المؤلفون: Spaegele, Nina¹ (AUTHOR), Ditzer, Julia^1,2 (AUTHOR) julia.ditzer@gmail.com, Rodrigues, Mariana¹ (AUTHOR), Talmon, Anat^1,3 (AUTHOR) atalmon@mail.huji.ac.il

المصدر: BMC Pregnancy & Childbirth. 2/5/2024, Vol. 24 Issue 1, p1-10. 10p.

مصطلحات موضوعية: *PREMATURE labor, *SOMATIC sensation, *SELF-presentation, *PREGNANT women, *DOULAS, *INFANT mortality

مستخلص: Background: Preterm birth, which occurs when a baby is born before 37 weeks, has enormous implications for public health. It is the leading cause of infant death and mortality in children under the age of five. Unfortunately, the multifaceted causes of preterm birth are not fully understood. One construct that has received increasing attention in women's transition to motherhood is body boundaries, i.e., the metaphorical barriers that separate the self from the outer, surrounding "not self." This study aims to examine the role of well-defined and disturbed body boundaries in predicting preterm birth. Methods: A sample of 655 Israeli pregnant women reported their sense of body boundaries (BBS, as measured by the Sense of Body Boundaries Survey) pre- and postnatally. We performed a General Linear Model (GLM) testing the effect of the BBS total score on the days women delivered before their due date and controlling for whether it was the women's first child. Results: Our GLMs controlling for whether it was the women's first child showed that the BBS total mean exhibited a significant predictive effect on the number of days delivered before the due date (F(57,313) = 3.65, p <.001). Conclusions: These results demonstrate heterogeneity in women's sense of body boundaries during pregnancy and are the first to disentangle a link between disturbed body boundaries and preterm birth. Mediating mechanisms in this relation, e.g., psychosocial stress, as well as clinical implications are discussed in detail. [ABSTRACT FROM AUTHOR]

المؤلفون: Suarez, Anna, Yakupova, Vera

المصدر: BMC Pregnancy & Childbirth; 3/11/2024, Vol. 24 Issue 1, p1-11, 11p

مصطلحات موضوعية: CHILD abuse, CHILDBIRTH, PREMATURE labor, RUSSIANS, PREGNANCY complications

مستخلص: Background: A substantial number of women who subsequently become pregnant and give birth have a history of physical, sexual, and/or child abuse. This study investigated the associations of these types of traumas and their cumulative effect with childbirth experiences, namely, mode of birth, maternal and child complications during pregnancy/childbirth, preterm birth, medical procedures, and obstetric violence during labour. Methods: A group of Russian women (n = 2,575) who gave birth within the previous 12 months, completed a web-based survey, where they provided demographic information, details about their childbirth experiences, and a history of trauma. Results: Women with any type of past abuse were at higher risk for maternal complications during pregnancy/childbirth (exp(β) < 0.73, p < 0.010 for all). More specific to the type of trauma were associations of physical abuse with caesarean birth, child abuse with complications during pregnancy/childbirth for the baby, and physical and child abuse with obstetric violence (exp(β) < 0.54, p < 0.022 for all). There was a cumulative effect of trauma for all the outcomes except for medical procedures during childbirth and preterm birth. Conclusion: This study provides insights into potential different individual effects of physical, sexual, and/or child abuse as well as their cumulative impact on the childbirth experiences. The robust findings about maternal complications during pregnancy/childbirth and obstetric violence highlight the importance of trauma-informed care, supportive policies, and interventions to create safe and empowering birthing environments that prioritise patient autonomy, dignity, and respectful communication. [ABSTRACT FROM AUTHOR]

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المؤلفون: Najafi, Zahra¹ (AUTHOR), Mirghafourvand, Mojgan² (AUTHOR), Ghanbari-Homaie, Solmaz³ (AUTHOR) homayisolmaz@gmail.com

المصدر: BMC Pregnancy & Childbirth. 4/13/2023, Vol. 23 Issue 1, p1-9. 9p.

مصطلحات موضوعية: *PREMATURE labor, *CONVENIENCE sampling (Statistics), *CHILDBIRTH, *CROSS-sectional method, *SATISFACTION

مصطلحات جغرافية: IRAN, TABRIZ (Iran)

مستخلص: Background: The unpredictable nature of preterm labour can be a stressful experience for the mother. The occurrence of preterm birth can lead to the failure of the mother's previous expectations regarding the process of labour and birth leading to negative perception towards birth. Methods: This descriptive-analytical cross-sectional study was conducted in Tabriz, Iran. We employed convenience sampling to recruit eligible mothers with term birth (314 women) and preterm birth (157 women). Childbirth Experience Questionnaire 2.0, Preterm Birth Experiences and Satisfaction Scale, and Delivery Fear Scale were used to measure the woman's fear of delivery during labour and birth experience. Data were analysed by general linear model. Results: The prevalence of negative birth experience in the term and preterm birth groups was 31.8% and 14.3%, respectively. The results of the multivariable general linear model, after the adjustment of demographic and obstetric characteristics, showed that there was no statistically significant difference between the two groups of mothers with term and preterm birth [β (95% CI): -0.06 (-0.22 to 0.09); p = 0.414] in terms of childbirth experience. However, the fear of delivery had a significant relationship with the childbirth experience [-0.02 (-0.03 to -0.01); p < 0.001]. Conclusion: There was no statistically significant difference in terms of women's childbirth experience between the mothers with term and preterm births. The fear of delivery during labour was the predictor of childbirth experience. In order to improve women's childbirth experience, interventions should be made to reduce their fear during labour. [ABSTRACT FROM AUTHOR]

المؤلفون: Garti, Isabella^1,2 Isabella.garti@cdu.edu.au, Donkor, Elorm³, Musah, Nafisatu⁴, Appiah, Evans Osei², Gyekye, Sandra², Menlah, Awube^1,2, Akuoko, Cynthia Pomaa^5,6

المصدر: BMC Pregnancy & Childbirth. 5/20/2021, Vol. 21 Issue 1, p1-9. 9p.

مصطلحات موضوعية: *PREMATURE labor, *DELIVERY (Obstetrics), *CHILDBIRTH, *MATERNAL health, *PREGNANCY complications

مستخلص: Background: Preterm delivery is the birth of a baby before 37 weeks of gestation. This global phenomenon is a critical issue of concern especially in developing countries that are resource-constrained when it comes to the management of preterm babies. Complications associated with prematurity contribute significantly to under-five mortality and are linked with feelings of despair, grief, and anxiety among mothers.Methods: This was a qualitative descriptive study in an urban setting in the Greater Accra region of Ghana. Eleven mothers whose babies had been discharged from the neonatal intensive care unit in a major hospital and resided in Accra were interviewed in their homes using a semi-structured interview guide. Data were audiotaped, transcribed verbatim, and analyzed inductively by content analysis.Results: All the mothers had formal education and the mean maternal age was 27.9 years. The majority of the mothers were multiparous. The gestational age at birth ranged from 32 to 34 weeks and the average birth weight of their babies was 1.61 kg. Four major themes emerged which included: Around the clock care; mothers' self-perceptions and attitudes of significant others; mothers' health and wellbeing; and support. Most of the mothers experienced physical exhaustion from the extra demands involved with care, had negative emotions, and unmet social needs.Conclusions: The findings indicate that home management of preterm babies poses multiple stressors and is associated with poor psychological and physical wellbeing among mothers. Hence, the need for extensive education and identification of other social support systems to augment facility-based care for mothers and their preterm babies. [ABSTRACT FROM AUTHOR]

المؤلفون: Guo, Xiaojing¹, Li, Xiaoqiong², Qi, Tingting², Pan, Zhaojun³, Zhu, Xiaoqin⁴, Wang, Hui⁴, Dong, Ying¹, Yue, Hongni^3,4 yuehongni@hotmail.com, Sun, Bo¹ bsun@shmu.edu.cn

المصدر: BMC Pregnancy & Childbirth. 4/10/2021, Vol. 21 Issue 1, p1-12. 12p.

مصطلحات موضوعية: *CHILDBIRTH, *PREMATURE labor, *GESTATIONAL age, *MORTALITY

مصطلحات جغرافية: CHINA

مستخلص: Background: Despite 15–17 millions of annual births in China, there is a paucity of information on prevalence and outcome of preterm birth. We characterized the outcome of preterm births and hospitalized preterm infants by gestational age (GA) in Huai'an in 2015, an emerging prefectural region of China. Methods: Of 59,245 regional total births, clinical data on 2651 preterm births and 1941 hospitalized preterm neonates were extracted from Huai'an Women and Children's Hospital (HWCH) and non-HWCH hospitals in 2018–2020. Preterm prevalence, morbidity and mortality rates were characterized and compared by hospital categories and GA spectra. Death risks of preterm births and hospitalized preterm infants in the whole region were analyzed with multivariable Poisson regression. Results: The prevalence of extreme, very, moderate, late and total preterm of the regional total births were 0.14, 0.53, 0.72, 3.08 and 4.47%, with GA-specific neonatal mortality rates being 44.4, 15.8, 3.7, 1.5 and 4.3%, respectively. There were 1025 (52.8% of whole region) preterm admissions in HWCH, with significantly lower in-hospital death rate of inborn (33 of 802, 4.1%) than out-born (23 of 223, 10.3%) infants. Compared to non-HWCH, three-fold more neonates in HWCH were under critical care with higher death rate, including most extremely preterm infants. Significantly all-death risks were found for the total preterm births in birth weight < 1000 g, GA < 32 weeks, amniotic fluid contamination, Apgar-5 min < 7, and birth defects. For the hospitalized preterm infants, significantly in-hospital death risks were found in out-born of HWCH, GA < 32 weeks, birth weight < 1000 g, Apgar-5 min < 7, birth defects, respiratory distress syndrome, necrotizing enterocolitis and ventilation, whereas born in HWCH, antenatal glucocorticoids, cesarean delivery and surfactant use decreased the death risks. Conclusions: The integrated data revealed the prevalence, GA-specific morbidity and mortality rate of total preterm births and their hospitalization, demonstrating the efficiency of leading referral center and whole regional perinatal-neonatal network in China. The concept and protocol should be validated in further studies for prevention of preterm birth. [ABSTRACT FROM AUTHOR]

المؤلفون: Martinez-Perez, Oscar¹ Oscarmartinezgine@gmail.com, Prats Rodriguez, Pilar², Muner Hernandez, Marta³, Encinas Pardilla, Maria Begoña¹, Perez Perez, Noelia⁴, Vila Hernandez, Maria Rosa⁵, Villalba Yarza, Ana⁶, Nieto Velasco, Olga⁷, Del Barrio Fernandez, Pablo Guillermo⁸, Forcen Acebal, Laura⁹, Orizales Lago, Carmen Maria¹⁰, Martinez Varea, Alicia¹¹, Muñoz Abellana, Begoña¹², Suarez Arana, Maria¹³, Fuentes Ricoy, Laura¹⁴, Martinez Diago, Clara¹⁵, Janeiro Freire, Maria Jesus¹⁶, Alférez Alvarez-Mallo, Macarena¹⁷, Casanova Pedraz, Cristina¹⁸, Alomar Mateu, Onofre¹⁹

المصدر: BMC Pregnancy & Childbirth. 4/1/2021, Vol. 21 Issue 1, p1-11. 11p.

مصطلحات موضوعية: *COVID-19 pandemic, *PREMATURE labor, *DELIVERY (Obstetrics), *CHILDBIRTH, *PREGNANCY complications

مستخلص: Background: To determine whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, the cause of COVID-19 disease) exposure in pregnancy, compared to non-exposure, is associated with infection-related obstetric morbidity.Methods: We conducted a multicentre prospective study in pregnancy based on a universal antenatal screening program for SARS-CoV-2 infection. Throughout Spain 45 hospitals tested all women at admission on delivery ward using polymerase-chain-reaction (PCR) for COVID-19 since late March 2020. The cohort of positive mothers and the concurrent sample of negative mothers was followed up until 6-weeks post-partum. Multivariable logistic regression analysis, adjusting for known confounding variables, determined the adjusted odds ratio (aOR) with 95% confidence intervals (95% CI) of the association of SARS-CoV-2 infection and obstetric outcomes.Main Outcome Measures: Preterm delivery (primary), premature rupture of membranes and neonatal intensive care unit admissions.Results: Among 1009 screened pregnancies, 246 were SARS-CoV-2 positive. Compared to negative mothers (763 cases), SARS-CoV-2 infection increased the odds of preterm birth (34 vs 51, 13.8% vs 6.7%, aOR 2.12, 95% CI 1.32-3.36, p = 0.002); iatrogenic preterm delivery was more frequent in infected women (4.9% vs 1.3%, p = 0.001), while the occurrence of spontaneous preterm deliveries was statistically similar (6.1% vs 4.7%). An increased risk of premature rupture of membranes at term (39 vs 75, 15.8% vs 9.8%, aOR 1.70, 95% CI 1.11-2.57, p = 0.013) and neonatal intensive care unit admissions (23 vs 18, 9.3% vs 2.4%, aOR 4.62, 95% CI 2.43-8.94, p <  0.001) was also observed in positive mothers.Conclusion: This prospective multicentre study demonstrated that pregnant women infected with SARS-CoV-2 have more infection-related obstetric morbidity. This hypothesis merits evaluation of a causal association in further research. [ABSTRACT FROM AUTHOR]

المؤلفون: Gonçalves, Joana L.¹ joanaglopes@gmail.com, Fuertes, Marina¹, Alves, Maria João¹, Antunes, Sandra², Almeida, Ana Rita³, Casimiro, Rute³, Santos, Margarida^2,4

المصدر: BMC Pregnancy & Childbirth. 5/6/2020, Vol. 20 Issue 1, p1-16. 16p.

مصطلحات موضوعية: *PREMATURE labor, *PREMATURE infants, *MOTHER-infant relationship, *MATERNAL health services, *CHILDBIRTH, *POSTPARTUM depression, *PREGNANCY, *NEONATAL intensive care, *PSYCHOLOGY of mothers, *GESTATIONAL age, *NEONATAL intensive care units, *RESEARCH funding, *LABOR (Obstetrics), *MOTHER-child relationship

مستخلص: Background: Mothers' reports about pregnancy, maternity and their experiences during the perinatal period have been associated with infants' later quality of attachment and development. Yet, there has been little research with mothers of very preterm newborns. This study aimed to explore mothers' experiences related to pregnancy, premature birth, relationship with the newborn, and future perspectives, and to compare them in the context of distinct infants' at-birth-risk conditions.Methods: A semi-structured interview was conducted with women after birth, within the first 72 h of the newborn's life. A total of 150 women participated and were divided in three groups: (1) 50 mothers of full-term newborns (Gestational Age (GA) ≥ 37 weeks; FT), (2) 50 mothers of preterm newborns (GA 32-36 weeks; PT) and (3) 50 mothers of very preterm newborns (GA < 32 weeks; VPT).Results: Mothers of full-term infants responded more often that their children were calm and that they did not expect difficulties in taking care of and providing for the baby. Mothers of preterm newborns although having planned and accepted well the pregnancy (with no mixed or ambivalent feelings about it) and while being optimistic about their competence to take care of the baby, mentioned feeling frightened because of the unexpected occurrence of a premature birth and its associated risks. Mothers of very preterm newborns reported more negative and distressful feelings while showing more difficulties in anticipating the experience of caring for their babies.Conclusion: The results indicate that Health Care Systems and Neonatal Care Policy should provide differentiated psychological support and responses to mothers, babies and families, taking into account the newborns' GA and neonatal risk factors. [ABSTRACT FROM AUTHOR]

المؤلفون: van Zijl, Maud D.¹, Koullali, Bouchra¹, Oudijk, Martijn A.¹, Kazemier, Brenda M.¹, Pajkrt, Eva¹, Naaktgeboren, Christiana A.^1,2, Vollebregt, Karlijn C.³, Muller, Moira A.⁴, Bekker, Mireille N.⁵, Brons, Jozien T. J.⁶, Sueters, Marieke⁷, Langenveld, Josje⁸, Franssen, Maureen T.⁹, Schuitemaker, Nico W.¹⁰, van Beek, Erik¹¹, Scheepers, Hubertina C. J.¹², Schuit, Ewoud², de Boer, Karin¹³, Tepe, Eveline M.¹⁴, Huisjes, Anjoke J. M.¹⁵

المصدر: BMC Pregnancy & Childbirth. 9/4/2017, Vol. 17, p1-8. 8p.

مصطلحات موضوعية: *PREMATURE labor, *MULTIPLE birth, *CHILDBIRTH, *PROGESTERONE, *PROGESTERONE receptors, *CERVIX uteri, *CERVIX uteri diseases, *COMPARATIVE studies, *FETAL ultrasonic imaging, *PREMATURE infants, *RESEARCH methodology, *EVALUATION of medical care, *MEDICAL cooperation, *MEDICAL protocols, *PESSARIES, *PREGNANCY, *PROGESTATIONAL hormones, *RESEARCH, *VAGINAL medication, *EVALUATION research, *RANDOMIZED controlled trials, *TREATMENT effectiveness, *DISEASE complications, *PREVENTION

مستخلص: Background: Preterm birth is in quantity and in severity the most important topic in obstetric care in the developed world. Progestogens and cervical pessaries have been studied as potential preventive treatments with conflicting results. So far, no study has compared both treatments.Methods/design: The Quadruple P study aims to compare the efficacy of vaginal progesterone and cervical pessary in the prevention of adverse perinatal outcome associated with preterm birth in asymptomatic women with a short cervix, in singleton and multiple pregnancies separately. It is a nationwide open-label multicentre randomized clinical trial (RCT) with a superiority design and will be accompanied by an economic analysis. Pregnant women undergoing the routine anomaly scan will be offered cervical length measurement between 18 and 22 weeks in a singleton and at 16-22 weeks in a multiple pregnancy. Women with a short cervix, defined as less than, or equal to 35 mm in a singleton and less than 38 mm in a multiple pregnancy, will be invited to participate in the study. Eligible women will be randomly allocated to receive either progesterone or a cervical pessary. Following randomization, the silicone cervical pessary will be placed during vaginal examination or 200 mg progesterone capsules will be daily self-administered vaginally. Both interventions will be continued until 36 weeks gestation or until delivery, whichever comes first. Primary outcome will be composite adverse perinatal outcome of perinatal mortality and perinatal morbidity including bronchopulmonary dysplasia, intraventricular haemorrhage grade III and IV, periventricular leukomalacia higher than grade I, necrotizing enterocolitis higher than stage I, Retinopathy of prematurity (ROP) or culture proven sepsis. These outcomes will be measured up until 10 weeks after the expected due date. Secondary outcomes will be, among others, time to delivery, preterm birth rate before 28, 32, 34 and 37 weeks, admission to neonatal intensive care unit, maternal morbidity, maternal admission days for threatened preterm labour and costs.Discussion: This trial will provide evidence on whether vaginal progesterone or a cervical pessary is more effective in decreasing adverse perinatal outcome in both singletons and multiples.Trial Registration: Trial registration number: NTR 4414 . Date of registration January 29th 2014. [ABSTRACT FROM AUTHOR]

المؤلفون: Ngo, Anh D.¹ ducanhnguyet@yahoo.com, Jian Sheng Chen¹, Figtree, Gemma², Morris, Jonathan M.¹, Roberts, Christine L.¹

المصدر: BMC Pregnancy & Childbirth. Jul2015, Vol. 15 Issue 1, p1-11. 11p.

مصطلحات موضوعية: *RISK factors in premature labor, *PREGNANCY complications, *CHILDBIRTH, *CARDIOVASCULAR diseases in pregnancy, *HEALTH risk assessment, *DISEASE risk factors, SOCIAL aspects

مستخلص: Background: While the association of preterm birth and the risk of maternal cardiovascular disease (CVD) has been well-documented, most studies were limited by the inability to account for smoking during pregnancy - an important risk factor for both preterm birth and CVD. This study aimed to determine whether the increased future risk of maternal cardiovascular disease (CVD) associated with preterm birth is independent of maternal smoking during pregnancy. Methods: A population-based record linkage study of 797,056 women who delivered a singleton infant between 1994 and 2011 in New South Wales, Australia was conducted. Birth records were linked to the mothers' subsequent hospitaliation or death from CVD. Preterm births were categorised as late (35-36 weeks), moderate (33-34 weeks), or extreme (≤32 weeks); and as spontaneous or indicated. Cox proportional hazard regression was used to estimate adjusted hazard ratios (AHR) [95 % CI]. Results: During the study period, 59,563 women (7.5 %) had at least one preterm birth. After adjustment for CVD risk factors other than smoking, AHR [95 % CI] of CVD among women who ever had a preterm birth was 1.78 [1.61-1.96]. Associations were greater for extreme (AHR = 1.98 [1.63-2.42]) and moderate (AHR = 2.06 [1.69-2.51]) than late preterm birth (AHR = 1.63 [1.44-1.85]), for indicated (AHR = 2.04 [1.75-2.38]) than spontaneous preterm birth (AHR = 1.65 [1.47-1.86]), and for having ≥ two (AHR = 2.29[1.75-2.99]) than having one preterm birth (AHR = 1.73[1.57-1.92]). A further adjustment for maternal smoking attenuated, but did not eliminate, the associations. Smoking during pregnancy was also independently associated with maternal CVD risks, with associations being stronger for mothers who smoked during last pregnancy (AHR = 2.07 [1.93-2.23]) than mothers who smoked during a prior pregnancy (AHR = 1.64 [1.41-1.90]). Conclusions: Associations of preterm birth and maternal CVD risk are independent of maternal smoking during pregnancy. This underscores the importance of smoking cessation in reducing CVD and suggests that a history of preterm delivery (especially if severe, indicated or recurrent) identifies women who could be targeted for CVD screening and preventative therapies. [ABSTRACT FROM AUTHOR]

المؤلفون: Esposito, Giovanna¹ (AUTHOR) giovanna.esposito@unimi.it, Mauri, Paola Agnese^1,2 (AUTHOR), Cipriani, Sonia² (AUTHOR), Franchi, Matteo^3,4 (AUTHOR), Corrao, Giovanni^3,4 (AUTHOR), Parazzini, Fabio^1,2 (AUTHOR)

المصدر: BMC Pregnancy & Childbirth. 4/28/2022, Vol. 22 Issue 1, p1-1. 1p.

مصطلحات موضوعية: *PREMATURE labor, *MATERNAL age, *COHORT analysis, *RETROSPECTIVE studies, *CHILDBIRTH

مصطلحات جغرافية: NORTHERN Italy, LOMBARDY (Italy)

مستخلص: Correct article title is "The role of maternal age on the risk of preterm birth among singletons and multiples: a retrospective cohort study in Lombardy, Northern Italy". B Correction to: BMC Pregnancy Childbirth 22, 234 (2022) b B https://doi.org/10.1186/s12884-022-04552-yTest b Following publication of the original article [[1]], the author reported that there is an error in the title: Norther instead of Northern. [Extracted from the article]