Academic literature on the topic 'Mothers of neonates'
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Journal articles on the topic "Mothers of neonates"
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Inam, Yasir, Jalal Uddin Akbar, Syed Zafar Mehdi, Arshad Hamid Khan, Anwar Ul Haq, and Saif Jalal. "Determining the Knowledge, Attitude and Practice of Mothers Regarding Neonatal Care at Department of Pediatrics Fatima Hospital, Baqai Medical University Karachi." Pakistan Journal of Medical and Health Sciences 17, no. 2 (2023): 417–19. http://dx.doi.org/10.53350/pjmhs2023172417.
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Objective: The aim of this study was to assess the mother’s knowledge of neonatal care and their attitude towards existing preventive methods and practices. Materials and Methods: A hospital based Cross-Sectional descriptive Study was conducted on mothers who delivered recently in Fatima Hospital, Baqai Medical University and the mothers visiting with their neonate age of 28 days. Results: A total of 385 participants including the neonates of age 1 to 28 days were included in the study. We found statistically significant relationship between the mother’s age and the mother knowledge of neonatal care (P value = 0.002). Moreover, other factors that we found significantly conducive were the relationships between Illness and medication, mother’s age and breast feeding, mother’s education, and neonate vaccination (P value = 0.002). Conclusion: In this study, we observed that most of the mothers were unaware of neonatal care. Many of them were ignorant of the neonate vaccination and national immunization days. Most of them treated their sick neonates with traditional home remedies rather bringing them to the hospitals. A high proportion of mothers withheld breast feeding and top feeding during neonate illness. Their knowledge regarding infected umbilicus, neonate inactivity and lethargy was scarce. These findings indicate that there is a room of improvement in the current mother’s knowledge and practices of neonatal care. This study will facilitate the policy makers to design new care seeking practices that foster better knowledge of neonatal care among mothers. Keywords: Neonatal Care, immunization, breast feeding
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Bello, Maria Ronallaine, and Shirley Kwong-Buizon. "Maternal and Neonatal Clinico-Demographic Profile and Outcomes During the Covid-19 Pandemic at the Chinese General Hospital and Medical Center." Pediatric Infectious Disease Society of the Philippines Journal 22, no. 2 (2021): 46–54. http://dx.doi.org/10.56964/pidspj20212202007.
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Background: COVID-19 is an ongoing health concern that hospitals have struggled to keep up with, given its increasing burden with the passage of time. Considerations for the management of COVID-19 should be made especially for pregnant patients and their neonates. Objectives: To determine COVID-19 prevalence and the clinical profile of mothers admitted for childbirth at Chinese General Hospital and Medical Center from May 2020 to July 2020. The profile and outcomes of neonates born to these mothers were likewise studied. Materials and Method: A descriptive cross-sectional study was done that included mothers admitted for childbirth who had SARS-CoV-2 RT PCR swab test and their neonates. A total of 408 medical records of mother and neonate dyads were reviewed. Relevant variables such as the patients’ demographic profile, clinical characteristics, co-morbidities and the maternal and neonatal outcomes were obtained. Frequency distributions were made to assess the prevalence of COVID-19 among the patients, as well as maternal and neonatal outcomes. Results: Twenty-two (5.39%) mothers tested positive for COVID-19, while all neonates (n = 22) that underwent RT-PCR swab at the 24th hour of life had negative results. Of the 22 COVID-19 positive mothers, 2 (9.09%) were symptomatic upon admission while 20 (90.09%) were asymptomatic. The following were the key trends among those mothers who tested positive for COVID-19: (1) 81.82% were from ages 20-39 years old, (2) 72.73% were multigravida mothers, (3) 54.55% had normal spontaneous delivery, (4) diabetes mellitus was the only noted comorbidity. Key findings on the neonatal outcomes observed in the study population of both COVID-19 positive and negative cases, include: (1) majority of neonates had an APGAR score of greater than 7 at 1st and 5th minute of life; (2) higher frequency of neonates with Ballard’s score of more than 37 weeks AOG; (3) more male neonates as compared to female neonates; (4) a normal birth weight for majority of cases; (5) 45.45% of neonates born to COVID positive mothers had a length of stay of <48 hours as compared to 72.8% of neonates born to COVID negative mothers; and (6) neonatal pneumonia as the most common comorbid condition in both cases. Conclusion: This study noted a prevalence of 5.39% COVID-19 positive mothers. SARS-CoV-2 virus was not detected in all of the neonates born to COVID-19 affected mothers. Neonates delivered to COVID-19 positive mothers had similar trends in the neonatal outcomes when compared to neonates delivered to mother who were COVID-19 negative.
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Thaseen, Nazima, and Shivakumar Veeraiah. "Leukocyte profile in cord blood of newborns to diabetic and non-diabetic mothers." International Journal of Research in Medical Sciences 9, no. 6 (2021): 1662. http://dx.doi.org/10.18203/2320-6012.ijrms20212233.
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Background: Increasing incidence of diabetes due to strees inducing life-style, involves dearrangement of carbohydrate, fat, protein metabolism characterized by hyperglycemia, hyperlipidimia and negative nitrogen balance respectively. Causing morbidity and mortality, effects gestational diabetes. Pregnancy, capacity to secrete insulin increases with gestational age, has effect in last trimester of pregnancy. Maternal glycemic-status influences neonates leucocyte profile.Methods: Fully automated haematology analyzer ABXMICROsot used to analyze cord blood of neonates born to 40 diabetic (known to be diabetic at pregnancy) and 40 non-diabetic mothers, collected in EDTA tubes. Diabetic group was sub divided into D1 and D2. D1 as 100-150 mg/dcl, D2 as above 150 mg/dcl. Statistical treatment of Levene's test of equality of variances applied to the data.Results: WBC count, granulocyte percent and monocyte percent were significantly lower, lymphocyte percent was higher in neonates to diabetic mothers. Significantly higher in D2 then D1group. The prognosis for the child of a pregnant diabetic is related to the degree of control of mother’s glycemic status, reflected higher indices in D2 then D1.Conclusions: Neonates immune system depends on the mother's immune system i.e.; immunological properties are practically under control of interleukin-1 and interleukin-6. Interleukin-6 potentiates action of interleukin-1 synergistically, such action of interleukin converts non-committed stem cells to committed stem cells. Immunosuppressant status in diabetic mother (i.e.; non-priming of neonatal interleukin-6 by immunosuppressant diabetic mother’s interleukin-6, main cause for altered counts) modulating neonatal interleukin-6 it decreases haematopoietic potential in the neonates, ECF in infants of diabetic mother is reduced leading to haemo-concentration, increasing cell count. Pictures as increase cell count at birth in neonates of diabetic mother.
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Baker, Herman, Steven Hockstein, Barbara DeAngelis, and Bart Holland. "Thiamin Status of Gravidas Treated for Gestational Diabetes Mellitus Compared to Their Neonates at Parturition." International Journal for Vitamin and Nutrition Research 70, no. 6 (2000): 317–20. http://dx.doi.org/10.1024/0300-9831.70.6.317.
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Since thiamin plays a role in glucose metabolism we wanted to know if blood thiamin influx from gravida to neonate was influenced by treatment of gravidas, having gestational diabetes mellitus (GDM). In this study we found thiamin hypovitaminemia in 19%, of the 77 pregnancies despite vitamin supplementation and treatment for GDM; neonates born to mothers with hypovitaminemia were also thiamin hypovitaminemic. All neonatal blood had significantly higher thiamin concentration than gravidas. Indeed, cord blood from neonates born to mothers treated with insulin for GDM had significantly higher thiamin concentration than other neonates in the study. A significant weight depression was noted in neonates born to treated GDM mothers. Healthy gravidas giving birth to macrosomia neonates, had significant thiamin hypovitaminosis, but only macrosomic neonates of treated diabetic mothers had significantly depressed blood thiamin concentrations. We noted that subclinical thiamin hypovitaminemia is prominent during pregnancy despite vitamin supplementation. Perhaps increased thiamin supplementation during pregnancy seems warranted to avoid metabolic stress in mother and fetus due to thiamin hypovitaminemia.
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Mohammad, Banaz, and Shukir Hasan. "Mothers’ Knowledge Regarding Home Care Management of Neonatal Jaundice in Qaladze - Sulaymaniyah City." Erbil Journal of Nursing and Midwifery 5, no. 2 (2022): 72–78. http://dx.doi.org/10.15218/ejnm.2022.08.
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Background and Objectives: Jaundice is the most common condition requiring medical attention in newborn babies. The mother has a significant role in reducing the effects. Early discharge of mothers and neonates from the hospitals increased the responsibility of mothers in recognizing jaundice has increased. This study aimed to assess the level of the mothers’ knowledge regarding home care management of neonatal jaundice. Methods: A quantitative, cross-sectional descriptive study was carried out in the Neonatal Intensive Care Unit at Shahidan Qaladze Teaching Hospital from the period of January 2021 to March 2022. Purposive (non-probability) sampling techniques were used to recruit participants. The study sample included 114 mothers. Data was collected using a questionnaire prepared by the investigator, and direct interviews were conducted. Descriptive statistics including, frequencies and percentages, and inferential statistical analysis of Chi-square was used to analyze the data. Results: The results show that 34.2% of the mothers were between 26-32 years. Concerning occupation, more than three-quarters (86%) of the sample were housewives. The study demonstrated that the majority (64.9%) of mothers did not have enough in-formation about jaundice. There was a statistically significant association between parents’ relatives and the source of information regarding the mother’s knowledge. The study showed a statistically significant association between mothers’ knowledge and early initiation of breastfeeding. Factors associated with mother’s knowledge include the mother’s age, occupation, years of formal education, residency areas, received health education on neonate jaundice, and the source of information. Conclusion and Recommendations: The study concluded that most mothers had a deficit of knowledge regarding home care management of neonatal jaundice. It is recommended to provide mothers with comprehensive health education about neonatal jaundice care to improve their knowledge and practice in caring for neonates with jaundice.
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Abeillon-du Payrat, Juliette, Karim Chikh, Nadine Bossard, et al. "Predictive value of maternal second-generation thyroid-binding inhibitory immunoglobulin assay for neonatal autoimmune hyperthyroidism." European Journal of Endocrinology 171, no. 4 (2014): 451–60. http://dx.doi.org/10.1530/eje-14-0254.
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ContextHyperthyroidism occurs in 1% of neonates born to mothers with active or past Graves' disease (GD). Current guidelines for the management of GD during pregnancy were based on studies conducted with first-generation thyroid-binding inhibitory immunoglobulin (TBII) assays.ObjectiveThis retrospective study was conducted in order to specify the second-generation TBII threshold predictive of fetal and neonatal hyperthyroidism, and to identify other factors that may be helpful in predicting neonatal hyperthyroidism.MethodsWe included 47 neonates born in the Lyon area to 42 mothers harboring measurable levels of TBII during pregnancy. TBII measurements were carried out in all mothers; bioassays were carried out in 20 cases.ResultsNine neonates were born with hyperthyroidism, including five with severe hyperthyroidism requiring treatment. Three neonates were born with hypothyroidism. All hyperthyroid neonates were born to mothers with TBII levels >5 IU/l in the second trimester (sensitivity, 100% and specificity, 43%). No mother with TSH receptor-stimulating antibodies (TSAb measured by bioassay) below 400% gave birth to a hyperthyroid neonate. Among mothers of hyperthyroid neonates, who required antithyroid drugs during pregnancy, none could stop treatment before delivery. Analysis of TBII evolution showed six unexpected cases of increasing TBII values during pregnancy.ConclusionMaternal TBII value over 5 IU/l indicates a risk of neonatal hyperthyroidism. Among these mothers, a TSAb measurement contributes to identify more specifically those who require a close fetal thyroid ultrasound follow-up. These results should be confirmed in a larger series.
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Kim, Janice, Hilary Rosen, Kristen Angel, et al. "Transmission of Listeriosis in a Neonatal Intensive Care Unit Supported by Whole-Genome Sequencing." Infection Control & Hospital Epidemiology 41, S1 (2020): s53. http://dx.doi.org/10.1017/ice.2020.536.
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Background: Listeriosis is a rare but serious infectious disease caused by Listeria monocytogenes (LM) and predominantly transmitted through contaminated food. Moreover, 15% of listeriosis cases in the United States are pregnancy associated; nosocomial neonatal transmission in hospitals is extremely rare. In July 2018, the California Department of Public Health (CDPH) was notified of 4 patients, a mother–neonate pair and twin neonates, with listeriosis at the same hospital. The CDPH and San Diego County Health and Human Services Agency initiated an investigation to determine transmission and prevent additional infections. Methods: We reviewed medical records of the neonates and their mothers, interviewed the mothers with a detailed food exposure questionnaire, interviewed healthcare personnel (HCP), and performed an infection control assessment of the neonatal intensive care unit (NICU). CDPH performed whole-genome sequencing (WGS) on LM isolates that were then analyzed by whole-genome multilocus sequence typing (wgMLST) by the Centers for Diseases Control and Prevention (CDC) to assess relatedness in PulseNet, a public health laboratory database. The CDC also performed testing for LM on formalin-fixed placentas from the mother of the twins. Results: During a 1-week period, 4 patients with LM were identified at the hospital. A mother was admitted at 31 weeks gestation with acute abdominal and back pain that progressed with precipitous vaginal delivery and postpartum sepsis. Her neonate was resuscitated, transported to the NICU, underwent a sepsis evaluation, received antibiotics, and was transferred to another hospital within 6 hours. Maternal blood, placenta, and neonatal blood cultures grew LM. Twin neonates, born to an asymptomatic mother and present in the NICU during the index neonate’s stay, developed acute infection 4 and 6 days after the index neonate’s transfer; blood cultures confirmed LM. The LM isolates from the 4 patients were indistinguishable by wgMLST and were not related to other PulseNet isolates. LM was not detected in the twin placentas. There were no common food exposures between the mothers. At least 1 common HCP cared for all 3 neonates. Infection control lapses included lack of proper hand hygiene during the index neonate’s resuscitation and potentially after cleaning and disinfection of the neonate’s incubator. Conclusions: This report provides supportive evidence that nosocomial transmission of LM can occur during a brief NICU stay due to lapses in infection control practices. Strict adherence to standard precautions in the delivery room and NICU is imperative to prevent cross transmission.Disclosures: NoneFunding: None
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Kachapati, Anuja, and Badri Kumar Gupta. "Impact of Physical Health Status of Antenatal Mothers on their Neonates." Journal of Universal College of Medical Sciences 7, no. 1 (2019): 55–58. http://dx.doi.org/10.3126/jucms.v7i1.24694.
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INTRODUCTION: Newborn health is closely related to that of their mothers. The simple indicators of the mother like haemoglobin level, height, weight, gestational age of the mother will give the first hand information of deviated health of the neonates.
 MATERIAL AND METHODS: Descriptive correlation study was conducted to assess the impact of physical health status of antenatal mothers on their neonates, 170 antenatal mothers and their born neonates were selected by using purposive sampling. Semi-structured interview schedule, observation of record review and measurement of physical health parameters were used for data collection. A descriptive and inferential statistics were used to investigate the relationships between the variables of antenatal mothers with their neonates with SPSS software version 16.
 RESULTS: The study findings revealed that the weight of the neonates has statistically significant correlation with the maternal weight, height, hemoglobin and maternal gestational weeks; length of the neonates has statistically significant correlation with the maternal height, maternal weight and maternal age; Gestational age (Ballard score) with the maternal gestational weeks and neonates birth weight; neonates head circumference has statistically significant with the maternal height, gestational weeks and maternal weight; chest circumference of the neonates has statistically significant with the maternal height and maternal weight.
 CONCLUSION: The study concluded that there was a significant correlation between the selected maternal weight, height, hemoglobin and gestational weeks with neonatal weight; maternal height, weight, age with neonatal length, head circumference, chest circumference and maternal gestational weeks with neonate gestation age by Ballard score.
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Rasamoelison, Rina J., Setra H. Rambeloson, Hanitriniaina S. C. Samena, and Annick L. Robinson. "Impact of extreme maternal age on neonatal outcomes." International Journal of Contemporary Pediatrics 9, no. 11 (2022): 1016. http://dx.doi.org/10.18203/2349-3291.ijcp20222760.
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Background: Pregnancies at extreme ages of reproductive life are considered to be at high risk for mother and neonate. The aim of the study was to determine neonatal risks associated with extreme maternal age.Methods: A retrospective cohort study was conducted at Befelatanana Maternity covering the period from 1 January to 31 December 2018. Data was collected from neonate’s medical files.Results: Of 789 neonates from mothers with extreme age included, 64.7% were from mothers under the age of 18, and 35.3% from mothers aged 40 and over. They were compared to 519 neonates from mothers aged 20-30. Maternal age under 18 was a risk factor for Apgar index below 7 at the 5th minute RR 1.69 (95% CI 1.17, 2.44), preterm birth RR 2.19 (95% CI 1.70, 2.80), low birthweight RR 2.03 (95% CI 1.53, 2.53) and admission to neonatalogy RR 2.64 (95% CI 2.20, 3.16). Also, the neonatal risks of pregnancy after 40 years were fetal death in utero RR 2.97 (95% CI 1.51, 5.85), low birthweight RR 2.47 (95% CI 1.97, 3.10), preterm birth RR 2.85 (95% CI 2.21, 3.68), and admission to Neonatalogy RR 3.06 (95% CI 2.54, 3.68).Conclusions: The extreme age of the mother is therefore a risk of neonatal adverse outcomes. Rigorous prenatal follow-up is needed for these high-risk pregnancies.
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Kaur, Gunjanpreet, Sunita Arora, Kamalpreet Singh, Mandeep Singh, and Arshpreet Kaur. "Prevalence of thyroid dysfunction in neonatal population." International Journal of Contemporary Pediatrics 7, no. 7 (2020): 1519. http://dx.doi.org/10.18203/2349-3291.ijcp20202608.
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Background: The objectives of this study was to study the prevalence of thyroid disorders in high risk neonatal populations and to study association of maternal thyroid dysfunction with neonatal thyroid problems and outcome.Methods: This was an observational study, conducted in NICU at Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar. The study included neonates born to mothers with thyroid disorder or with clinical features suggestive of thyroid dysfunction. Neonates with history of maternal thyroid dysfunction were screened at 72 to 96 hrs of postnatal age. Those with TSH >10 mIU/L or free T4 <1.1 ng /ml were followed up after two weeks. The neonates with clinical features suggestive of thyroid dysfunction were screened at presentation and those with abnormal thyroid profile were followed up after two weeks. Results obtained were statistically analyzed using SPSS 17.0 software.Results: Out of 260 neonates screened, 208 neonates were born to mothers with hypothyroidism, 6 neonates had increased levels of TSH during first week which normalised on follow up during third week. One neonate born to hyperthyroid mother, showed increased TSH levels during first week and 2nd week which declined to normal level on follow up at 3rd week. Out of 51 neonates with clinical features suggestive of thyroid dysfunction, born to euthyroid mothers, 3 neonates had increased levels of TSH on presentation which normalised on further follow up. Thus, majority of high risk neonates at birth show transient hypothyroidism.Conclusions: None of the neonate was labelled as hypothyroid, all the 10 neonates showed transient hyperthyrotropinemia.
Dissertations / Theses on the topic "Mothers of neonates"
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Fernandez, Maria Isabel. "Comparison of perceived needs of mothers of neonates and nurses in the neonatal intensive care unit." FIU Digital Commons, 1996. http://digitalcommons.fiu.edu/etd/3298.
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The transition to motherhood is not easy for any new parent but it is especially difficult for the mother of an infant in the Neonatal Intensive Care Unit (NICU). There may be instances in the NICU where the nurses' perception of maternal needs may be incongruent with the mother's perception. Many NICU nurses focus on the physical needs of infants such as cardiorespirartory monitoring, mechanical ventilator support, and I.V. therapy. Mothers may instead be focused on their own need for emotional and psychological support.
This study investigated the differences and similarities regarding maternal needs as perceived by the mothers and NICU nurses. A 30 item questionnaire called the Perceived Needs of Family Members of Critically Ill Patients (Norris and Grove, 1986) was given to a group of mothers and a group of NICU nurses. The instrument consists of "needs" statements which are ranked on a Likert Scale from "very important" to "not important". The rankings by mothers and the rankings by nurses were compared.
The results of this study demonstrated that the mothers' perceptions and the nurses perceptions of maternal needs were similar in most instances, althought there were some differences. Therefore, it is important that the mothers' needs are accurately identified so that nursing interventions can be developed to meet them.
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Kairamkonda, Venkatesh. "Amylin peptide : an association with feed intolerance in preterm neonates and infants of diabetic mothers." Thesis, University of Sheffield, 2012. http://etheses.whiterose.ac.uk/2893/.
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Title: Amylin peptide: An association with feed intolerance in preterm neonates and infants of diabetic mothers Introduction: Delayed enteral nutrition due to feed intolerance is common in preterm infants and infants of mothers whose pregnancy was complicated by diabetes mellitus (IMDM). Amylin, a 37 amino-acid polypeptide hormone, is a potent inhibitor of gastric emptying that may play a role in the patho-physiology of feed intolerance in these infants. Aims and Objectives: To determine serum amylin levels (i) at birth (umbilical cord) and postnatal day 5 (Guthrie) in healthy preterm and term infants-Study A, (ii) at birth (umbilical cord) and postnatal day 5 (Guthrie) in preterm and term IMDM-Study B, and (iii) in preterm infants experiencing feed-intolerance (nTOL) and feed-tolerance (TOL)-Study C. Hypothesis: Serum amylin levels are raised in (i) IMDM and (ii) preterm infants with increased gastric residual volumes (GRV); which may explain their feed intolerance. Methods and Material: Blood samples were analysed for total amylin immunoreactivity using monoclonal antibody based sandwich immunoassay. Results: Serum amylin concentrations (median (interquartile range)) in healthy term infants at birth (n=138) and postnatal day 5 (n=14) were 6.10 (3.30-9.70) pmol/L and 5.65 (3.10-8.20) pmol/L respectively. Similarly, the amylin concentrations in healthy preterm infants at birth (n=43) and postnatal day 5 (n=25) were 4.60 (1.90–8.30) pmol/L and 6.9 (2.75–9.50) pmol/L respectively. The amylin concentrations were significantly raised in both term IMDM at birth [n=17, 34.30 (28.35-50.00) pmol/L, p<0.0001] and postnatal day 5 [n=4, 25.20 (22.20-48.75) pmol/L, p<0.0001] and preterm IMDM at birth [n=14, 32.0 (18.65-44.27) pmol/L, p<0.0001] and postnatal day 5 [n=9, 23.4 (15.37-46.57) pmol/L, p<0.0001]. The amylin concentration was significantly elevated in nTOL group [n=30, 47.9 (21.4-79.8) pmol/L, p<0.0001)] compared to TOL group [n=30, 8.7 (5.7-16) pmol/L]. Conclusions: Amylin by virtue of its inhibitory effect on gastric emptying may be responsible in delaying establishment of enteral nutrition in preterm infants and infants of mothers whose pregnancy was complicated by diabetes mellitus.
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GREGOR, SARAH MARGARET. "INVESTIGATION OF HEARING LOSS IN NEONATES OF MOTHERS WITH DIABETES MELLITUS (TYPE I, TYPE II, AND GESTATIONAL DIABETES MELLITUS)." University of Cincinnati / OhioLINK, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1022180186.
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Gregor, Sarah. "Investigation of hearing loss in neonates of mothers with diabetes mellitus (type I, type II, and gestational diabetes mellitus." Cincinnati, Ohio : University of Cincinnati, 2002. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=ucin1022180186.
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Barnes, Christopher. "Cognitive, emotional and environmental mediators of early parenting in high risk families." Thesis, University of Wolverhampton, 2008. http://hdl.handle.net/2436/33753.
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The UK currently has the highest number of premature births (babies born before 37 weeks gestation age and below 2.5kg) in Europe affecting around 70,000 babies and their caregivers each year. Consequently many interventions have been created to support the development of the preterm newborn and minimise the complications of prematurity. Many of the interventions developed have been predominantly tactile and have almost exclusively focused upon their effect upon the baby and not, for example considered the effect that this type of intervention might have upon the parents; specifically the mother, when they are the ones who perform the therapy. In fact there is a severe lack of systematic studies investigating the latter. Hence, the aim of this thesis was to search for research-based evidence on the benefits of environmental support to both babies (e.g. increased weight gain or awake periods) and their mothers (e.g. higher perceptions of themselves as a mother) during hospital confinement and within the context of Neonatal Health Psychology (NNHP). For this reason, the main hypothesis investigated whether mothers’ cognitions and emotions; specifically Maternal Self-Efficacy, Self-Esteem and Attachment, would be affected by environmental mediators in the form of structured or non-structured tactile sensory nurturing interventions. The empirical work reported in this thesis is divided into 3 distinct phases. Firstly, as their was no appropriate measure of maternal Self-Efficacy for mothers of hospitalised preterm neonates the main aim of Phase-1 was to develop and validate an appropriate measure. Using a prospective survey method and a mixed design (between/within and correlational) a total of 160 mother-preterm dyads (pooled from 2 cohorts; cohort 1, N=100; cohort 2, N=60) were recruited. The results demonstrated that the Perceived Maternal Parenting Self-Efficacy (PMPS-E) tool had good initial psychometric properties (including internal/external reliability and construct validity) for its use with mothers of relatively healthy hospitalised preterm neonates. Secondly, in order to investigate mothers’ perceived maternal parenting self-efficacy beliefs further Phase-2 examined whether the type of feeding a mother chose to give to her baby mediated her self-efficacy beliefs. The results suggested that breastfeeding a preterm neonate during hospital confinement may adversely affect mothers’ perceptions of their efficacy in all aspects of parenting. Finally, using an experimental method Phase-3 tested the main hypothesis of this thesis and used a randomised cluster control trial (RCCT) design to allocate 60 mothers and their preterms equally to one of three cluster groups; consisting of either structured (e.g. TAC-TIC therapy or Using a Toy) or non-structured (Placebo/Control) tactile sensory nurturing interventions. The main findings illustrate that tactile sensory nurturing interventions do mediate maternal cognitions and emotions, preterm weight gain and behavioural state. In particular, mothers who performed TAC-TIC demonstrated significantly higher self-reported perceptions in their self-efficacy, self-esteem and attachment, which was attributed to the fact that these babies spent increased amounts of time in an alert and responsive behavioural state, and gained more weight throughout the study period. Thus, the work presented throughout this thesis has implications for Neonatal Health Psychologists and other Health Care professionals’ practice within neonatal units, the use of Neonatal Health Psychology as a framework to study the preterm neonate and their family, and also the way in which both mothers and their hospitalised preterm neonates are supported during hospital confinement.
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Flacking, Renée. "Breastfeeding and Becoming a Mother : Influences and Experiences of Mothers of Preterm Infants." Doctoral thesis, Uppsala University, Department of Women's and Children's Health, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7898.
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<p>The overall aim of this thesis was to expand the knowledge and understanding of the processes of breastfeeding and becoming a mother in mothers of preterm infants. </p><p>For this purpose, in-depth interviews were conducted with 25 mothers, whose very preterm infants had received care in seven neonatal units (NU) in Sweden, 1-12 months after discharge (I-II). In addition, prospective population-based register studies were performed of infants born 1993-2001; among 35 250 term and 2093 preterm infants (III), and a subpopulation of 225 very preterm infants (IV). Data were obtained from the Child Health Service registry of breastfeeding in Uppsala and Örebro, the Medical Birth Registry, and Statistics Sweden. </p><p>The experiences of mother-infant separation, institutional authority, emotional exhaustion and disregard of breastfeeding as a relational interplay, comprised major hindrances to mothers’ experiences of breastfeeding as reciprocal and of a secure mother-infant relation, during and after the discharge from an NU (I-II). All studied socioeconomic factors, i.e. lower educational level, receiving unemployment benefit or social welfare or having a low equivalent disposable income, were individually adversely associated with breastfeeding up to six months of infants’ postnatal age, but were not found more decisive for weaning in mothers of preterm infants compared to those of term infants (III). Preterm infants were breastfed for a shorter time than term infants (III), but a long breastfeeding duration was evident. In addition, gestational age and neonatal disorders were not associated with breastfeeding duration in very preterm infants (IV).</p><p>In conclusion, this thesis shows that improvements in the NU environment and the caring paradigm are called for. Furthermore, as socioeconomic status clearly has an impact on breastfeeding duration, increased equity in health care in accordance with the individuals’ needs must be sought, where resources are allocated to ensure fulfilment of needs in more vulnerable mothers and infants. </p>
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Flacking, Renée. "Breastfeeding and becoming a mother : influences and experiences of mothers of preterm infants /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7898.
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Bouchghoul, Hanane. "Déterminants de l’hypoglycémie néonatale et maternelle chez les femmes ayant un diabète gestationnel traité par glyburide Hypoglycemia and glycemic control with glyburide in women with gestational diabetes and genetic variants of cytochrome P450 2C9 and/or OATP1B3 Transplacental transfer of glyburide in women with gestational diabetes and neonatal hypoglycemia risk Assessment of risk of hypoglycemia by anthropometric measurements in neonates of mothers with treated gestational diabetes." Thesis, université Paris-Saclay, 2021. http://www.theses.fr/2021UPASR008.
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Le diabète gestationnel (DG), dont la prévalence était de 10,8% en 2016 en France, est associée à une morbidité maternelle et néonatale. Actuellement, le traitement de référence est l’insulinothérapie. Le glyburide est efficace notamment sur le contrôle de l’équilibre glycémique par rapport à l'insuline. Cependant, il serait associé à une augmentation du risque d’hypoglycémie maternelle et néonatale en comparaison à l’insulinothérapie.L’objectif général de cette thèse était de mieux comprendre les déterminants de l’hypoglycémie maternelle et de l’hypoglycémie néonatale à partir d’analyses ancillaires et secondaires issues de l’essai randomisé national INDAO, publié en 2018.Les objectifs spécifiques étaient d’étudier 1-le passage transplacentaire de glyburide à l'accouchement, 2-l'association entre les mesures anthropométriques néonatales (rapport poids-taille (RPT) et poids de naissance) et l'hypoglycémie néonatale chez les femmes bénéficiant d’un traitement médicamenteux du DG, 3-l'association entre l’hypoglycémie maternelle et les variants à fonction diminuée CYP2C9*2 et les variants perte de fonction CYP2C9*3 et OATP1B3*4, puis l'association entre la dose quotidienne de glyburide et les porteurs de variants perte et diminution de fonction.Nous avons montré qu’il existait un passage placentaire du glyburide avec un rapport de la concentration de glyburide fœtus/mère de 0,62 (IC 95% : 0,50-0,74). Le risque d'hypoglycémie néonatale augmentait de manière significative avec l’augmentation de la concentration de glyburide dans le cordon ombilical, indépendamment de la macrosomie néonatale. Ensuite, nous avons montré que le risque accru d'hypoglycémie néonatale est associé de manière indépendante à des valeurs extrêmes du RPT, pour un faible Z-score du RPT (inférieur à -1,28), et un Z-score du RPT élevé (supérieur à 1,28), indépendamment du traitement maternel. Enfin, nous avons constaté un taux augmenté d'hypoglycémie maternelle au début du traitement par glyburide dans le groupe variant comprenant les porteuses de l’allèle CYP2C9*3 et/ou d'OATP1B*4 à l’état homozygote, associé à une augmentation moindre de la dose de glyburide et à une dose plus faible de glyburide atteinte en fin de traitement.Ces travaux apportent de nouvelles connaissances concernant le mécanisme d’action du glyburide chez les femmes enceintes, permettant une meilleure utilisation dans le traitement du DG. Demeurent cependant pour l’enfant les conséquences potentielles à long terme de l’exposition prolongée in utero au glyburide<br>Gestational diabetes (GD), whose prevalence in France was 10.8% in 2016, is associated with maternal and neonatal morbidity. Currently, the reference treatment is insulin therapy. Glyburide is effective, particularly in achieving glycemic control, compared with insulin. However, according to some studies, it is associated with an increased risk of maternal and neonatal hypoglycemia compared to insulin therapy.The main objective of this thesis was to better understand the determinants of maternal hypoglycemia and neonatal hypoglycemia based on ancillary and secondary analyses from the national randomized INDAO trial, published in 2018. The specific objectives were to investigate 1-the transplacental transfer of glyburide at delivery, 2-the association between neonatal anthropometric measures (weight-for-length ratio [WLR] and birth weight) and neonatal hypoglycemia in women receiving drug therapy for GD, 3-the association between maternal hypoglycemia and CYP2C9*2 reduced-function variants and CYP2C9*3 and OATP1B3*4 loss-of-function variants, and then in a second step to investigate the association between daily glyburide dose and carriers of loss-of-function and reduced-function variants.First, we showed that there was a placental transfer of glyburide with a fetal/maternal glyburide concentration ratio of 0.62 (95% CI 0.50-0.74). The risk of neonatal hypoglycemia increased significantly with increasing umbilical cord blood glyburide concentration, regardless of neonatal macrosomia. Second, we showed that the increased risk of neonatal hypoglycemia was independently associated with extreme values of WLR, for a low WLR Z-score (less than -1.28) and a high WLR Z-score (greater than 1.28), regardless of maternal treatment. Finally, we found an increased rate of maternal hypoglycemia at the beginning of glyburide treatment in the variant group including carriers of the CYP2C9*3 and/or OATP1B*4 allele in a homozygous state, associated with a smaller glyburide dose increment and a lower glyburide dose reached at the end of treatment.This thesis work provides new insights into the mechanism of action of glyburide in pregnant women, allowing for better use in the treatment of GD. However, the potential long-term consequences for the child of prolonged in utero exposure to glyburide remain
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Anderson, Diane Marie. "Zinc, retinoids and protein interrelationships in the neonate and mother." Case Western Reserve University School of Graduate Studies / OhioLINK, 1992. http://rave.ohiolink.edu/etdc/view?acc_num=case1056570126.
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Abdullah, Khatijah Lim. "Mothers' experiences of their babies' transfer to a regional neonatal unit." Thesis, University of Southampton, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.439629.
Full textBooks on the topic "Mothers of neonates"
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Parchment, Eva. Mother's feeding practices on a neonatal unit: An insight study. University of Central England in Birmingham, 1992.
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Henderson, Joy Lorena. "It's Like Going Home To Emptiness" Becoming a Mother and Providing Mother's Milk to Premature Infants in the Neonatal Intensive Care Unit: A Latina Mother's Perspective. [publisher not identified], 2015.
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W, Gaminiratne K. H., ed. Perinatal & neonatal mortality: Some aspects of maternal and child health in Sri Lanka. UNICEF. Dept. of Census & Statistics, 1986.
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executive, Health and safety. Doses to the embryo/fetus and neonate from intakes of radionuclides by the mother. HSE Books, 2001.
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Health, Malawi Ministry of, ed. Roadmap for accelerating the reduction of maternal and neonatal mortality and morbidity in Malawi. 3rd ed. Ministry of Health, 2007.
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Boyd, Susan C. Mothers and illicit drugs: Transcending the myths. University of Toronto Press, 1999.
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Boyle, Frances M. Mothers bereaved by stillbirth, neonatal death, or sudden infant death syndrome: Patterns of distress and recovery. Ashgate, 1997.
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Shahjadpur Integrated Maternal & Neonatal Health Project, International Centre for Diarrhoeal Disease Research, Bangladesh. Reproductive Health Unit, and International Centre for Diarrhoeal Disease Research, Bangladesh, eds. Baseline findings: Shahjadpur Integrated Maternal & Neonatal Health Project. International Centre for Diarrhoeal Disease Research, Bangladesh, 2010.
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McLoughlin, Angela Mary. Fo rmal and informal support for mothers who have had a baby in a neonatal intensive care unit. University of Manchester, 1995.
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Arnold, Lois D. W. Recommendations for collection, storage, and handling of a mother's milk for her own infant in the hospital setting. 3rd ed. Human Milk Banking Association of North America, 1999.
Find full textBook chapters on the topic "Mothers of neonates"
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Marquet, Pierre, Pierre Lavignasse, Jean-Michel Gaulier, and Gérard Lachâtre. "Case Study of Neonates Born to Mothers Undergoing Buprenorphine Maintenance Treatment." In Buprenorphine Therapy of Opiate Addiction. Humana Press, 2002. https://doi.org/10.1007/978-1-59259-282-1_10.
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Grumach, A. S., R. C. C. Carmona, D. S. Lazarotti, A. Weinberg, R. B. Rozentraub, and M. M. S. Carneiro-Sampaio. "Immunological aspects of colostrum and milk of mothers delivering low birth weight neonates." In Advances in Mucosal Immunology. Springer Netherlands, 1990. http://dx.doi.org/10.1007/978-94-009-1848-1_170.
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Frank, Lily Eva, Julia Hermann, Llona Kavege, and Anna Puzio. "5. Ectogestative Technology and the Beginning of Life." In Ethics of Socially Disruptive Technologies. Open Book Publishers, 2023. http://dx.doi.org/10.11647/obp.0366.05.
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How could ectogestative technology disrupt gender roles, parenting practices, and concepts such as “birth”, “body”, or “parent”? In this chapter, we situate this emerging technology in the context of the history of reproductive technologies, and analyse the potential social and conceptual disruptions to which it could contribute. An ectogestative device, better known as “artificial womb”, enables the extra-uterine gestation of a human being, or mammal more generally. It is currently developed with the main goal to improve the survival chances of extremely premature neonates. We argue that the intended use of the technology in neonatal intensive care units, as an alternative to current incubators (“partial- ectogestation”), challenges concepts such as “birth”, “fetus”, and “neonate”, and has several ethico-legal implications. We moreover address a more futuristic scenario where the entire embryological and fetal development could happen within an artificial womb (“full-ectogestation”). Such a scenario reveals the disruption of gender roles, parenting practices, and concepts such as “mother”, “father”, and “parent”. Both full- and partial-ectogestation would have implications for engineering and design, law-making, ethics, and philosophical anthropology.
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Oztoprak, M. Yasin. "Antenatal and Postnatal Problems in Infants of Women with Diabetes." In Current Perspective on Diabetes Mellitus in Clinical Sciences. Nobel Tip Kitabevleri, 2023. http://dx.doi.org/10.69860/nobel.9786053359111.25.
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Women with diabetes, whether pregestational or gestational, face potential antenatal and postnatal issues that can impact their infants. During pregnancy, infants of diabetic mothers are at higher risk of macrosomia (large birth weight), birth trauma (due to macrosomia), and neonatal hypoglycemia (low blood sugar levels shortly after birth). These infants may also experience respiratory distress syndrome and an increased likelihood of requiring neonatal intensive care unit (NICU) admission. Postnatally, they face a higher risk of childhood obesity and developing type 2 diabetes later in life due to maternal hyperglycemia during pregnancy. Therefore, careful management and monitoring are crucial to minimize these risks and ensure better outcomes for both mother and infant.
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Smith, Philippa Mein. "The Newborn and Neonatal Paediatrics." In Mothers and King Baby. Palgrave Macmillan UK, 1997. http://dx.doi.org/10.1007/978-1-349-14304-7_9.
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Pollard, Maria. "UNICEF UK BFI Guidance for Neonatal Units (2016)." In Evidence-based Care for Breastfeeding Mothers. Routledge, 2017. http://dx.doi.org/10.4324/9781315625102-15.
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Greig, Claire Thomson. "Prenatal and intranatal care of the fetus, mother and father." In Neonatal Nursing. Springer US, 1994. http://dx.doi.org/10.1007/978-1-4899-3101-6_3.
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Cowett, Richard M. "Infant of the Diabetic Mother." In Principles of Perinatal-Neonatal Metabolism. Springer US, 1991. http://dx.doi.org/10.1007/978-1-4684-0400-5_35.
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George, C. R. R., H. E. Jeffery, and M. M. Lahra. "Infection of Mother and Baby." In Keeling's Fetal and Neonatal Pathology. Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-84168-3_9.
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Bhutkar, Ganesh, Aditya Dongre, Shahaji Deshmukh, Lene Nielsen, and Jaydeep Joshi. "User Persona of Mother of Preterm Neonate." In Beyond Interactions. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-46540-7_4.
Full textConference papers on the topic "Mothers of neonates"
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Cerqueira, Maria Eduarda Rosa, Debora Estella Soares Silva Bucci, Maria Antônia Cals Marques, and Sarah Queiroz da Rosa. "OS IMPACTOS DO ALEITAMENTO MATERNO E DO VÍNCULO AFETIVO MÃE-FILHO NO PESO CORPORAL DE NEONATOS E LACTENTES." In Anais do I Congresso Regional de Saúde Materno Infantil. Even3, 2024. http://dx.doi.org/10.29327/1439003.1-4.
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Introdução: Variações consideráveis de peso para além dos limites Z-score estabelecidos pela Organização Mundial da Saúde podem acarretar riscos severos ao desenvolvimento infantil adequado. Sabe-se que estados nutricionais patológicos, como a magreza e sobrepeso extremos, possuem etiologia multifatorial. Neste contexto, sendo o aleitamento materno a fonte alimentar preconizada pelo Ministério da Saúde durante os primeiros meses de vida e a relação materno-infantil um preditor importante para a amamentação adequada, questiona-se de que maneira ambos os fatores se correlacionam e afetam a evolução do peso infantil pós-nascimento. Objetivo: Avaliar o impacto do aleitamento materno e das relações mães-filho no estado nutricional de neonatos e lactentes. Materiais e métodos: Foi realizado levantamento bibliográfico na Biblioteca Virtual em Saúde (BVS) utilizando os descritores DeCS/MeSH e operadores booleanos breast feeding AND mother-child relations AND weight. Foram aplicados os seguintes filtros: texto completo disponível gratuitamente, idiomas inglês, português e espanhol e últimos cinco anos, obtendo-se 24 estudos. Ademais, foram adotados como critérios de inclusão estudos do tipo observacional, caso-controle e revisão sistemática, e como critérios de exclusão estudos que não abordassem a temática-alvo ou que discordassem dos filtros aplicados. A amostra final foi composta por 5 artigos, sendo 3 observacionais e 2 ensaios clínicos randomizados. Resultados e discussão: O aleitamento materno adequado, com pega correta, duração satisfatória e efetividade da sucção afeta reciprocamente a construção de vínculos materno-infantis saudáveis. A amamentação responsiva, no qual a mãe se mantém atenta aos sinais apresentados pelo bebê e realiza mediações benéficas, relaciona-se com menor índice de perda de peso pós-nascimento, além de conferir desenvolvimento nutricional mais estável ao infanto, prevenindo-o de variações alarmantes de peso. Entretanto, observou-se que os impactos do aleitamento materno e do cuidado parental são mais acentuados ainda no início da vida neonatal. Não apenas na ausência de intervenções positivas, mas intervenções negativas antes e durante o aleitamento podem ser associados ao risco de desenvolvimento do sobrepeso na criança. Complementar a isso, aumentos pequenos nos níveis de demonstrações de afeto materno negativo são capazes de variar o Z-score infantil em até 0,3 pontos aproximadamente. Por fim, ressalta-se que o aleitamento materno e a boa relação mãe-filho foram analisados como intervenções isoladas em comparação ao seu efeito conjunto sobre o peso infantil. Dessa forma, a associação de ambos possibilita que a amamentação seja mais bem-sucedida e que a criança expresse à mãe sinais de satisfação ou desconforto, evitando a alimentação em níveis inapropriados e, deste modo, o ganho ou perda excessivos de peso. Considerações Finais: O aleitamento materno exclusivo e o cuidado parental positivo parecem se correlacionar de modo a impactar positivamente a evolução do estado nutricional infantil nos primeiros meses de vida. Ambos podem atuar como fatores de proteção contra variações de peso para além do Z-score ideal, evitando que a criança atinja níveis patológicos de magreza ou sobrepeso e devendo, portanto, ser estimulados entre as lactantes. Compreende-se que a clareza dos sinais na alimentação responsiva é especialmente protetora para os bebês que correm maior risco de ganho de peso rápido, como aqueles alimentados com fórmula. Além disso, é fundamental atentar-se às necessidades de cada díade mãe-bebê para melhorar a interação na alimentação responsiva, pois esta é um fator de proteção ao rápido ganho de peso, especialmente para grupos de alto risco.
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Sukoco, Amin, Harsono Salimo, and Yulia Lanti Retno Dewi. "Biological and Socio-Demographic Factors Associated with Neonatal Mortality: Evidence from Karanganyar District, Central Java." 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.03.110.
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ABSTRACT Background: The highest risk of childhood death occurs during the neonatal period. Risks of poor outcomes during pregnancy and childbirth are exacerbated by poverty, low status of women, lack of education, poor nutrition, heavy workloads, and violence. This study aimed to examine biological and socio-demographic factors associated with neonatal mortality. Subjects and Method: A case control study was conducted in Karanganyar, Central Java, Indonesia. Study population was infant neonates. A sample of 200 mothers and their neonates, including 50 dead neonates and 150 alive infants was selected by fixed disease sampling. The dependent variable was infant mortality. The independent variables were maternal mid-upper arm circumference (MUAC), maternal age, maternal occupation, family income, and number birth delivery. The data were obtained from medical record and questionnaire. The data were analyzed by a multiple logistic regression. Results: The risk of neonatal death increased with mother working outside the house (b= 0.95; 95% CI= 0.10 to 1.80; p= 0.028). The risk of neonatal death decreased with maternal MUAC ≥23.5 cm (b= -1.21; 95% CI= -2.03 to -0.38; p= 0.004), maternal age 20-35 years (b= -1.06; 95% CI= -1.83 to -0.29; p= 0.007), family income ≥Rp 1,833,000 (b= -1.37; 95% CI= -2.20 to -0.54; p= 0.001), and number of birth delivery 2 to 4 (b= -0.67; 95% CI= -1.39 to 0.05; p= 0.067). Conclusion: The risk of neonatal death increases with mother working outside the house. The risk of neonatal death decreases with maternal MUAC ≥23.5 cm, maternal age 20-35 years, high family income, and number of birth delivery 2 to 4. Keywords: neonatal death, biological factors, socio-demographic factors Correspondence: Amin Sukoco. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: soekotjo78@gmail.com. Mobile: +6281329387610. DOI: https://doi.org/10.26911/the7thicph.03.110
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K, Danno, Worku DT, Adjaho I, et al. "Incidence and contextual analysis of neonatal hypothermia at Garan Gamawa Maternal and Child Health Clinic in Kano State, Nigeria, 2022." In MSF Paediatric Days 2024. MSF-USA, 2024. http://dx.doi.org/10.57740/omknx6.
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BACKGROUND AND OBJECTIVES Hypothermia is a major risk factor for high neonatal mortality. In January, night-time temperatures in Kano State can drop below 20°C. We conducted a study to elucidate the incidence of neonatal hypothermia at Garan Gamawa maternal and child health (MCH) clinic in Kano City, with an aim to improve midwifery care and reduce hypothermia-related neonatal mortality. METHODS The data of neonates born in January 2022 were collected retrospectively in February 2022. Hypothermia was defined as “axillary temperature below 35.5°C” in accordance with MSF Essential Obstetric and Newborn Care guidelines, 2019. Statistical analysis was done using a one-sided test for binomial proportions. Qualitative data was garnered by non-participatory observation (NPO) in the delivery room and postnatal care (PNC) ward to observe the warm chain and the interactions between staff and mothers. Individual semi-structured in-depth interviews were also conducted with eight MCH staff. RESULTS Amongst the 206 newborns included, 55 (26.69%, Wilson confidence interval 21.13- 33.13%, p value < 0.00001) developed hypothermia. From the NPO, contributing factors to hypothermia included: absence of skin-to-skin at birth; a delay of 40 minutes between birth and baby being put to the breast for their first feed; constant draught of outside air into delivery room; absence of heating system in delivery room and PNC ward; and the need to go outside during transfer between the delivery room and PNC ward. In-depth interviews illustrated that midwives prioritised dressing the babies rather than encouraging Kangaroo Mother Care (KMC), and that the warm chain was prone to interruption during a complicated delivery and when there were multiple labouring mothers. Additionally, some midwives were not aware of the definition of neonatal hypothermia. CONCLUSIONS The proportion of hypothermic neonates was significant, and several contributing factors were identified. Recommendations include the installation of a door into the delivery room and appropriate heating systems in both the delivery room and PNC ward. Training of MCH staff is required to build knowledge and skills regarding the maintenance of the warm chain, and highlighting the importance of immediate skin-to-skin at birth and KMC, which have an important role in preventing hypothermia and must be encouraged.
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Oliveira, Sayd Douglas Rolim Carneiro, Carlos Jorge Maciel Uchoa Gadelha, Dara da Silva Mesquita, and Tereza Cristina Ribeiro Brito. "SARS-CoV-2 infection during pregnancy and risk of neurodevelopmental disorders in neonatals: a literature review." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.031.
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Introduction: With the emergence of SARS-CoV-2 and its rapid spread, a concern with the pregnant women have increased, since viruses have a wide range of obstetric and neonatal issues. Recent findings indicate that the gestational period and the postpartum period make mothers and their offspring more susceptible to COVID-19 and the rapid progression to the critical stage of the disease. Objectives: To carry out a bibliographic study on SARS-CoV- 2 during pregnancy and the potential risk of neurodevelopmental disorders in neonates. Methods: A review, developed from articles selected on the following bases: PubMed, Web of Science and Scopus. In the search, articles indexed until March 2021 and published in English, using the descriptors: “COVID-19”; “Pregnancy”; “Offspring”; “Neonatal”; “Neurodevelopment”; “Anomalies” and “Complications”. Exclusion criteria: duplicates and articles outside the scope of the study. Results: The initial search resulted in 533 articles, 498 from PubMed, 2 from Web of Science and 33 from Scopus. After reading the title and abstract, the application of the inclusion and exclusion criteria, the sample of 48 documents were included. In the studies, 89.0% of all patients had cesarean delivery (n = 201), 33.3% had gestational complications, 35.3% had premature delivery and about 2.5% were stillborn or had neonatal death. Among those tested, 6.45% of neonates diagnosed positive for COVID-19. In another study, the newborn showed neurological issues similar to the adult patients and transient neurological complications due to cerebral vasculitis. Conclusions: The results demonstrate that further investigations are needed to determine the potential for vertical intrauterine transmission in pregnant women with COVID-19 and possibles fetal and neonatal consequences.
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Ara, Rifat. "Postpartum breast complications and breast-feeding practices in a baby-friendly hospital in Bangladesh." In World Conference on Gynecology, Obstetrics, and Pediatrics. Eurasia Conferences, 2025. https://doi.org/10.62422/978-81-981865-0-8-007.
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Background: Breastfeeding is essential for health of both infants and mothers, but it often encounters challenges such as postpartum breast complications. These issues can adversely affect maternal health and significantly hinder success of breastfeeding practices. Aim of study was to assess postpartum breast complications and breast-feeding practices. Methods: This cross-sectional study was conducted in department of obstetrics and gynaecology, Dhaka medical college hospital, Dhaka, Bangladesh from February 2006 to July 2006. Two hundred patients in the postnatal ward who delivered their babies at DMCH were randomly selected. Result: Among 200 postnatal women, 33.5% experienced breast problems. Women with breast problems were designated as group A and women without breast problems were designated as group B. Most women in groups A and B were aged between 21-30 years with average 24.8 years for both groups. Antenatal check-ups were similar across groups, with breastfeeding advice given to 55.2% in group A and 64.7% in group B pre-lacteal feeds were given to 19.4% of group A and 21.8% of group B neonates, while colostrum was fed to the majority. Most neonates were breastfed within 2 hours. Good breastfeeding position and attachment were observed in most cases. Exclusive breastfeeding was more common in group B (73.7%) than in group A (58.2%). Breast problems in group A included engorgement, lactation insufficiency, and nipple issues. Conclusions: The study reveals that postpartum breast complications, notably breast engorgement and lactation insufficiency, significantly affects the breastfeeding effectiveness of new mothers. Keywords: Postpartum, Breast complications, Breast-feeding practices, Baby-friendly hospital
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Prabha Saharia, Niru, and Reshma SS. "6913 Clinical profile and outcomes of neonates born to mothers with antenatally detected COVID-19 in NICU in a tertiary care hospital." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference, Birmingham, 25 March 2024 – 27 March 2024. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2024. http://dx.doi.org/10.1136/archdischild-2024-rcpch.172.
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Yuliarti, Yayu, and Nurul Kurniati. "Mothers Experience with Low Born Weight Infant: A Scooping Review." 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.03.10.
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ABSTRACT Background: Low Birth Weight (LBW) as babies born weighing less than 2500 grams. LBW continues to be a significant public health problem globally due to its short and long term effects on health. LBW is not the only leading cause of prenatal mortality and a cause of illness. Common causes of infant and neonatal mortality are low birth weight (LBW) and sepsis. One of the measures that can be given to babies with LBW is by using the Kangaroo Mother Care (KMC) method. This method is a free therapy that mothers can do because not all LBW babies are able to get health services using advanced technology. This study aimed to review mothers experience with low born weight infant. Subjects and Method: A scoping review was conducted by searching articles published from 2009 to 2019. The articles were collected based on 4 databases, including PubMed, Sciencedirect, Wiley, and EBSCO. The articles the reviewed using Preferred Reporting System for Systematic Review and Meta-Analysis (PRISMA) flow diagram. Results: Fifteen of the 394 articles met the inclusion criteria and were reviewed. The experience of mothers with Low Birth Weight (LBW) babies showed that mothers have several factors that can influence mothers with babies with LBW. The factors were lack of knowledge, lack of support from both family and health personnel, access to health facilities, maternal psychology, economic, socio-cultural, and environmental conditions. Conclusion: The readiness of maternal, psychological, socio-economic knowledge, access to health facilities, support, socio-culture, and environment are greatly affect the condition of the mother in carrying out her responsibilities as a mother. Keywords: mother’s experience, low born weight, infant, scooping review Correspondence: Yayu Yuliarti. ‘Aisyiyah University Yogyakarta. Jl. Ringroad Barat No.63, Mlangi, Nogotirto, Gamping Sleman, Yogyakarta. Email: yayuyuliartiaryo89@gmail.com. Mobile: 081350155401. DOI: https://doi.org/10.26911/the7thicph.03.10
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Kasiati, K., and Titi Maharrani. "The Difference of Anxiety in Intrapartum Mothers with Normal and Sectio Caesarea." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the6thicph.03.134.
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ABSTRACT Background: Due to the painful nature of childbirth and its maternal and neonatal complications, the woman needs support in this phase of their life. The anxiety felt by women before caesarean delivery caused psychological problems, the increased of surgical pain therefore increased the need for pain relief, and prolong hospitalization. This study aimed to investigate the difference of anxiety in intrapartum mothers with normal and sectio caesarea. Subjects and Method: A cross sectional study was conducted at Haji hospital, Surabaya, East Java, Indonesia. A sample of 34 intrapartum mothers was selected by consecutive sampling. The dependent variable was anxiety. The independent variables were normal and section cesarea birth delivery. The data were collected by questionnaire and analyzed by independent t test. Results: There was no difference of anxiety in intrapartum mothers with normal birth delivery (Mean= 56.82; SD= 15.02) and mother those with section cesarea (Mean= 58.19; SD= 12.02). Conclusion: There is no difference of anxiety in intrapartum mothers with normal birth delivery and mother those with section cesarea. Keywords: anxiety, birth delivery, intrapartum mothers Correspondence: Firdausi Nuzula. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ulafn10@gmail.com. Mobile: 081553283675. DOI: https://doi.org/10.26911/the6thicph.03.134
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Punchihewa, R. G. D. G., I. M. Wijenanda, C. L. Panawala, W. C. V. Cooray, J. B. H. Udage, and K. Goonaratne. "Proportion of caesarean deliveries and maternal and neonatal factors associated with it among mothers delivered in teaching hospital Kalutara." In Annual Academic Sessions-2024. Faculty of Medicine, University of Moratuwa, 2024. https://doi.org/10.31705/fomaas.2024.23.
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Caesarean section is a commonly used surgical procedure performed in obstetrics. Generally, the cesarean section is performed under special maternal and fetal indications. However, it is globally acknowledged that the rates of caesarean section delivery are increasing gradually, due to various maternal and neonatal factors. However, cesarean section entails specific short-term and long-term complications for both mother and baby. This study was conducted to assess the proportion of cesarean delivery and maternal and neonatal factors associated with it among mothers delivered in obstetric wards of Teaching Hospital Kalutara.
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"MOTHERS’ KNOWLEDGE REGARDING NEONATAL BABY CARE." In 2nd Annual Global Healthcare Conference (GHC 2013). Global Science and Technology Forum Pte Ltd, 2013. http://dx.doi.org/10.5176/2251-3833_ghc13.72.
Full textReports on the topic "Mothers of neonates"
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Brännström, Mats, Ylva Carlsson, and Henrik Hagberg. Obstetric outcome after uterus transplantation. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2023. http://dx.doi.org/10.37766/inplasy2023.1.0052.
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Review question / Objective: Is delivery by elective cesarean section as safe for the mother and the neonate after uterus transplantation as after delivery by elective cesarean section for reasons such as breech and psychological indication regarding stillbirth/neonatal mortality, neonatal morbidity, maternal mortality, and morbidity? Rationale: To compare pregnancy, obstetrical and neonatal complications at delivery by cesarean section in patients that have undergone uterus transplantation and in a normal groups of women.
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Valenzuela, Claudia, Elizabeth Gregory, and Joyce Martin. Decline in Perinatal Mortality in the United States, 2017–2019. National Center for Health Statistics ( U.S.), 2022. http://dx.doi.org/10.15620/cdc:112643.
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This report presents trends in perinatal mortality, as well as its components, late fetal and early neonatal mortality, for 2017 through 2019. Also shown are perinatal mortality trends by mother’s age, race and Hispanic origin, and state for 2017–2019.
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Martin, Joyce, and Michelle Osterman. Increases in Neonatal Intensive Care Admissions in the United States, 2016-2023. National Center for Health Statistics (U.S.), 2025. https://doi.org/10.15620/cdc/174581.
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This report examines trends in NICU admission in the United States overall and by maternal age, race and Hispanic origin, gestational age and birthweight of the newborn, and state of residence of the mother from 2016 to 2023.
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Alves, Denisard, Paula C. Pereda, and Tatiane A. de Menezes. Climate Change Impacts on Birth Outcomes in Brazil. Inter-American Development Bank, 2014. http://dx.doi.org/10.18235/0011630.
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This paper attempts to identify the climatic effect on birth outcomes in Brazil and, thus, to predict the potential impact of climate change. Panel data models indicate that excess and lack of rainfall have the most important harmful effects on newborns' health; temperature stresses and low relative humidity also have effects. The use of climate change forecasts for Brazil suggests a possible increase of 305 neonatal deaths annually and, for families in the Primary Care Program, three thousand additional low-weight births each year. The paper further examines public policy's role in minimizing the effects of extreme weather. Mothers' education, sanitation access and health care assistance to pregnant women represent the main instruments for addressing neonatal health problems.
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Bancalari, Antonella, Pedro Bernal, María Fernanda García, Pablo Ibarrarán, Emmanuelle Sánchez-Monin, and Paola Zúñiga Brenes. Enhancing Maternal and Infant Healthcare in Remote Villages: Experimental Evidence on the Efficacy of Demandand Supply-Side Subsidies. Inter-American Development Bank, 2024. http://dx.doi.org/10.18235/0012955.
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This paper investigates the effects of releasing remoteness constraints on the accessibility and quality of maternal and infant healthcare. Through a field experiment, we provided complementary demand- and supply-side subsidies to improve healthcare for impoverished pregnant women residing in remote Nicaraguan communities. The subsidies increased the utilization of antenatal care by skilled providers, the quality of care received, institutional delivery, and postnatal care utilization, along with the quality of postnatal care received by mothers. Neonatal and infant mortality and fertility decreased in treated communities five years after the intervention was started.
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Bancalari, Antonella, Pedro Bernal, María Fernanda García, Pablo Ibarrarán, Emmanuelle Sánchez-Monin, and Paola Zúñiga Brenes. Enhancing Maternal and Infant Healthcare in Remote Villages: Experimental Evidence on the Efficacy of Demand and Supply-Side. Inter-American Development Bank, 2024. http://dx.doi.org/10.18235/0013208.
Full textAbstract:
This paper investigates the effects of releasing remoteness constraints on the accessibility and quality of maternal and infant healthcare. Through a field experiment, we provided complementary demand- and supply-side subsidies to improve healthcare for impoverished pregnant women residing in remote Nicaraguan communities. The subsidies increased the utilization of antenatal care by skilled providers, the quality of care received, institutional delivery, and postnatal care utilization, along with the quality of postnatal care received by mothers. Neonatal and infant mortality and fertility decreased in treated communities five years after the intervention was started.
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Moza, Andreea, Florentina Duica, Panagiotis Antoniadis, et al. Outcome of newborns in case of SARS-CoV-2 vertical infection. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.12.0093.
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Review question / Objective: To identify the types and examine the range of available evidence of vertical transmission of SARS-CoV-2 from mother to newborn. To clarify the key concepts and criteria for diagnosis of SARS-CoV-2 vertical infection in neonates. To summarize the existing evidence and advance the awareness on SARS-CoV-2 vertical infection in pregnancy. Background: Severe Acute Respiratory Syndrome Virus 2 (SARS-CoV-2), the virus that causes 2019 coronavirus disease (COVID-19), has been isolated from various tissues and body fluids, including the placenta, amniotic fluid, and umbilical cord of newborns. In the last few years, much scientific effort has been directed towards studying SARS-CoV-2, focusing on the different features of the virus, such as its structure and mechanisms of action. Moreover, much focus has been on developing accurate diagnostic tools and various drugs or vaccines to treat COVID-19.
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Ovelman, Colleen, Nila Sathe, and Melissa McPheeters. How Does Nonpharmacological Care Affect Newborn Infants With Neonatal Opioid Withdrawal Syndrome? A Cochrane Review Summary With Commentary. RTI Press, 2023. http://dx.doi.org/10.3768/rtipress.2023.rb.0033.2307.
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This paper summarizes the published Cochrane Review, “Non-pharmacological Care for Opioid Withdrawal in Newborns,” by A. Pahl, L. Young, M. E. Buus-Frank, L. Marcellus, and R. Soll (https://doi.org/10.1002/14651858.CD013217.pub2), and discusses it through a treatment policy and practice lens. The study population in the review included infants born at term (37 weeks’ gestation or greater) and late preterm (34 weeks’ gestation to 37 weeks’ gestation) who had a known or suspected prenatal exposure to opioids or who were exhibiting symptoms consistent with opioid withdrawal in the first 7 days of life. Nonpharmacological interventions included a wide range of care and were broadly categorized as: modification of environmental stimulation, feeding practices, and support of the mother-infant dyad. The review found that randomized controlled trials, identified in searches conducted in October 2019, did not provide enough evidence regarding clinically meaningful outcomes. However, recently published trial data suggest that “Eat, Sleep, Console,” an individualized, trauma-informed, family-centered nonpharmacological approach to care, can reduce the number of days an infant experiencing symptoms consistent with opioid withdrawal requires in-hospital care.
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Viswanathan, Meera, Jennifer Cook Middleton, Alison Stuebe, et al. Maternal, Fetal, and Child Outcomes of Mental Health Treatments in Women: A Systematic Review of Perinatal Pharmacologic Interventions. Agency for Healthcare Research and Quality (AHRQ), 2021. http://dx.doi.org/10.23970/ahrqepccer236.
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Background. Untreated maternal mental health disorders can have devastating sequelae for the mother and child. For women who are currently or planning to become pregnant or are breastfeeding, a critical question is whether the benefits of treating psychiatric illness with pharmacologic interventions outweigh the harms for mother and child. Methods. We conducted a systematic review to assess the benefits and harms of pharmacologic interventions compared with placebo, no treatment, or other pharmacologic interventions for pregnant and postpartum women with mental health disorders. We searched four databases and other sources for evidence available from inception through June 5, 2020 and surveilled the literature through March 2, 2021; dually screened the results; and analyzed eligible studies. We included studies of pregnant, postpartum, or reproductive-age women with a new or preexisting diagnosis of a mental health disorder treated with pharmacotherapy; we excluded psychotherapy. Eligible comparators included women with the disorder but no pharmacotherapy or women who discontinued the pharmacotherapy before pregnancy. Results. A total of 164 studies (168 articles) met eligibility criteria. Brexanolone for depression onset in the third trimester or in the postpartum period probably improves depressive symptoms at 30 days (least square mean difference in the Hamilton Rating Scale for Depression, -2.6; p=0.02; N=209) when compared with placebo. Sertraline for postpartum depression may improve response (calculated relative risk [RR], 2.24; 95% confidence interval [CI], 0.95 to 5.24; N=36), remission (calculated RR, 2.51; 95% CI, 0.94 to 6.70; N=36), and depressive symptoms (p-values ranging from 0.01 to 0.05) when compared with placebo. Discontinuing use of mood stabilizers during pregnancy may increase recurrence (adjusted hazard ratio [AHR], 2.2; 95% CI, 1.2 to 4.2; N=89) and reduce time to recurrence of mood disorders (2 vs. 28 weeks, AHR, 12.1; 95% CI, 1.6 to 91; N=26) for bipolar disorder when compared with continued use. Brexanolone for depression onset in the third trimester or in the postpartum period may increase the risk of sedation or somnolence, leading to dose interruption or reduction when compared with placebo (5% vs. 0%). More than 95 percent of studies reporting on harms were observational in design and unable to fully account for confounding. These studies suggested some associations between benzodiazepine exposure before conception and ectopic pregnancy; between specific antidepressants during pregnancy and adverse maternal outcomes such as postpartum hemorrhage, preeclampsia, and spontaneous abortion, and child outcomes such as respiratory issues, low Apgar scores, persistent pulmonary hypertension of the newborn, depression in children, and autism spectrum disorder; between quetiapine or olanzapine and gestational diabetes; and between benzodiazepine and neonatal intensive care admissions. Causality cannot be inferred from these studies. We found insufficient evidence on benefits and harms from comparative effectiveness studies, with one exception: one study suggested a higher risk of overall congenital anomalies (adjusted RR [ARR], 1.85; 95% CI, 1.23 to 2.78; N=2,608) and cardiac anomalies (ARR, 2.25; 95% CI, 1.17 to 4.34; N=2,608) for lithium compared with lamotrigine during first- trimester exposure. Conclusions. Few studies have been conducted in pregnant and postpartum women on the benefits of pharmacotherapy; many studies report on harms but are of low quality. The limited evidence available is consistent with some benefit, and some studies suggested increased adverse events. However, because these studies could not rule out underlying disease severity as the cause of the association, the causal link between the exposure and adverse events is unclear. Patients and clinicians need to make an informed, collaborative decision on treatment choices.
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Balk, Ethan M., Kristin J. Konnyu, Wangnan Cao, et al. Schedule of Visits and Televisits for Routine Antenatal Care: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), 2022. http://dx.doi.org/10.23970/ahrqepccer257.
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Background. The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine plan a new evidence-based joint consensus statement to address the preferred visit schedule and the use of televisits for routine antenatal care. This systematic review will support the consensus statement. Methods. We searched PubMed®, Cochrane databases, Embase®, CINAHL®, ClinicalTrials.gov, PsycINFO®, and SocINDEX from inception through February 12, 2022. We included comparative studies from high-income countries that evaluated the frequency of scheduled routine antenatal visits or the inclusion of routine televisits, and qualitative studies addressing these two topics. We evaluated strength of evidence for 15 outcomes prioritized by stakeholders. Results. Ten studies evaluated scheduled number of routine visits and seven studies evaluated televisits. Nine qualitative studies also addressed these topics. Studies evaluated a wide range of reduced and traditional visit schedules and approaches to incorporating televisits. In comparisons of fewer to standard number of scheduled antenatal visits, moderate strength evidence did not find differences for gestational age at birth (4 studies), being small for gestational age (3 studies), Apgar score (5 studies), or neonatal intensive care unit (NICU) admissions (5 studies). Low strength evidence did not find differences in maternal anxiety (3 studies), preterm births (3 studies), and low birth weight (4 studies). Qualitative studies suggest that providers believe fewer routine visits may be more convenient for patients and may free up clinic time to provide additional care for patients with high-risk pregnancies, but both patients and providers had concerns about potential lesser care with fewer visits. In comparisons of hybrid (televisits and in-person) versus in-person only visits, low strength evidence did not find differences in preterm births (4 studies) or NICU admissions (3 studies), but did suggest greater satisfaction with hybrid visits (2 studies). Qualitative studies suggested patients and providers were open to reduced schedules and televisits for routine antenatal care, but importantly, patients and providers had concerns about quality of care, and providers and clinic leadership had suggestions on how to best implement practice changes. Conclusion. The evidence base is relatively sparse, with insufficient evidence for numerous prioritized outcomes. Studies were heterogeneous in the care models employed. Where there was sufficient evidence to make conclusions, studies did not find significant differences in harms to mother or baby between alternative models, but evidence suggested greater satisfaction with care with hybrid visits. Qualitative evidence suggests diverse barriers and facilitators to uptake of reduced visit schedules or televisits for routine antenatal care. Given the shortcomings of the evidence base, considerations other than proof of differences in outcomes may need to be considered regarding implications for clinical practice. New studies are needed to evaluate prioritized outcomes and potential differential effects among different populations or settings.