Thematische Bibliographien / Health Sciences, Obstetrics and Gynecology|Health Sciences, Pharmacy|Health Sciences, Public Health

Auswahl der wissenschaftlichen Literatur zum Thema „Health Sciences, Obstetrics and Gynecology|Health Sciences, Pharmacy|Health Sciences, Public Health“

Autor: Grafiati
Veröffentlicht am 14. September 2021
Zuletzt aktualisiert am 10. Februar 2022

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  1. Zeitschriftenartikel
  2. Dissertationen
  3. Bücher
  4. Buchteile
  5. Konferenzberichte

Zeitschriftenartikel zum Thema "Health Sciences, Obstetrics and Gynecology|Health Sciences, Pharmacy|Health Sciences, Public Health":

1

Aryal, Binod. „Continuing the Legacy of Editorial of the First Issue of Journal of Karnali Academy of Health Sciences“. Journal of Karnali Academy of Health Sciences 1, Nr. 2 (06.10.2018): 4. http://dx.doi.org/10.3126/jkahs.v1i2.24126.

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Professor Dr MN Marhatta wrote in detail about the 'Milestones of Medical Education in Karnali Academy of Health Sciences' in the first issue of Journal of Karnali Academy of Health Sciences (JKAHS). By the time of this second issue of JKAHS, there has been substantial progress in achieving the goals set and plans put forward by the Academy. Two bachelor programs, i.e., Bachelor in Midwifery Sciences (BMS) and Bachelor in Public Health (BPH) studies are going to start from Mangsir 2075. Certified Anesthesia Assistant (CAA) training course is running smoothly. The Academic Council has prepared and the panel of experts has endorsed the curriculum of Masters in Obstetrics and Gynecology (MD), Masters in Orthopedics and Trauma Surgery (MS), and Masters in Anesthesiology and Critical Care (MD). Masters in General Practice and Emergency Medicine (MDGP) curriculum was prepared in the presence of experts of the various subjects, endorsed by the Academic Council of the Academy and submitted to the Nepal Medical Council (NMC) for approval and accreditation. The NMC has already agreed to take the process forward and has decided to visit KAHS for feasibility study and inspection of its preparation. KAHS is reasonably prepared to start its first Masters academic program. The Academic Council has appointed two professors in MDGP, one each in Obstetrics and Gynecology, Orthopedics, and General surgery, which is an essential and major asset for starting residency programs in the Academy. As per the criteria set by the NMC, the Academic Council has appointed the faculties in the Departments of Psychiatry and Dermatology, and the departments in Basic Medical Sciences including Anatomy, Physiology, Pharmacology, and Microbiology have been established. The class/ lecture rooms are well set up and the faculties of various department are excited and ready to welcome the first batch of MDGP residents in Jumla. There has been huge progress in the field of research and publication as well. The Nepal Health research Council has agreed to permit establishing Institutional Review Committee (IRC) in the Academy, which, we believe, will encourage the faculties and the students to participate in various national as well as locallevel scientific studies and research. There was overwhelming response from the Academy faculties as well as the faculties from various other academic institutes during the call for papers for publication in this journal. The future of Karnali Academy of Health Sciences is looking bright as this Academy was established to provide education and health services to the most marginalized people of the country. This Academy is located in a unique geography which has a huge possibility of becoming a unique institute in the field of medical education. And, this journal will continue to publish cutting-edge research and studies done in this Academy and elsewhere in the country.
2

Trabold, Nicole, Marc Swogger, James McMahon, Catherine Cerulli und Ellen Poleshuck. „A Brief Motivational Intervention to Address Intimate Partner Violence Victimization: A Pilot Study“. Research on Social Work Practice 30, Nr. 6 (17.01.2020): 633–42. http://dx.doi.org/10.1177/1049731519900652.

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Purpose: Intimate partner violence (IPV) is public health crisis that often goes unrecognized. Victims often report ongoing long-term physical and mental health consequences; however, health-care responses to address IPV have not been maximized. The standard of care of screening and referring to community organizations is not enough to help victims. Method: This mixed-methods pilot study enhanced the screening and referral standard of care by offering a brief motivational intervention (BNI-V) to six patients in an obstetrics and gynecology clinic. Results: Preliminary results indicate improved engagement into care and improvements in quality of life, trauma symptoms, and self-efficacy. Participants expressed high satisfaction with the intervention and improved perception of self. Discussion: This study demonstrates a feasible way to build on the screening and referral practices typically found in the health-care system.
3

Ong Tone, Stephan, Sagar Dugani, Harry Marshall, Mohammed Farid Shamji, Jean-Christophe Murray und Dominick Bossé. „Scientific Overview of the CSCI-CITAC 2009 Conference“. Clinical & Investigative Medicine 33, Nr. 1 (01.02.2010): 69. http://dx.doi.org/10.25011/cim.v33i1.11840.

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From September 21st-23rd 2009, the Clinical Investigator Trainee Association of Canada – Association des cliniciens-chercheurs en formation du Canada (CITAC-ACCFC) and the Canadian Society for Clinician Investigators (CSCI), held their annual conference in Ottawa. Participants included clinician investigators and trainees from across the country. The conference featured many excellent guest speakers including this year’s recipient of the Henry G. Friesen International Prize in Health Research, Sir John Bell. There were several forums focusing on professional development, with topics such as “sustaining the clinician investigator in Canada”, “succeeding as a clinician investigator”, and “collaborating internationally with MD+ trainees”, alongside networking opportunities to help establish relationships with potential mentors and collaborators. Further, the CSCI-CITAC annual conference featured some of the cutting edge research that MD+ trainees throughout Canada are engaged in. Trainees presented their research either at the Young Investigators Forum poster session or at the oral plenary. This scientific overview aims to highlight some of the research presented by trainees at the annual conference. The broad themes of scientific interest included topics from both basic science and clinical research. In this article, we summarize some of the major research questions that are being investigated by clinician-investigator trainees in the following areas: neurological sciences, cell biology, medicine, immunology, obstetrics, gynecology, neonatology, orthopedics, rheumatology, and public health.
4

Chan, Stephanie J., Veronica I. Nutting, Talia A. Natterson und Barbara N. Horowitz. „Impacts of Psychopharmaceuticals on the Neurodevelopment of Aquatic Wildlife: A Call for Increased Knowledge Exchange across Disciplines to Highlight Implications for Human Health“. International Journal of Environmental Research and Public Health 18, Nr. 10 (12.05.2021): 5094. http://dx.doi.org/10.3390/ijerph18105094.

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The global use of psychopharmaceuticals such as antidepressants has been steadily increasing. However, the environmental consequences of increased use are rarely considered by medical professionals. Worldwide monitoring efforts have shown that pharmaceuticals are amongst the multitude of anthropogenic pollutants found in our waterways, where excretion via urine and feces is thought to be the primary mode of pharmaceutical contamination. Despite the lack of clarity surrounding the effects of the unintentional exposure to these chemicals, most notably in babies and in developing fetuses, the US Environmental Protection Agency does not currently regulate any psychopharmaceuticals in drinking water. As the underlying reasons for the increased incidence of mental illness—particularly in young children and adolescents—are poorly understood, the potential effects of unintentional exposure warrant more attention. Thus, although links between environmental contamination and physiological and behavioral changes in wildlife species—most notably in fish—have been used by ecologists and wildlife biologists to drive conservation policy and management practices, we hypothesize that this knowledge may be underutilized by medical professionals. In order to test this hypothesis, we created a hierarchically-organized citation network built around a highly-cited “parent” article to explore connections between aquatic toxicology and medical fields related to neurodevelopment. As suspected, we observed that studies in medical fields such as developmental neuroscience, obstetrics and gynecology, pediatrics, and psychiatry cite very few to no papers in the aquatic sciences. Our results underscore the need for increased transdisciplinary communication and information exchange between the aquatic sciences and medical fields.
5

Hamamoto Filho, Pedro Tadao, Pedro Luiz Toledo de Arruda Lourenção, Joélcio Francisco Abbade, Dario Cecílio-Fernandes, Jacqueline Teixeira Caramori und Angélica Maria Bicudo. „Exploring pooled analysis of pretested items to monitor the performance of medical students exposed to different curriculum designs“. PLOS ONE 16, Nr. 9 (10.09.2021): e0257293. http://dx.doi.org/10.1371/journal.pone.0257293.

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Several methods have been proposed for analyzing differences between test scores, such as using mean scores, cumulative deviation, and mixed-effect models. Here, we explore the pooled analysis of retested Progress Test items to monitor the performance of first-year medical students who were exposed to a new curriculum design. This was a cross-sectional study of students in their first year of a medical program who participated in the annual interinstitutional Progress Tests from 2013 to 2019. We analyzed the performance of first-year students in the 2019 test and compared it with that of first-year students taking the test from 2013 to 2018 and encountering the same items. For each item, we calculated odds ratios with 95% confidence intervals; we also performed meta-analyses with fixed effects for each content area in the pooled analysis and presented the odds ratio (OR) with a 95% confidence interval (CI). In all, we used 63 items, which were divided into basic sciences, internal medicine, pediatrics, surgery, obstetrics and gynecology, and public health. Significant differences were found between groups in basic sciences (OR = 1.172 [CI95% 1.005 CI 1.366], p = 0.043) and public health (OR = 1.54 [CI95% CI 1.25–1.897], p < 0.001), which may reflect the characteristics of the new curriculum. Thus, pooled analysis of pretested items may provide indicators of different performance. This method may complement analysis of score differences on benchmark assessments.
6

Balcha, Wondu Feyisa, Azezu Asres Nigussie, Fentahun Yenealem Beyene und Azimeraw Arega Tesfu. „Awareness and Its Associated Factors of Obstetrics Fistula among Antenatal Care Attendees in Injibara Town Health Institutions, Awi Zone, North West, Ethiopia, 2019“. Journal of Pregnancy 2020 (01.07.2020): 1–7. http://dx.doi.org/10.1155/2020/7306108.

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Background. Obstetric fistula is abnormal passageway between the vagina and bladder or rectum, and it has the most devastating effects on physical, social, and economic levels and represents a major public health issue of thousands of women, which failed to provide accessible and appropriate intrapartum care for women within a developing country, particularly in Ethiopia. Therefore, we tried to assess the awareness and its associated factors of obstetrics fistula among pregnant mothers attending antenatal care clinics. Methods. A health institutional-based cross-sectional study was employed from March 4 to 29/2019 among 413 pregnant women. Data was collected by a systematic random sampling technique and entered into a computer using Epi data 3.5, edited and analyzed using Statistical Package of Social Sciences 23.0 version. Bivariate and multivariate logistic regression analyses were employed to estimate the crude and adjusted odds ratio with a confidence interval of 95% and p value of less than 0.05 considered statically significant. Result. This study identified that 39.5% with 95% confidence interval (34.6-44.6%) of pregnant women had good awareness about obstetrics fistula. Multivariate logistic regression analysis showed that living in urban [AOR=1.98, 95% CI=1.07−3.69], attending formal education [AOR=2.11, 95% CI=1.06−4.12], having history antenatal care [AOR=3.87, 95% CI=1.60−9.68], and childbirth at health institution [AOR=7.10, 95% CI=2.52−2.02] were significantly associated with awareness of obstetrics fistula. Conclusion and recommendation. This study showed that awareness of obstetrics fistula was low. Residency, education, and occupation of the women, having history of antenatal care and childbirth at health institution was significantly associated with awareness of obstetrics fistula. Still, there is a gap on awareness of obstetrics fistula; therefore, it is good to emphasize on providing information on maternal health care issues, particularly about obstetrics fistula.
7

Sobkowski, Maciej, und Tomasz Opala. „Practical aspects of change management at the Obstetrics and Gynecology Clinic at the University Hospital of Medical Sciences in Poznań, Poland“. Annals of Agricultural and Environmental Medicine 21, Nr. 2 (10.06.2014): 314–19. http://dx.doi.org/10.5604/1232-1966.1108596.

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8

Joshi, Sulbha, und Varsha Kose. „Pregnancy Outcome in Viral Hepatitis“. Journal of South Asian Federation of Obstetrics and Gynaecology 5, Nr. 2 (2013): 60–63. http://dx.doi.org/10.5005/jp-journals-10006-1225.

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ABSTRACT Introduction Hepatitis in pregnancy is an important medical disorder seen more often in developing countries than in developed ones. Viral hepatitis is a major public health problem in India. Hepatitis in pregnancy is commonly associated with abortion, premature delivery, postpartum hemorrhage, coagulation defect, obstetric shock, coma, death and increased perinatal mortality and morbidity. This study was carried out to know the effect of viral hepatitis on pregnancy and to study its maternal and fetal outcome. Materials and methods This prospective clinical study was conducted in the Department of Obstetrics and Gynecology NKP Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, from January 2010 to December 2012. All the antenatal cases attended Obstetrics and Gynecology Department were investigated for HBsAg and looked for any symptoms and signs suggesting hepatitis like fever, jaundice, nausea, vomiting. If present, they were admitted and further investigated to detect viral hepatitis. Patients were counseled for follow-up and strict hospital delivery. Patients with viral hepatitis were analyzed for the effect on pregnancy, maternal and fetal outcome. Results There were total 30 cases of viral hepatitis 24 (80%) cases were HBsAg positive, but all were asymptomatic 6 (20%) cases were hepatitis E positive. No HAV, HCV, HDV and hepatitis G infected cases were detected in our study. Maternal and fetal morbidity was significantly higher in hepatitis E infected women. Fetal mortality was observed in one case. Conclusion Pregnancy with viral hepatitis requires early diagnosis, hospitalization and treatment. In the present study hepatitis E was found to be the chief etiological agent associated with increased maternal morbidity, and high fetal morbidity and mortality. How to cite this article Kose V, Joshi S. Pregnancy Outcome in Viral Hepatitis. J South Asian Feder Obst Gynae 2013;5(2): 60-63.
9

Haile, Yosef, Fikru Tafese, Tesfaye Dagne Weldemarium und Mulugeta Hailu Rad. „Partograph Utilization and Associated Factors among Obstetric Care Providers at Public Health Facilities in Hadiya Zone, Southern Ethiopia“. Journal of Pregnancy 2020 (30.04.2020): 1–8. http://dx.doi.org/10.1155/2020/3943498.

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Background. A partograph is a graphic representation of labor which is used by health professionals for monitoring labor progress and fetal and maternal wellbeing. However, its utilization and associated factors have not been studied yet in Hadiya Zone, Southern Ethiopia. Hence, the aim of this study was to determine partograph utilization and associated factors among obstetric care providers at public health facilities in Hadiya Zone, Southern Ethiopia. Methods. A facility-based cross-sectional study was conducted on 436 health professionals. The study was conducted from March 04 to April 07, 2019. A simple random sampling method was carried out to select 19 health facilities and study participants from selected facilities. Data was collected using a pretested structured questionnaire, entered into EPI-data version 3.1 and exported to Statistical Package for Social Sciences (SPSS) version 20. Descriptive statistics and binary and multivariable logistic regression analyses were done. P values less than 0.05 were used to declare significant association between dependent and independent variables. Results. The overall magnitude of partograph utilization was found to be 54.4%, and finding from data abstraction from a document revealed that out of 18 parameters, only 10 parameters were recorded completely. Type of health facility (hospital as compared to HC) (AOR=2.96; CI=1.71, 5.12), received on-the-job training on partograph (AOR=7.06; CI=4.3, 11.37), knowledgeable about partograph (AOR=2.12; CI=1.3, 3.9), and favorable attitude toward partograph use (AOR=1.8; CI=1.12−2.97) were significantly associated with partograph use. Conclusion. Overall partograph utilization was low, and incomplete recording of required parameters on partograph was observed in this study. Participants who received on-the-job training on partograph, who are working in a hospital, who are knowledgeable about partograph, and who have favorable attitude toward partograph use were factors affecting partograph use positively.
10

Oliveira, Lorraine Ariel Duarte, Carolina Alves Araújo Rocha und Ledismar José Silva. „Chronic Postoperative Pain: Comprehending It to Intervene“. Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 39, Nr. 03 (07.02.2020): 170–80. http://dx.doi.org/10.1055/s-0039-3402489.

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AbstractIt is estimated that between 266.2 and 359.5 million operations were performed in 2012 worldwide, and this number is on the rise. Chronic postoperative pain (CPOP) is the most important and still neglected postoperative complication, with a multifactorial causality, leading to a major impact on morbidity rates, high costs for the public health system, and direct and negative effects on the quality of life of the patients. The present systematic literature review aimed to elucidate the processes of postoperative pain chronification, biopsychosocial factors, risk factors, management of pain, and types of surgical procedures mainly associated with it. The review was based on the methodological recommendations of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The following databases were consulted: the Medical Literature, Analysis, and Retrieval System Online (MEDLINE), the Latin American and Caribbean Health Sciences Literature (LILACS), the Scientific Electronic Library Online (SciELO), and the Cochrane Central Register of Controlled Trials (CENTRAL). After reading the selected articles, the following surgical specialties were chosen to be addressed: general, orthopedics, breast cancer, gynecology, obstetrics, and thoracic. In conclusion, a deficient management of acute postoperative pain is the main risk factor for the development of CPOP. To prevent CPOP, training programs for healthcare professionals should be implemented to improve their skills and knowledge of the management of pain before, during, and after surgeries. It is also necessary to conduct more in-depth studies on the evaluation and management of this condition.
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Zeitschriftenartikel Dissertationen Bücher

Dissertationen zum Thema "Health Sciences, Obstetrics and Gynecology|Health Sciences, Pharmacy|Health Sciences, Public Health":

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 neoliberal subjects reproducing dominant patriarchal discourses (e.g., obesity, personal and moral responsibility for health, femininity). Paradoxically, many of these women also show awareness of the contradictions between dominant health and bodily discourses and personal experience, thus leading to alternative and more disruptive subject positions. Impacts, implications, and future research directions are discussed.
3

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 previous cesarean were at higher risk for failing a trial of labour. Overall, women who were obese or overweight were more likely to fail a trial of labour, regardless of whether they had previously delivered by cesarean, but temporal trends in primary cesarean delivery could not be attributed to changes in maternal anthropometric factors.
4

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.
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.
Results show a maternal mortality estimate of 153 deaths per 100,000 live births and perinatal mortality of 30/1000. Strong declining trends in fertility and increased utilization of prenatal care were documented in this urban population, in contrast to recent national survey data. After adjustment for socioeconomic factors and confounding variables, maternal education and perceived importance of prenatal care were found to be important predictors of the utilization of maternal health care. The majority of families in this population utilize the private sector for family planning and pregnancy care.
The study demonstrates the importance of maternal education and attitudes in promoting utilization of adequate maternal health care, and documents the emerging role of the private sector in the provision of maternal health services in Karachi.
5

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.
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 (predominantly breastfeeding, mixed feeding or predominantly bottlefeeding) and potential confounders was administered by telephone after each weighing. An unbalanced multivariate repeated measures analysis revealed no statistically significant differences in the rate of weight loss by category of infant feeding. Gestational weight gain, postpartum smoking and maternal birthplace were important predictors of postpartum weight change.
6

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.
Title from PDF t.p. (viewed on May 13, 2009). Source: Dissertation Abstracts International, Volume: 69-08, Section: B, page: 4704. Adviser: Michael Reece.
7

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 PCOS SR led us to develop a novel ovarian stimulation protocol for poor responders. We used the lessons learned from our failed RCT and another systematic review to design and conduct a feasibility randomized controlled trial on the use of aromatase inhibitors to improve pregnancy outcomes for in-vitro fertilization in poor responders. We successfully completed the pilot study and found a trend towards increased clinical pregnancy rates for patients who received the study versus the standard protocol. The pilot study provides recommendations for the definitive trial.
8

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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Background: 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.

Methods: We used extant data from a community-randomized maternal micronutrient supplementation trial which ascertained reported morbidities and care seeking among 42,214 pregnant women between 2007 and 2011 in rural northwest Bangladesh. Multivariate multinomial logistic regression was used to analyze the association of biological, socioeconomic, and psychosocial factors with reported obstetric complications and near misses. Multivariate logistic regression of socioeconomic, demographic, perceived need, and service factors on care seeking was performed. Primary data on availability and readiness to provide obstetric services at 14 health facilities was collected through surveys.

Results: Of the 42,214 married women of reproductive age, 73% (n=30,830) were classified as having non-complicated pregnancies, 25% (n=10,380) as having obstetric complications, and 2% (n=1,004) with reported near misses. In multivariate analysis, women's age less than 18 years (Relative Risk Ratio 1.26 95% CI 1.14-1.39), obstetric history of stillbirth or abortion (RRR 1.15 CI 1.07-1.22), and neither partner wanting the pregnancy (RRR 1.33 CI 1.20-1.46) significantly increased the risk of obstetric complications. Out of 9,576 women with data on care seeking, 77% sought any care, with only 23% seeking at least one formal provider. Socioeconomic factors and service factors, such as facility availability of comprehensive obstetric services (OR 1.25 CI 1.16- 1.34), improved care seeking from formal providers. Average facility readiness for emergency obstetric care was 81% in private clinics compared to 67% in public facilities (p=0.045).

Conclusions: These analyses indicate a high burden of obstetric morbidity, with a quarter of women reporting obstetric complications. Policies to reduce early marriage and unmet need for contraception may address risk factors including adolescent pregnancy and unwanted pregnancies. Improvements in socioeconomic factors, coupled with strategies to increase service availability at health facilities, could increase care seeking from formal providers.

9

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.
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 estimate of exposure, THM concentration, to that found with aggregate exposure measures.
Methods. A case-control study was carried out with 200 cases and 200 matched controls. The risk of THM exposure was estimated using conditional logistic regression, controlling for the confounding effect of maternal smoking, prepregnancy weight and education.
Results. A small, but imprecise, increase in the risk of IUGR was found with increasing levels of the brominated THMs, particularly bromoform. A decrease in the odds ratio was observed with increasing exposure information in the aggregate measures.
Conclusions. The results of this study support previous studies demonstrating a relationship between THMs and intrauterine growth retardation, particularly the brominated THMs. However, the small sample size does not allow any firm conclusions to be drawn about this relationship.
10

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.
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 with missing data in the logistic regression analysis: casewise deletion, use of a missing data indicator, and multiple imputation.
BMI showed a strong relationship to caesarean section, with increasing risk of caesarean with increasing BMI, except in women with previous caesarean section in Pelotas. Other important risk factors included level of education, diabetes, hypertensive diseases and primiparity. Risks differed by labour type and history of caesarean section.
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Bücher zum Thema "Health Sciences, Obstetrics and Gynecology|Health Sciences, Pharmacy|Health Sciences, Public Health":

1

Bollet, Alfred J. Clinical sciences: Internal medicine, surgery, obstetrics and gynecology, pediatrics, psychiatry, public health and community medicine. Chicago: Year Book Medical Publishers, 1988.

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2

Lenaway, Dennis David. EVALUATION OF A PUBLIC-PRIVATE CERTIFIED NURSE-MIDWIFE MATERNITY PROGRAM FOR INDIGENT WOMEN. 1995.

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3

Sethi, Sarla. THE DIALECTIC IN BECOMING A MOTHER: EXPERIENCING THE POSTPARTUM PHENOMENON. 1994.

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4

Stringer, Marilyn Ruth. PERSONAL COSTS ASSOCIATED WITH HIGH-RISK PRENATAL CARE ATTENDANCE (HEALTH CARE). 1995.

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5

Nyirati, Christina Maria. PROFILES OF RISK FOR LOW BIRTH WEIGHT, SMALL FOR GESTATIONAL AGE, AND PREMATURE INFANTS AMONG APPALACHIAN OHIO TEENAGERS: A BIRTH CERTIFICATE STUDY. 1993.

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6

Brach, Betsy. THE CONTENT OF PRENATAL CARE: THE EFFECT OF COMPREHENSIVENESS, CONTINUITY AND COORDINATION (LOW BIRTHWEIGHT, INFANT HEALTH). 1995.

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7

Holtz, Carol Sue. A PHENOMENOLOGICAL STUDY OF POOR URBAN AFRICAN-AMERICAN POSTPARTAL WOMEN WHO RECEIVED NO PRENATAL CARE. 1993.

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8

Slusher, Ida Louise. SELF-CARE AGENCY AND SELF-CARE PRACTICE OF ADOLESCENT PRIMIPARAS DURING THE IN-HOSPITAL POSTPARTUM PERIOD. 1994.

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9

Owens, Melva Tuggle. BIRTH OUTCOMES AND NEWBORN HOSPITAL COSTS OF THE WORKING POOR IN THE STATE OF MARYLAND SINCE THE IMPLEMENTATION OF THE PREGNANT WOMEN AND CHILDREN'S PROGRAM WITH THE PRESUMPTIVE ELIGIBILITY OPTION. 1991.

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10

Price, Patricia J. THE EFFECT OF INTIMATE PARTNER ABUSE, DAILY STRESS, AND SOCIAL SUPPORT ON INFANT BIRTH WEIGHT IN AFRICAN-AMERICAN MOTHERS (DOMESTIC VIOLENCE). 1996.

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Buchteile zum Thema "Health Sciences, Obstetrics and Gynecology|Health Sciences, Pharmacy|Health Sciences, Public Health":

1

Simunich, Bethany, Katie Asaro und Nicole Yoder. „Collaborative Instructional Design Strategies in an Online Health Systems Pharmacy Degree Program“. In Cases on Instructional Design and Performance Outcomes in Medical Education, 24–41. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-5092-2.ch002.

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This case study describes both the process and outcome for instructional design strategies used in the design and development of a fully online Health-System Pharmacy Administration (HSPA) M.S. degree program. The development of this online degree program was a partnership between two Midwest higher education institutions: a public research university (PRU) and an interprofessional health sciences university (HSU). The PRU had instructional designers experienced with creating fully-online graduate degree programs, while the HSU had knowledgeable faculty, staff, and administrators associated with the HSPA program. Instructional designers from the public research university designed the courses collaboratively with HSPA instructors, most of whom were health care professionals with minimal background in online teaching strategies. The instructional designers created an enhanced design process that infused the collaboration with faculty development in online teaching, as well as some amount of technology training for the Learning Management System used in the HSPA program.

Konferenzberichte zum Thema "Health Sciences, Obstetrics and Gynecology|Health Sciences, Pharmacy|Health Sciences, Public Health":

1

Warella, Y., Sutopo Patria Jati und Meidiana Dwidiyanti. „The Effectiveness of Collaborative Leadership on Improving Interprofessional Collaboration Practice in the Comprehensive Emergency Obstetric and Neonatal Services“. In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.19.

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ABSTRACT Background: Maternal and infant mortality rates remain high in most developing countries including Indonesia. An approach so called as the interprofessional collaboration (IPC) has been considered to have its potential to improve the emergency obstetric and neonatal care. Little is known about the effectiveness of leadership in enhancing IPC. This study aimed to determine the effectiveness of leadership on improving the IPC in the comprehensive emergency obstetric and neonatal services. Subjects and Method: This was a qualitative study using an embedded case study approach. This study was conducted at PKU Muhammadiyah Gamping Hospital, Yogyakarta, as a type C teaching hospital. The data were collected by observation, in-depth interview, and document review. Results: This study found three themes: (1) collaborative leadership; (2) leadership issues; and (3) stakeholder input. The inter-professional collaboration included doctors, consultant doctors, supervisor, shift coordinator, and nurses in charge of nursing care. The interprofessional collaboration had been implemented. The principle of leadership had supported the interprofessional collaboration. The IPC team had understood and applied the principles of leadership that support the IPC. The leadership attributes on demand for the IPC included visionary, participatory, and coaching. The leadership issues included the difference in advice between doctors. The theme for nurses was improving the quality of interprofesional collaboration. Conclusion: The leadership attributes to improve the interprofessional collaboration include visionary, participatory, and coaching for the comprehensive emergency obstetric and neonatal services. Keywords: interprofessional collaboration, leadership Correspondence: Sulistyaningsih. Faculty of Health Sciences, Universitas ‘Aisyiyah Yogyakarta. Jl. Siliwangi (Lingkar Barat) No. 63 Pundung, Nogotirto, Gamping, Sleman, DIY, Indonesia. Email: sulistyaningsih@unisayogya.ac.id. Mobile: +6281328067154 DOI: https://doi.org/10.26911/the7thicph.04.19
2

Ayorinde, AA, EA Raja, A. Shetty, PJ Danielian und S. Bhattacharya. „OP51 Outcomes of twin pregnancies receiving antenatal corticosteroids: analysis of routinely collected obstetric data“. In Society for Social Medicine 62nd Annual Scientific Meeting, Hosted by the MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, 5–7 September 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/jech-2018-ssmabstracts.51.

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