Dissertationen zum Thema „Health Sciences, Obstetrics and Gynecology|Health Sciences, Pharmacy|Health Sciences, Public Health“

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1

Shields, Kristine E. "The participation of pregnant women in clinical research| Implications for practice within the U.S. pharmaceutical industry." The University of North Carolina at Chapel Hill, 2013.

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2

Harper, Emma A. "Young pregnant women's discursive constructions of the body and health." Thesis, University of Ottawa (Canada), 2011. http://hdl.handle.net/10393/28851.

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The purpose of this thesis was to explore young pregnant women's discursive constructions of the pregnant body and health in the context of the dominant obesity discourse. Conversations with 15 young pregnant women from the Ottawa area were tape-recorded, transcribed, and then analyzed using a thematic and feminist poststructuralist discourse analysis. The results were divided into two articles, the first discussing the women's constructions of health during pregnancy and the second, their constructions of the pregnant body. The narratives reveal that overall the women constitute themselves as
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3

Kashyap, Sonya. "Assisted reproductive medicine: Systematic reviews and randomized controlled trials." Thesis, University of Ottawa (Canada), 2005. http://hdl.handle.net/10393/26940.

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The objective for this thesis was to propose a question in the area of reproductive medicine that could be addressed by a clinical trial. In preparation for such a trial we conducted a systematic review of the topic. Our first question was whether metformin is of benefit compared to clomiphene citrate for ovulation induction and achievement of pregnancy in women with polycystic ovarian syndrome (PCOS). We conducted a systematic review (SR) and meta-analysis of the subject before designing and implementing a randomized controlled trial (RCT). The RCT was terminated for recruitment issues. Our P
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4

Sherrard, Adam. "Maternal anthropometric factors and the risk of cesarean delivery." Thesis, McGill University, 2004. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=81438.

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The cesarean delivery rate in Canada has never been higher than it is now. To identify the contribution of pre-pregnancy adiposity and maternal weight gain to the risk of cesarean delivery, and evaluate to what extent these factors may account for temporal trends in primary cesarean delivery, we conducted an historical hospital-based cohort study of 63 390 deliveries at Montreal's Royal Victoria Hospital from 1978 to 2001. Pregravid adiposity and high net rate of gestational weight gain were associated with primary intrapartum cesarean delivery, and overweight and obese women with a pre
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Hagen, Catherine A. "Maternal mortality, fertility, and the utilization of prenatal care in Karachi, Pakistan." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=22736.

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A community health survey was conducted in Karachi, Pakistan, with three objectives: first, to estimate maternal mortality using the sisterhood method; second, to describe current fertility and family planning trends; and third, to determine which factors are associated with the utilization of prenatal care.<br>The study population of 2,897 households was chosen randomly from the catchment area of the three maternity hospitals of the Aga Khan Health Services of Pakistan. Data were collected using household interviews of all married women less than 55 years of age.<br>Results show a maternal mo
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Haiek, Laura N. "Postpartum weight loss and infant feeding." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=55447.

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It is not yet clear whether women who lactate lose the weight gained during pregnancy faster than their nonlactating counterparts. The primary objective of this study was to look for any important differences in the rate of postpartum weight loss in the first 9 months postpartum according to method of infant feeding.<br>Two hundred thirty-six women attending two public health clinics in Montreal were weighed in one to four encounters occurring at different stages of the postpartum period but no later than the 9th month postpartum. A questionnaire assessing the method of infant feeding (predomi
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Legocki, Laurie J. "Young women's constructions of meaning within the context of vulvovaginal pain." [Bloomington, Ind.] : Indiana University, 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3324524.

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Thesis (Ph.D.)--Indiana University, School of Health, Physical Education and Recreation, 2008.<br>Title from PDF t.p. (viewed on May 13, 2009). Source: Dissertation Abstracts International, Volume: 69-08, Section: B, page: 4704. Adviser: Michael Reece.
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Sikder, Shegufta Shefa. "Obstetric complications in rural Bangladesh| Risk factors for reported morbidity, determinants of care seeking, and service availability for emergency obstetric care." Thesis, The Johns Hopkins University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3571743.

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<p><b>Background:</b> In settings such as rural Bangladesh, where the majority of births occur at home, population-based data are lacking on the burden and risk factors for obstetric complications, as well as care-seeking behavior. This dissertation seeks to describe the prevalence and risk factors for obstetric complications, explore factors affecting care seeking for complications, and describe the availability of obstetric care among health facilities in rural Bangladesh. </p><p> <b>Methods:</b> We used extant data from a community-randomized maternal micronutrient supplementation trial w
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Chorny, Yelena. "Routinization of prenatal screening: Women's perspectives on decision making about screening uptake." Thesis, University of Ottawa (Canada), 2006. http://hdl.handle.net/10393/27341.

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Background. Prenatal screening programs, in which screening is routinely offered to all pregnant women, have been implemented in a number of regions in Canada and other countries. Such programs are typically marketed as having the goal of providing women with the opportunity to make an informed choice about screening. Studies have suggested, however, that structural and cultural factors related to the rise of surveillance medicine have combined to effectively routinize the offer and uptake of prenatal screening, potentially hindering the capacity to ensure true autonomy and informed choice for
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Huang, Ling. "Impact of advanced maternal age on the risk of stillbirth." Thesis, University of Ottawa (Canada), 2006. http://hdl.handle.net/10393/27373.

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Since more women are having pregnancies at an older age, there are growing concerns about their pregnancy outcomes. Previous studies reveal an uncertain relationship between maternal age and stillbirth risk. This retrospective cohort study aimed to test the hypothesis that stillbirth risk increases with increasing maternal age. We analyzed data on 3,549,993 births from the birth cohorts of 1985 to 2000 in Canada and used logistic regression to evaluate the relative risk of stillbirth. A total of 15,905 stillbirths were reported during the study period, giving an overall stillbirth rate of 4.5
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Ladha, Rishma. "South Asian Women's Perspectives about Pregnancy Needs and Utilization of Canadian Prenatal Health Services." Thesis, University of Ottawa (Canada), 2010. http://hdl.handle.net/10393/28775.

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Context: South Asians are the largest immigrant group in Ontario, Canada. They may express perceptions of pregnancy that differ from the dominant cultures influencing mainstream health care. Prenatal services are underutilized by immigrant women in part due to language barriers and issues of racism. Purpose: To explore and understand South Asian Canadian women's pregnancy needs and experiences in utilizing prenatal health services in Ottawa, Canada. Method: Ten women were recruited to participate in semi-structured interviews. Data were analyzed using content and thematic analysis following a
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12

Martin, Kelly M. "Are disinfection by-products in tapwater associated with intrauterine growth retardation?" Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=31269.

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Introduction. Chlorination of surface water for human consumption results in a number of potentially toxic by-products. Recent investigation of the effects of these by-products on reproductive outcomes has demonstrated small increases in the risk of both intrauterine growth retardation and low birthweight with increasing exposure.<br>Objective. The primary objective of this study was to examine the relationship between one group of disinfection by-products, trihalomethanes, and intrauterine growth retardation. The secondary objective was to compare the relationship found with the commonly used
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Taylor, Dorcas S. G. "The association between pre-pregnancy body mass index and caesarean section in two developing countries in South America /." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=84080.

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An association between body mass index (BMI) and caesarean section has been documented in the literature in developed countries. The causal factors leading to this association are not known, therefore it is unknown whether this association could be extended to developing countries. This study will examine BMI as a risk factor for caesarean section in women in a developing country.<br>This study included a cohort of 290,124 births in Uruguay, from the years 1992 to 2001, and a cohort from Pelotas, Brazil with 8,475 births, from 1982 and 1993. Three statistical methods were used to deal w
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Boundy, Ellen O'Neal. "Determinants of Global Maternal and Neonatal Morbidity and Mortality." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:16121139.

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In 2013, approximately 289,000 women died from pregnancy-related causes and 2.8 million newborns died within the first 28 days of life. The vast majority of these deaths occur in resource-limited settings. This work examines risk and protective factors for the development of several perinatal complications that put mothers and their infants at risk for adverse health outcomes. We explored determinants of preeclampsia and gestational hypertension among women in Dar es Salaam, Tanzania. We also examined the effects of pregnancy spacing intervals on perinatal outcomes in that group of women. We u
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Disney, Jody Annette. "The context of women's childbirth decisions regarding vaginal birth after cesarean section." Diss., The University of Arizona, 1998. http://hdl.handle.net/10150/288799.

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The purpose of this study was to investigate the influences, both internal and external, identified by women in their choice of vaginal birth after a previous cesarean section (VBAC) or repeat cesarean section (RCS). The rate of cesarean section (C/S) is currently approximately one in four to five births in the United States. Thus the stakes in obstetrical decision making both financially and philosophically, have become enormous (Keeler & Brodie, 1993). The method for this descriptive study combined 6 focus group interviews (n=19) with development and pilot-testing of the Cesarean Decision Ma
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Umscheid, Dana Marie. "A comparison of two modes of delivery of an educational intervention to encourage compliance with American College of Obstetrics and Gynecology recommendations regarding the gynecological exam among sorority women." [Bloomington, Ind.] : Indiana University, 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3324541.

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Thesis (Ph.D.)--Indiana University, School of Health, Physical Education and Recreation, 2008.<br>Title from PDF t.p. (viewed on May 14, 2009). Source: Dissertation Abstracts International, Volume: 69-08, Section: B, page: 4707. Adviser: Nancy T. Ellis.
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Bommaraju, Aalap. "Determinants of Contraceptive Choice| Factors Affecting Contraceptive Nonuse among Urban Women Utilizing Title X Services." Thesis, University of Cincinnati, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1548538.

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<p> Background: Disparities in unintended pregnancy are partially due to ineffective contraceptive method choice among vulnerable populations. Improved understanding of the ecological, individual, and health system related determinants of contraceptive choice can provide guidance for how to reduce ineffective contraceptive method choice among women at high risk for unintended pregnancy. </p><p> Objectives: Secondary data analysis is performed on visit data from women utilizing Title X Family Planning services at the Cincinnati Health Department&rsquo;s Reproductive Health &amp; Wellness Prog
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Yuan, Hongbo. "Fetal deaths in the United States, 1997 vs 1991." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=84858.

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Objective. To examine the temporal change in fetal death risk in the U.S. from 1991 to 1997 and to assess the extent to which changes in registration practices and labor induction have contributed to that change. Setting. United States. Design. Cohort study. Participants. All singleton pregnancies 20--43 weeks of gestation in 1991 and 1997. Main outcome measure. Fetal death risk (fetal deaths per 10,000 fetuses at risk at each completed gestational week).<br>Results. From 1991 to 1997, the overall fetal death rate fell from 77.7 to 67.8 per 10,000 total births. However, fetal deaths at 2
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Jilozian, Ani. "Listening to women's voices| Perceptions & experiences with contraception & abortion in rural Armenia." Thesis, Icahn School of Medicine at Mount Sinai, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1551611.

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<p> Background: Abortion is the principle method of birth control in Armenia. There are few qualitative studies in the literature concerning family planning utilization and abortion practices, and only two studies carried out over a decade ago have addressed the larger social context in which family planning and abortion decision-making occurs. </p><p> Objectives: The purpose of the following research project was to investigate women's perceptions and experiences with contraception and abortion and elucidate the multifaceted and complex factors that influence family planning decisions and a
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Johnson, Kenneth Clark. "First trimester anticonvulsant therapy and the risk of congenital malformation in the offspring of women with epilepsy." Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=39555.

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The purpose of this thesis is two-fold: (1) to refine understanding of the relationship between anticonvulsant therapy during the first trimester of pregnancy in women with epilepsy and the risk of congenital malformation among their offspring; and (2) to assess the utility of the Saskatchewan Prescription Drug and Hospital Services databases for studies of maternal drug use and certain reproductive outcomes.<br>In the first meta-analysis the malformation risks associated with the use of anticonvulsants in general by women with epilepsy were quantified and clarified. Comparison of the congenit
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21

De, Vera Noemi Zabala. "Saving women's lives by spacing births: A qualitative study." Diss., The University of Arizona, 2004. http://hdl.handle.net/10150/290062.

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The purpose of this descriptive ethnographic study was to explore the perceptions about, and the various factors that influence birth spacing decisions by rural Filipino husbands and wives. Short birth intervals of less than two years are a high risk factor for women in the Philippines. Attempts have been made to improve the women's health status and rights in various aspects however, a large number of women in developing countries such as the Philippines, still suffer to a great extent in regard to their health and reproductive health conditions. Fourteen Filipino husbands and wives participa
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Matala, Erik John. "Molecular and biological characterization of human immunodeficiency virus type 1 envelope gp120 associated with maternal-fetal transmission." Diss., The University of Arizona, 1999. http://hdl.handle.net/10150/298765.

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Vertical transmission of HIV-1 represents a major, global health concern with particular regard to developing areas of the world, and perinatally acquired infections account for the majority of all pediatric HIV-1 cases. Maternal-fetal transmission of HIV-1 occurs at three stages: prepartum, intrapartum, and post-partum, however the mechanism of this transmission is not yet clearly defined. Additionally, the rate of transmission is estimated at ∼30%, leaving ∼70% of infected mothers who do not transmit to their infants. While several maternal factors including viral load, clinical stage of the
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Gagnon, Anita J. (Anita Jeannette). "The effect of an early postpartum discharge program on competence in mothering : a randomized controlled trial." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=28750.

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Objective. To compare the risks and benefits of an Early Postpartum Discharge Program vs standard postpartum care. Design. Randomized controlled trial. Setting. 637-bed university-affiliated urban hospital. Participants. 175 healthy women recruited at 32-38 wks from MD and hospital ultrasound offices. Interventions. Early Postpartum Discharge Program: discharge 6-36 hours postpartum and nursing care by telephone and/or at home at 34-38 weeks gestation, $ leq$48 hours postpartum and 3, 5, and 10 days postpartum. Control. Postpartum stay of 48-72 hours and follow-up as determined by the woman's
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Boulware, Nakisha Rene'e. "The Influence of Obstetrician and Gynecologists' Avoidance Behaviors on Maternal Morbidities." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6173.

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The prevalence of maternal morbidities continues to increase in U.S. women of lower socioeconomic status and non-Hispanic Black women despite the efforts of health care practitioners to reduce the disparities. Two decades of research has shown that physicians avoid patients based on insurance and socioeconomic status or their malpractice history. Reducing maternal illness and complications is one of the federal government's top 10 maternal health indicators in the Healthy People 2020 initiative. The purpose of this study was to evaluate the influence of malpractice allegations on patients at h
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Heywood, Joanna S. "Prevention of Ovarian and Endometrial Cancer by Combined Oral Contraceptives: A Demographics Study." Scholarship @ Claremont, 2017. http://scholarship.claremont.edu/cmc_theses/1530.

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Endometrial cancer is the most common gynecologic cancer with 54,870 cases occurring in the United States in 2015 and causing 10,170 deaths, an 18.5% mortality rate (Elit and Reade, 2015). Ovarian cancer, while less common, is much more fatal. In 2015 in the United States, 21,290 cases occurred and resulted in 14,180 deaths, a 66.6% mortality rate. This mortality rate makes ovarian cancer the fifth most deadly cancer for women in the United States, which is largely explained by ineffective screening strategies and limited treatment possibilities (Cramer, 2012). Thus, developing effective preve
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Clutter, Carmen Marie. "The Moms2B Program: A Qualitative Evaluation of Participants’ Perceptions of the Program and its Impact on their Diet, Lifestyle, and Behaviors." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1366011071.

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Rossheim, Brooke W. "Predictors of Primary Elective Cesarean Delivery Among Apparently Healthy Pregnant Women in Virginia." VCU Scholars Compass, 2006. http://hdl.handle.net/10156/1942.

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Lindquist, Anthea Clare. "The impact of socioeconomic position on outcomes of severe maternal morbidity amongst women in the UK and Australia." Thesis, University of Oxford, 2013. http://ora.ox.ac.uk/objects/uuid:3ec55671-e8b8-42c6-a777-fb7667b33e6e.

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Aims: The aims of this thesis were to investigate the risk of severe maternal morbidity amongst women from different socioeconomic groups in the UK, explore why these differences exist and compare these findings to the setting in Australia. Methods: Three separate analyses were conducted. The first used UK Obstetric Surveillance System (UKOSS) data to assess the incidence and independent odds of severe maternal morbidity by socioeconomic group in the UK. The second analysis used quantitative and qualitative data from the 2010 UK National Maternity Survey (NMS) to explore the possible reasons f
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Sexson, Tejtel Sara Kristen. "Is Ohio approaching Healthy People 2010 objectives a birth certificate data analysis /." Columbus, Ohio : Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1149023375.

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Farland, Leslie V. "A Prospective Study of Endometriosis and Breast Health: Findings From the Nurses' Health Study II." Thesis, Harvard University, 2016. http://nrs.harvard.edu/urn-3:HUL.InstRepos:27201744.

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Endometriosis is a chronic gynecologic disease affecting approximately ten percent of women in the United States. Endometriosis lesions depend on estrogen for growth and maintenance and it is hypothesized that women with endometriosis have an altered hormonal and inflammatory state. Emerging evidence suggests that women with endometriosis may be at increased risk of breast cancer. Using data from the Nurses’ Health Study II, a prospective cohort of 116,430 women, this thesis investigates endometriosis and breast health. Specifically we investigated whether endometriosis influences risk of brea
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Bensimon, Arielle. "Using Empirical Data to Evaluate Strategies to Improve Women's Health." Thesis, Harvard University, 2016. http://nrs.harvard.edu/urn-3:HUL.InstRepos:33493260.

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My three papers evaluate the effectiveness and cost-effectiveness of clinical and policy strategies to improve women’s health, focusing on human papillomavirus (HPV) vaccination in the U.S. and maternal health care in a developing country context. Paper 1 presents a claims-based econometric analysis of the U.S.’s Patient Protection and Affordable Care Act provision requiring the elimination of cost-sharing for recommended preventive care. I evaluate the effect of this value-based insurance design intervention on HPV immunization rates among girls and young women enrolled in private insurance
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Reinhold, Caroline. "The use of endovaginal sonography and Doppler ultrasound in the detection of endometrial carcinoma in women presenting with postmenopausal bleeding." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ64436.pdf.

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Tillett, Marsha Jane 1952. "The effect of postpartum home teaching on knowledge of infant care." Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/278075.

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This study investigated the effect of postpartum home teaching on primiparous women's knowledge of infant care. Twenty-one low-risk primigravidae women were randomly placed in a control or experimental group. Subjects in the experimental group viewed a videotaped program on infant care a second time, at home on the third day postpartum. Tests were administered prior to hospital discharge, on the third day postpartum, and at 28-32 days postpartum. A short interview was conducted to obtain opinions regarding videotaped educational materials. The subjects (n = 21) retained most of the information
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Camarano, Loretta. "Risk of preterm delivery and low birth weight in singleton pregnancies conceived by women with and without a history of infertility." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3378528.

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Lafrance, Josee. "Mother-baby togetherness: A survey of women's postpartum experiences in four maternity units." Thesis, University of Ottawa (Canada), 2003. http://hdl.handle.net/10393/26506.

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Purpose. To describe women's postpartum experiences with mother-baby togetherness in hospital, and the concordance of their experiences with the recommendations from Health Canada (2000a) on family-centred maternity and newborn care (FCMNC). Design. Descriptive study based on secondary analysis of a telephone survey conducted at one week and six weeks postnatally. Five elements reported by women were examined: the timing of first physical contact, physical proximity during the first few hours, transfer together to postnatal unit, rooming-in, and combined mother-baby care. Setting. Four materni
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Vazquez, Juan C. "The opinions and attitudes of obstetricians in the city of Havana, Cuba towards use of Cesarean section." Thesis, University of Ottawa (Canada), 2008. http://hdl.handle.net/10393/27738.

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Cesarean section rates have increased worldwide in the last decades. It has had important implications for the health system, such as the increase in maternal morbidity and mortality. An anonymous survey was administered to 132 obstetricians in the City of Havana to identify their opinions regarding the cesarean section rates; to determine what are the causes for such increase and what possible interventions could stop that trend; and the obstetricians' preferences when facing some clinical situations. Most of participants considered the cesarean section rate to be high. Previous caesarean sec
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Kulaga, Sophie. "Determinants of incident precursor lesions of cervical cancer." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0006/MQ44199.pdf.

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Webster, Barbara Anne. "Maternal fatigue during the postpartum period." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=22528.

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The purpose of this study was to describe maternal fatigue during the first six weeks postpartum. Forty-eight healthy, primiparous mothers who experienced uncomplicated vaginal births in a large urban hospital were asked to complete the Maternal Piper Fatigue Scale during their hospital stay, and at two and six weeks postpartum. Fatigue intensity was relatively high at two days and two weeks, but had significantly declined to a relatively "normal" level by six weeks postpartum. However, 25% of the mothers were still reporting "severe" fatigue at six weeks. The contributing factors most frequen
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Haddad, Elias K. "Study of the role of macrophage activation and macrophage derived cytoxic factors in early embryo loss." Thesis, McGill University, 1997. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=42023.

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Using murine models of spontaneous and induced embryo resorption, we have investigated the role of macrophages in the mechanism of early embryo loss. The results showed that macrophage derived nitric oxide was associated with embryo resorption, and that decidual macrophages could be triggered by lipopolysaccharide (LPS) to produce nitric oxide, indicating that the decidual mononuclear cells were primed in situ. Using double immunostaining, we have shown that macrophages were the cellular source of the inducible nitric oxide production. We further showed that embryo abortion can be significantl
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Pinard, Genevieve. "Cytotoxic activities of murine decidual macrophages in early embryo loss." Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=30829.

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Early embryo losses are characterized by a large infiltration of cnacrophages and NK-cells in the decidua surrounding resorbing embryos. This infiltration is combined with a high expression of interferon gamma (IFNgamma), tumor necrosis factor alpha (TNFalpha), and inducible nitric oxide mRNA in the maternal tissue. After receiving proper priming (IFNgamma) and triggering signal (lipopolysaccharide (LPS) or TNFalpha), decidual macrophages can secrete TNFalpha, nitric oxide (NO) and other cytotoxic molecules that could potentially damage placental cells and consequently compromise embryo surviv
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Chevalier, Isabelle. "Effect of caffeine intake during pregnancy on the risk of intrauterine growth retardation." Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=31210.

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We estimated the effect of caffeine intake from tea, coffee, and colas on the risk of mild and severe intrauterine growth retardation (IUGR) through a case-control study in 500 live singleton infants born at Sainte-Justine Hospital, in Montreal, between May 1998 and July 2000. Cases of IUGR as well as one sex, race and gestational age-matched control per case were identified at birth. Data were abstracted from medical charts and post-delivery questionnaires, and were analysed using conditional logistic regression. Average caffeine intake in pregnancy was not a significant predictor of mild or
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Rousseau, Marie-Claude 1969. "Risk factors for incident cervical human papillomavirus infection in women in a high-risk area for cervical cancer." Thesis, McGill University, 1998. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=20282.

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Human papillomavirus (HPV) is the sexually-transmitted etiologic agent of cervical cancer. Despite screening programs, cervical cancer remains too common, particularly in developing countries. Various correlates of prevalent infections have been identified. However, the determinants of incident infections have never been studied.<br>Data were collected during a prospective cohort study conducted in Brazil. Incidence density rates of infection were calculated and determinants of incident infection were identified using Cox regression models. Analyses were done for HPV types classified into low-
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Duhn, Lenora Jane. "The impact of a maternity cooperative care program on maternal and infant complications, maternal competence, social support, and stress." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23999.

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The purpose of this study was to assess the impact of a Maternity Cooperative Care Program (MCCP) on the prevalence of maternal and infant complications, maternal competence, social support, stress, and first-time-mothers' descriptions of their postpartum experience. Forty-one healthy, primiparous mothers who participated in a MCCP and forty-three healthy, primiparous mothers who received traditional maternity care were asked to complete the Perceived Competence Questionnaire, the Personal Resource Questionnaire, "The Help I Get" Questionnaire (spousal support), and three numerical rating scal
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Pickens, Kimberly J. "A pilot project to establish a collaborative| Developing a shared database for perinatal nurse sensitive indicators." Thesis, Northern Kentucky University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3622601.

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<p> The National Database of Nurse Quality Indicators (NDNQI) contains many nurse sensitive indicators for benchmarking adult medical/surgical patient outcomes but no perinatal nurse sensitive indicators. Project objectives were to form a collaborative, identify a perinatal nurse sensitive indicator, metrics that would contribute to its success and methods to measure and report them. The researcher developed a theoretical framework and three phase process to support the formation of the collaborative based on empowerment theory, collective impact and the Plan, Do, Study, Act cycle. Seven Mid
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Greaves, Kathryn Anne 1959. "High-density lipoprotein metabolism in post-menopausal women." Diss., The University of Arizona, 1996. http://hdl.handle.net/10150/282267.

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There is a large decrease in endogenous estrogen production with menopause associated with increases in severity of risk factors for coronary heart disease (CHD), including lower high density lipoprotein cholesterol (HDL-C) concentrations. Exogenous estrogen is administered to decrease the risk of CHD. This project was designed to examine the influence of hormone replacement therapy (HRT), ethnicity, and body composition on cholesterol ester transfer protein (CETP) and lecithin:cholesterol acyltransferase (LCAT) activities, two enzymes involved in HDL metabolism. 205 women participated, 32% of
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Gabaldon, Nikolas P. "Health education for pregnant women| An influential factor." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1526910.

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<p> Healthy nutrition is essential for everyone but in some periods, including pregnancy, people are more susceptible and demand attention for nutrition. According to the United States Food and Drug Administration (FDA), approximately 300 extra calories are needed daily to maintain a healthy pregnancy for women. This study analyzes the effects of health education that is provided to pregnant women who are either seeking an office visit for routine or high-risk pregnancy. This study predicted there is no difference in being referred for any type of health education offered to pregnant women bet
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Alseaidan, Mohammad. "Maternal, Behavioral, and Environmental Risk Factors for Gestational Diabetes and Preterm Birth Among Pregnant Women." Thesis, Harvard University, 2016. http://nrs.harvard.edu/urn-3:HUL.InstRepos:27201755.

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Background: Lifestyle changed in Kuwait with the rapid development and economic expansion and the Americanization of the Kuwaiti market. Fast food and sedentary lifestyle became very prevalent. Environmental exposures such as passive tobacco smoke and extreme temperatures are common in Kuwait where the prevalence of chronic conditions is increasing. We describe a Kuwait based pregnancy-birth cohort and examine the associations between perinatal exposures and the risk of chronic disease. Methods: We recruited women from antenatal clinics in Kuwait and administered baseline questionnaires then
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Hunter, Cheryl A. "The doula as educator labor, embodiment, and intimacy in childbirth /." [Bloomington, Ind.] : Indiana University, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3278464.

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Thesis (Ph.D.)--Indiana University, Dept. of Educational Leadership and Policy Studies, 2007.<br>Source: Dissertation Abstracts International, Volume: 68-10, Section: A, page: 4215. Adviser: Luise McCarty. Title from dissertation home page (viewed May 19, 2008).
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Oguni, Miyako. "Trends in pregnancy outcome in epileptic women over two decades : relationship to maternal anticonvulsant therapy." Thesis, McGill University, 1990. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=59839.

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The prevalence of abnormal pregnancy outcomes in the offspring of 103 epileptic women followed prospectively during pregnancy between 1982 and 1989 was compared with that in the previous study of 119 pregnancies by Dansky et al. from the same institution.<br>Our results have shown a significant decrease in the prevalence of major malformations, as compared with the previous study: 8.8% vs. 24.1% (P $<$ 0.01). Monotherapy was more frequent and the mean number of drugs used during pregnancy was significantly smaller in the present study. Phenytoin, phenobarbital and primidone were prescribed les
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Brodsky, Lynn Myer. "The association between estrogen-progestin replacement therapy and the risk of breast cancer among post-menopausal women: A systematic review and meta-analysis." Thesis, University of Ottawa (Canada), 2002. http://hdl.handle.net/10393/6078.

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Postmenopausal women rely on hormone replacement therapy to manage menopausal symptoms. Few studies have assessed the consequences of estrogen progestin replacement therapy (EPRT), a formulation prescribed to postmenopausal women with an intact uterus. The aim of this thesis was to conduct a systematic review and meta-analysis assessing the association between breast cancer risk and EPRT use among postmenopausal women. Electronic databases, handsearching and advice from experts were used to locate studies. A fixed effects model was used to calculate the combined estimate and its standard error
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