Academic literature on the topic 'RA Public aspects of medicine : RG Gynecology and obstetrics'

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Dissertations / Theses on the topic "RA Public aspects of medicine : RG Gynecology and obstetrics"

1

Almond, Kayleigh. "The influence of maternal diet on offspring development and liver metabolism." Thesis, University of Nottingham, 2011. http://eprints.nottingham.ac.uk/12058/.

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Altering maternal nutrition affects fetal development and can have long-lasting effects on the offspring, potentially predisposing them to later metabolic disease. These effects can occur without affecting birth weight, although small for date offspring appear to be at increased risk. One mechanism linking changes in the maternal environment to an increased risk of later disease is enhanced exposure to glucocorticoids (GC). Tissue sensitivity to cortisol is regulated, in part, by the GC receptor (GR) and 11-beta-hydroxysteroid dehydrogenase (11βHSD) types 1 and 2. Several studies have shown th
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Rhodes, Phillip Steven. "The interaction between maternal nutrient restriction and postnatal nutrient excess in an ovine model." Thesis, University of Nottingham, 2011. http://eprints.nottingham.ac.uk/12092/.

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Evidence from human and animal studies has highlighted the sensitivity of the developing fetus to environmental insults, such as maternal undernutrition, during gestation. These nutritional perturbations to the intrauterine milieu may engender a legacy of deleterious health consequences in adulthood. This thesis presents a series of studies which test the `mis-match‘ fetal programming theory; that is, whether a nutritionally poor diet prenatally interacts with a nutritionally excessive diet postnatally to overtly increase risk factors for adult disease. The effect of a maternal global energy r
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Lewando, Hundt Gillian. "Health inequalities and the articulation of gender, ethnicity and class in the post partum health care of Negev Bedouin Arab mothers and their children." Thesis, University of Warwick, 1988. http://wrap.warwick.ac.uk/34808/.

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This thesis is a contribution to the literature and debate on health inequalities and in particular on health care delivery to ethnic minority women and children. Its argument is that when discussing the causes of health inequalities of ethnic minorities, a perspective which focuses solely on the gender, ethnicity, or class of the ethnic minority is inadequate. It is argued that health outcomes, service delivery and experience of patients is shaped by the way gender,ethnicity and class intermesh. The specific context of the research is the organisation, delivery and experience of formal and in
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Stokes-Lampard, Helen Jayne. "Variation in NHS utilisation of vault cytology post-hysterectomy." Thesis, University of Birmingham, 2010. http://etheses.bham.ac.uk//id/eprint/825/.

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Hysterectomy is commonly performed but there is scant evidence concerning appropriate follow-up by vaginal vault cytology testing. This observational, retrospective cohort study, using routinely collected data, linked women’s entire cervical screening histories with their operation details and subsequent vault cytology test results, to establish: Which women are having hysterectomies? What was the indication? Which were followed-up? How did they differ from those who were not? 6,141 women underwent hysterectomy; an incidence of 23/10,000 women/pa. 11.61% had malignancy, 3% had CIN and 82.9% ha
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Woodward, Joanne Lois. "The challenge of conducting a waterbirth randomised controlled trial." Thesis, University of Birmingham, 2012. http://etheses.bham.ac.uk//id/eprint/3392/.

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Waterbirths have been available in the United Kingdom as a method of pain relief for childbirth for over two decades but the neonatal safety of birth in water remains unevaluated. Opponents of a waterbirth randomised controlled trial state randomisation would undermine women’s childbirth experience. In addition, little is known about midwives’ attitudes to waterbirths. This thesis addresses some of the lack of evidence by reporting the findings of two studies which had three aims: to investigate the feasibility of a waterbirth RCT to assess the effects of a waterbirth on the neonate, to explor
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McGarry, Alison Joanne. "How do women with a learning disability experience the support of a Doula during their pregnancy, childbirth and after the birth of their child?" Thesis, University of Birmingham, 2012. http://etheses.bham.ac.uk//id/eprint/3585/.

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Background: With increasing numbers of people with a learning disability (LD) choosing to become parents (Booth and Booth, 1994) it is important the right support is provided to enable them to parent effectively (Macintyre and Stewart, 2011). Materials and Methods: This study used semi-structured interviews with four women with a LD who received doula support prenatally, during labour and postnatally. The women were interviewed during prenatal and postnatal support periods. The doulas were interviewed about their experience of supporting a woman with a LD towards the end of the postnatal suppo
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Ingram, Lucy Anne. "Peer support and its effect on breastfeeding initiation and continuation : a randomised controlled trial, systematic reviews and a qualitative study." Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/5019/.

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Background: Breastfeeding has the potential to significantly improve public health. As part of UK government policy peer support interventions have been recommended to increase breastfeeding rates but the evidence base for this is of low quality. Methods: The aim of this thesis was to investigate the effect of breastfeeding peer support on initiation though a systematic review; on continuation through an RCT and a systematic review; and to explore women’s experiences through a qualitative study. Results: Universal peer support to improve breastfeeding initiation was ineffective. Peer support f
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8

Lal, Mira. "Pelvic/perineal dysfunction & biopsychosocial morbidity : biological predictors and psychosocial associations in postcaesarean and vaginally delivered primiparae." Thesis, University of Birmingham, 2012. http://etheses.bham.ac.uk//id/eprint/3729/.

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Background: The scope of postpartum pelvic dysfunction and perineal trauma is under-researched. Instrumental vaginal delivery or 3rd/4th degree tears were recognised risk factors for pelvic/perineal dysfunction; caesarean delivery was not implicated. Aims: • To analyse obstetrical/biological factors associated with pelvic dysfunction after caesarean or non-instrumental vaginal delivery • To compare these associations between groups after determining frequencies • To evaluate severity of pelvic/perineal dysfunction, including quantifying maternal perception of the psychosocial impact Participan
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9

Wright, Thomas. "Nutritional programming of behaviour in the rat." Thesis, University of Nottingham, 2012. http://eprints.nottingham.ac.uk/12574/.

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Epidemiological studies indicate that the prevalence of obesity and overweight is increasing rapidly in both developed and developing countries. Against this background it is important to determine the effects of obesity upon health and well-being. Defining the impact of obesity upon behaviour lies within the scope of such studies. It is known that variation in the maternal diet during early sensitive periods of development can programme risk of obesity and metabolic dysfunction in offspring. Although the effect of maternal obesity and/ or obesogenic diet throughout pregnancy and lactation on
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10

Gray, Clint. "The effects of dietary fructose and salt on maternal, fetal and adult offspring growth, metabolic status and cardiovascular health." Thesis, University of Nottingham, 2011. http://eprints.nottingham.ac.uk/12093/.

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The modern Western diet is typically high in salt and fructose. Variations in maternal diet can have delayed developmental effects on the adult offspring’s cardiovascular function leading to acute or chronic hypertension. The aim of the work in this thesis was to determine the effect of moderate dietary salt and/or fructose intake on maternal and fetal growth, metabolic status and cardiovascular health of the adult offspring. Sprague Dawley rats were fed either 1) control diet (chow) with tap water, 2) salt diet, 4% NaCl, 3) fructose diet, purified chow plus 10% fructose in tap water or 4) fru
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