included papers published in 1977–2017. Relevant documents were identified using various combinations of search terms and standard Boolean operators. The search included titles, abstracts, and keywords. Additional records were found through a manual search of reference lists from extracted papers.

Overall, 56 out of 107 originally found articles were identified as eligible for the review. Based on the critical analysis of published data, six groups of research problems were identified and discussed, namely, 1) specifics of FMUs, 2) costs of perinatal care at FMUs, 3) FMUs as a place for midwife education, 4) FMUs from midwives’ perspective, 5) perinatal, maternal, and neonatal outcomes, and 6) FMUs from the perspective of a pregnant woman.

FMUs offers a home‑like environment and complex midwifery support for women with uncomplicated pregnancies. Although emergency equipment is available as needed, FMU birth is considered a natural spontaneous process. Midwives’ supervision over low‑risk labors may provide many benefits, primarily related to lower medicalization and fewer medical interventions than in a hospital setting.</em>

Since women experience numerous physical and psychological changes after childbirth, the postnatal period is a sensitive stage for mothers, and they should have access to essential information to cope with these changes. This study aims to determine the predicting factors of the postnatal information needs of Afghan immigrant women living in Iran.

The present research is a cross-sectional study performed on 280 Afghan pregnant women referred to the selected perinatal health clinics in the southeast of Tehran province from May 22 till July 22, 2018. Using continuous sampling, data were collected by a questionnaire asking for demographic, midwifery, and postnatal information needs. Descriptive statistics and ANOVA, independent t-test, and multiple linear regressions were used for data analysis in SPSS version 21.

The findings revealed that the highest and lowest postnatal information needs consisting of having information about postnatal problems (M=3.40, SD=0.3) and initiation of sexual intercourse after childbirth (M=3.08, SD=1.15). According to the multiple linear regression model, receiving routine pregnancy care (P=0.01) and age (P=0.04) were both significantly correlated with the mean of postnatal information needs so that these two variables predict 24% of the total score of postnatal information needs.

Women must receive postnatal training and information based on their needs; the demographic and midwifery characteristics of Afghan women should also be considered too.