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Evaluation of an Evidence-Based Prenatal Breastfeeding Education Curriculum Adapted for the COVID-19 Pandemic: Ready, Set, Baby Live COVID-19 Edition. 评估针对 COVID-19 大流行而改编的循证产前母乳喂养教育课程:准备,开始,婴儿活 COVID-19 版。
IF 0.6 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2023-01-01 DOI: 10.1891/JPE-2021-0035
Kathryn Wouk, Kathleen C Parry, Jessica Bridgman, Aunchalee E L Palmquist, Megan Perkins, Abigail Smetana, Alexis Woods-Barr, Catherine S Sullivan

In response to the cessation of in-person prenatal education services during the COVID-19 pandemic, we adapted an evidence-based curriculum to a live virtual format entitled Ready, Set, Baby Live COVID-19 Edition (RSB Live). In a sample of 146 pregnant people, participation in RSB Live was associated with high levels of knowledge about the benefits of breastfeeding, early infant hunger cues, and recommended maternity care practices, as well as high levels of satisfaction with adaptations to the session's content and virtual delivery. Participation was also associated with a significant increase in prenatal breastfeeding intention, a known predictor of breastfeeding outcomes. This study supports live, virtual education with a standardized curriculum as an effective and acceptable means of providing prenatal education.

在 COVID-19 大流行期间,面对面产前教育服务停止了,为了应对这种情况,我们将循证课程改编为实时虚拟形式,名为 "准备就绪,宝宝现场 COVID-19 版(RSB Live)"。在对 146 名孕妇的抽样调查中,参加 RSB Live 的孕妇对母乳喂养的益处、婴儿早期饥饿提示和推荐的孕产妇护理措施的了解程度很高,而且对课程内容的改编和虚拟交付的满意度也很高。产前母乳喂养意向是预测母乳喂养结果的一个已知因素,而参与该活动也与产前母乳喂养意向的显著增加有关。这项研究支持采用标准化课程的现场虚拟教育,认为这是提供产前教育的一种有效且可接受的方式。
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引用次数: 0
Pain in Labor: Making Plans. 分娩疼痛制定计划。
IF 0.6 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2023-01-01 DOI: 10.1891/JPE-2022-0029
Judith A Lothian

In this column, the associate editor of The Journal of Perinatal Education introduces Henci Goer's new book, Labor Pain: What's Your Best Strategy?: Get the Data. Make a Plan. Take Charge of Your Birth. The associate editor also describes the contents of this issue, which offer a broad range of resources, research, and inspiration for childbirth educators in their efforts to promote, support, and protect natural, safe, and healthy birth.

在本专栏中,《围产期教育杂志》副主编将介绍 Henci Goer 的新书《分娩疼痛:你的最佳策略是什么?获取数据。制定计划。把握分娩。副主编还介绍了本期的内容,这些内容为分娩教育工作者提供了广泛的资源、研究和灵感,帮助他们促进、支持和保护自然、安全和健康的分娩。
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引用次数: 0
A Conceptual Analysis of Mental Health Maladaptation in Postpartum. 产后心理健康适应不良的概念分析。
IF 0.6 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2023-01-01 DOI: 10.1891/JPE-2021-0018
Melissa DeFoor, Azita Amiri

Aim: This concept analysis aims to explore how the concept of maladaptation applies to mental health changes among postpartum women. Background: The concept of maladaptation is utilized throughout various disciplines but minimally in women's health, including a limited focus on maladaptive body dissatisfaction and perfectionistic beliefs of women in the postpartum period. Methods: The Walker and Avant eight-phase model was used to guide this analysis. Data Source: A search for maladaptation articles through Cumulative Index to Nursing and Allied Health Literature (CINAHL) Complete, ProQuest, and PubMed databases, as well as Google Scholar, was conducted. Results: A review of the literature concerning maladaptation in postpartum mental health resulted in defining two key attributes, including conforming to cultural norms of body image and pressure of perfection. In understanding maladaptation and its attributes, childbirth educators and health-care professionals will be able to better determine more contributing factors for postpartum depression (PPD) and formulate a plan that includes early intervention and support. Conclusion: This concept analysis is intended to improve maternal and neonatal health outcomes by understanding mental health maladaptations related to PPD.

目的:本概念分析旨在探讨适应不良的概念如何适用于产后妇女的心理健康变化。背景:适应不良的概念在各个学科中都有应用,但在女性健康领域的应用却很少,包括对产后女性适应不良的身体不满意和完美主义信念的有限关注。方法:采用 Walker 和 Avant 的八阶段模型进行分析。数据来源:通过 Cumulative Index to Nursing and Allied Health Literature (CINAHL) Complete、ProQuest 和 PubMed 数据库以及谷歌学术搜索适应不良的文章。结果通过对有关产后心理健康适应不良的文献进行回顾,确定了两个关键属性,包括符合身体形象的文化规范和完美的压力。通过了解适应不良及其属性,分娩教育工作者和医疗保健专业人员将能够更好地确定产后抑郁症(PPD)的更多诱因,并制定包括早期干预和支持在内的计划。结论本概念分析旨在通过了解与产后抑郁相关的心理健康适应不良,改善孕产妇和新生儿的健康状况。
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引用次数: 0
Integrating Community Health Workers and Nurse Midwives on the Health-Care Team to Improve Birth and Breastfeeding Outcomes. 将社区保健员和助产士纳入医疗团队,以改善分娩和母乳喂养效果。
IF 0.6 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2023-01-01 DOI: 10.1891/JPE-2022-0025
Getty Israel

A plethora of international research has consistently demonstrated the efficacy of both the nurse-midwifery model and the community health worker (CHW) model in improving birth and breastfeeding outcomes, particularly among low-income women. However, these two professional groups rarely work as a team in the U.S. health-care system. Typically, certified nurse midwives are on staff at clinics and hospitals; conversely, CHWs tend to work at non-profit community organizations. Although the Community Preventive Services Task Force concluded that integrating CHWs on clinical care teams is effective, these paraprofessionals remain nearly excluded from the healthcare organization because they are not licensed healthcare professionals, hence, non reimbursable. We integrated these two health professional groups within a small, community-based, nonprofit, and charitable women's clinic in Jackson, Mississippi, serving a predominantly Medicaid population to determine if their combined health services would significantly improve birth and breastfeeding outcomes among an intervention group compared with a control group that received usual standard care from an obstetrician.

大量的国际研究不断证明,护士助产模式和社区保健员(CHW)模式在改善分娩和母乳喂养效果方面都很有效,尤其是在低收入妇女中。然而,在美国的医疗保健系统中,这两个专业团体很少作为一个团队开展工作。通常情况下,注册助产士是诊所和医院的工作人员;相反,社区保健员往往在非营利性社区组织工作。尽管社区预防服务特别工作组认为将社区保健工作者纳入临床护理团队是有效的,但这些辅助专业人员仍几乎被排除在医疗机构之外,因为他们不是获得执照的医疗保健专业人员,因此不能报销费用。我们在密西西比州杰克逊市一家以社区为基础的小型非营利慈善妇女诊所内整合了这两个医疗专业团体,主要服务于医疗补助人群,以确定与接受产科医生常规标准护理的对照组相比,他们的综合医疗服务是否能显著改善干预组的分娩和母乳喂养效果。
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引用次数: 0
Prenatal diagnosis and pregnancy outcomes of 149 fetuses with tetralogy of Fallot accompanied by concomitant cardiac and extracardiac anomalies 149例法洛四联症合并心脏及心外异常胎儿的产前诊断及妊娠结局
IF 0.6 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-10-31 DOI: 10.2399/prn.22.0303008
Gökhan Bolluk, Ö. Özdemir, H. Bornaun
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引用次数: 0
Correlation of glycosylated hemoglobin and macrosomia in infants of diabetic mothers 糖尿病母亲的婴儿糖化血红蛋白与巨大儿的相关性
IF 0.6 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-10-31 DOI: 10.2399/prn.22.0303004
Anwika Kirti Kujur, K. Devimeenakshi
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引用次数: 0
Latest trend ectopic pregnancy management in a tertiary health center: a retrospective cohort study 最新趋势异位妊娠管理在三级卫生中心:回顾性队列研究
IF 0.6 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-10-31 DOI: 10.2399/prn.22.0303013
Yıldız Akdaş Reis, M. Özkan, Seval Yılmaz Ergani, Mujde Can Ibanoglu, Doğukan Özkan, T. Kınay, S. Erkaya
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引用次数: 0
Jacobsen syndrome: a case report and clinical features of a rare genetic syndrome 雅各布森综合征:一个罕见的遗传综合征的病例报告和临床特征
IF 0.6 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-10-31 DOI: 10.2399/prn.22.0303006
Kazım Öztarhan, Talya Kaptaç, M. Karkucak, Ece Öztarhan, A. Gedikbaşı
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引用次数: 0
The effect of induction duration on postabortal hemorrhage in second-trimester pregnancy termination with misoprostol 米索前列醇终止妊娠中引产时间对流产后出血的影响
IF 0.6 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-10-31 DOI: 10.2399/prn.22.0303001
M. Işıkalan, Buşra Özkaya, Eren Berkay Özkaya, Erzat Toprak, Enes Ferlibaş, N. Şengül, A. Acar
Objective: The aim was to investigate how the duration of induction affects postabortion hemorrhage in second-trimester pregnancy termina- tions using misoprostol. Methods: This single-center retrospective cohort study was conducted between April 2020 and April 2021 at a university hospital. Singleton pregnant women having gestational age of 13–26 weeks and being hospitalized for termination were included in the study. The misoprostol was administered 200 μg every 4 hours intravaginally to patients already diagnosed with miscarriage, and 400 μg every 3 hours to all remaining patients. Estimated blood loss volume (EBLV) was calculated using a formula previously defined by Stafford et al. A total of 117 singleton pregnant women having gestational age of 13–26 weeks and being hospitalized for pregnancy termination were included in the study. Of these, 78 patients aborted within 0–24 hours (Group 2). The remaining 39 patients aborted in more than 24 hours (Group 1). Results: The EBLV was higher in the study group (p=0.003). In addition, the rate of patients with ≥ 500 cc and ≥ 1000 cc blood loss was also significantly higher in the study group (p values 0.049 and 0.016, respectively). After adjusting for potential confounder factors, the probability of blood loss of ≥ 500 cc and ≥ 1000 cc was found to be higher in the study group (adjusted OR: 2.720, 95% CI: 1.12–6.58 and adjusted OR: 6.987, 95% CI: 1.25–38.98, respectively). Conclusion: Postabortion hemorrhage risk was found to be higher in patients whose induction period lasted longer than 24 hours in sec-ond-trimester terminations with misoprostol. However, there was no deterioration in the patient’s clinical status and no increase in transfusion rates. Care should be taken with regard to vaginal bleeding in misoprostol applications lasting longer than 24 hours.
目的:探讨诱导时间对米索前列醇终止妊娠中流产后出血的影响。方法:该单中心回顾性队列研究于2020年4月至2021年4月在某大学医院进行。孕周13-26周住院终止妊娠的单胎孕妇被纳入研究。已诊断为流产的患者每4小时静脉给予米索前列醇200 μg,其余患者每3小时静脉给予米索前列醇400 μg。估计失血量(EBLV)使用Stafford等人先前定义的公式计算。该研究共纳入117名胎龄在13-26周并住院终止妊娠的单胎孕妇。其中,78例患者在0-24小时内流产(组2),其余39例患者在24小时以上流产(组1)。结果:研究组的EBLV较高(p=0.003)。此外,研究组患者失血量≥500cc和≥1000cc的比例也显著高于对照组(p值分别为0.049和0.016)。在对潜在混杂因素进行校正后,发现研究组中失血量≥500cc和≥1000cc的概率更高(校正OR: 2.720, 95% CI: 1.12-6.58,校正OR: 6.987, 95% CI: 1.25-38.98)。结论:妊娠中期使用米索前列醇终止妊娠,引产时间超过24小时的患者流产后出血风险较高。然而,患者的临床状况没有恶化,输血率也没有增加。使用米索前列醇超过24小时,应注意阴道出血。
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引用次数: 0
Maternal and neonatal outcomes of pregnant women with SARS-CoV-2 infection in our tertiary hospital 我院三级医院SARS-CoV-2感染孕妇的母婴结局
IF 0.6 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-10-31 DOI: 10.2399/prn.22.0303012
Özge Şehirli Kıncı, M. F. Kıncı, Firangiz Mirzazade, H. O. Yılmaz, Ercan Saruhan, A. A. Sivaslıoğlu
Objective: To evaluate clinical features, laboratory test results, and maternal and neonatal outcomes of pregnant patients with the Coronavirus disease (COVID-19). Methods: We reviewed clinical data from pregnant women with a laboratory-confirmed SARS-CoV-2, who were admitted to our university hospital in Türkiye. Demographic and clinical characteristics, laboratory test results, and maternal and neonatal outcomes were collected. Results: A total of 46 pregnant women were included in this study. The mean maternal age was 28 (min. 21 - max. 39) years and gestational age was 31 (min. 26 - max. 41) weeks. Two (4.37%) pregnant women were vaccinated with 1 dose of BioNTech® vaccine, and all other patients were unvaccinated. Shortness of breath was the most common symptom present in 15 cases (32.6%). Twenty-seven (58.69%) pregnant women gave birth in the preterm period, and 19 (41.30%) in the term period. Six (13.04%) pregnant women were followed up in the Anesthesia Intensive Care Unit. Two women with critical COVID-19 died in the postpartum period. Conclusion: COVID-19 infection has negative consequences in terms of maternal and neonatal outcomes. The most common causes of adverse neonatal outcomes are iatrogenic or spontaneous preterm births, while the most common causes of adverse maternal outcomes are prolonged hospitalization time, increased likelihood of intensive care hospitalization, and maternal deaths. The most effective way to prevent this situation is to get vaccinated regardless of trimester. [ FROM AUTHOR]
目的:探讨新型冠状病毒病(COVID-19)妊娠患者的临床特征、实验室检查结果及母婴结局。方法:我们回顾了 kiye大学医院收治的实验室确诊的SARS-CoV-2孕妇的临床资料。收集人口统计学和临床特征、实验室检查结果以及孕产妇和新生儿结局。结果:本研究共纳入46例孕妇。产妇平均年龄28岁(最小21岁-最大21岁)。39岁,胎龄31岁(最小26岁-最大26岁)。41)周。2例(4.37%)孕妇接种了1剂BioNTech®疫苗,其余患者均未接种。呼吸短促是15例(32.6%)患者最常见的症状。早产儿27例(58.69%),足月分娩19例(41.30%)。6例(13.04%)孕妇在麻醉重症监护病房接受随访。两名患有COVID-19危重症的妇女在产后死亡。结论:COVID-19感染对孕产妇和新生儿结局具有负面影响。新生儿不良结局的最常见原因是医源性或自发性早产,而孕产妇不良结局的最常见原因是住院时间延长、重症监护住院的可能性增加和孕产妇死亡。预防这种情况的最有效方法是无论孕期如何都要接种疫苗。[源自作者]
{"title":"Maternal and neonatal outcomes of pregnant women with SARS-CoV-2 infection in our tertiary hospital","authors":"Özge Şehirli Kıncı, M. F. Kıncı, Firangiz Mirzazade, H. O. Yılmaz, Ercan Saruhan, A. A. Sivaslıoğlu","doi":"10.2399/prn.22.0303012","DOIUrl":"https://doi.org/10.2399/prn.22.0303012","url":null,"abstract":"Objective: To evaluate clinical features, laboratory test results, and maternal and neonatal outcomes of pregnant patients with the Coronavirus disease (COVID-19). Methods: We reviewed clinical data from pregnant women with a laboratory-confirmed SARS-CoV-2, who were admitted to our university hospital in Türkiye. Demographic and clinical characteristics, laboratory test results, and maternal and neonatal outcomes were collected. Results: A total of 46 pregnant women were included in this study. The mean maternal age was 28 (min. 21 - max. 39) years and gestational age was 31 (min. 26 - max. 41) weeks. Two (4.37%) pregnant women were vaccinated with 1 dose of BioNTech® vaccine, and all other patients were unvaccinated. Shortness of breath was the most common symptom present in 15 cases (32.6%). Twenty-seven (58.69%) pregnant women gave birth in the preterm period, and 19 (41.30%) in the term period. Six (13.04%) pregnant women were followed up in the Anesthesia Intensive Care Unit. Two women with critical COVID-19 died in the postpartum period. Conclusion: COVID-19 infection has negative consequences in terms of maternal and neonatal outcomes. The most common causes of adverse neonatal outcomes are iatrogenic or spontaneous preterm births, while the most common causes of adverse maternal outcomes are prolonged hospitalization time, increased likelihood of intensive care hospitalization, and maternal deaths. The most effective way to prevent this situation is to get vaccinated regardless of trimester. [ FROM AUTHOR]","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"7 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74280159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Perinatal Education
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