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: Fox, Haylee¹ (AUTHOR), Callander, Emily² (AUTHOR) haylee.fox1@my.jcu.edu.au

المصدر: Journal of Paediatrics & Child Health. May2021, Vol. 57 Issue 5, p618-625. 8p.

مصطلحات موضوعية: *PREMATURE labor, *PREMATURE infants, *MOTHERS, *ECONOMIC aspects of diseases, *CHILDBIRTH

مصطلحات جغرافية: AUSTRALIA

مستخلص: Aim: To examine the differences in return to work time after childbirth; the differences in income; and the differences in out of pocket health-care costs between mothers who had a preterm birth and mothers who delivered a full term baby in Australia.Methods: Using administrative data, the length of time and 'risk' of returning to employment for mothers whose child was born premature relative to those whose child was born full term was reported. Multivariate linear regression models were constructed to assess the difference in maternal income and the differences in mean out-of-pocket costs between mothers who had a preterm birth and mothers who had a full term birth.Results: The mean length of time for mothers of babies born full term to return to work was 1.9 years and for mothers of preterm babies it was 2.8 years. Mothers of preterm babies had a significantly lower median income ah at 0-1, 2-3 and 4-5 years postpartum compared to mothers of full term babies. The adjusted mean out of pocket costs for health care paid by mothers who had a preterm birth was $1298 for those whose child was aged 32-36 weeks; and $2491 for those whose child was aged <32 weeks. This is in comparison to mothers of children born 37 weeks and over, whose mean out of pocket costs were $1059.Conclusion: Mothers who have a preterm birth have longer return to work time, a lower weekly income and also have higher out of pocket costs compared with mothers who have a full term birth. [ABSTRACT FROM AUTHOR]

المؤلفون: Woday, Abay¹ (AUTHOR), Muluneh, Muluken Dessalegn^2,3 (AUTHOR) destamule@gmail.com, Sherif, Samiha⁴ (AUTHOR)

المصدر: PLoS ONE. 11/11/2019, Vol. 14 Issue 11, p1-12. 12p.

مصطلحات موضوعية: *PREMATURE labor, *MOTHERS, *PRENATAL care, *PUBLIC hospitals, *CHILDBIRTH, *CHILDBIRTH at home

مصطلحات جغرافية: ETHIOPIA

مستخلص: Background: Preterm birth (PTB) is a public health issue worldwide. In developing nations, like Ethiopia, PTB is under reported and underestimated. However, it is the leading cause of neonatal and under-five mortality in Ethiopia. Besides, limited and non-comparative research studies to date has been conducted in the country to address the prevalence of PTB. Therefore, this study aims to determine predictors of PTB. Methods: Hospital-based unmatched case control study was employed on a sample of 139 cases and 278 controls from October 2017 to December 2017 in the Amhara region, Ethiopia. The cases and controls were proportionally allocated in each hospital based on the last one-year case flows. As soon as a case was identified, the respective two controls were enrolled until the required sample size was satisfied. The outcome variable was measured by using either last menstrual period (LMP), early ultrasound result, or Ballard maturity examination. Face-to-face interviews were conducted using a standardized, structured, and pre-tested questionnaire to collect data. The collected data was entered into Epi-data and exported into SPSS for analysis. Independent variables with p-values < 0.25 in the bivariate analysis were entered into multivariable logistic regression models with forward logistic regressions method to control the influence of covariates. Ethical clearance was ensured. Results: A total of 134 cases and 268 controls participated with a response rate of 96.4%. After adjusting for covariates, the following variables were associated with PTB: residing in rural areas [AOR = 2.99: 95% CI 1.19, 7.48], low maternal age [AOR = 3.47: 95% CI 1.11, 10.83], being illiterate [AOR = 4.56: 95% CI 1.11,8.62], short birth spacing [AOR = 2.48: 95% CI 1.07, 5.75], no antenatal care visits for this index pregnancy [AOR = 10.78: 95% CI 4.43, 26.25], having a history of previous adverse birth outcomes [AOR = 3.47: 95% CI 1.51, 8.02], and exposure to medical problems during pregnancy [AOR = 13.94: 95% CI 4.39, 24.27]. Conclusion: The study revealed maternal sociodemographic factors, short birth space, lack of antenatal care, exposure to previous adverse birth outcomes and facing medical illnesses during pregnancy were the predictors of PTB. Therefore, inclusive preventive and control interventions should be developed at regional, zonal and district levels to reduce the burden of PTB among women resided in rural areas such as integrating antenatal care services into the existing health extension packages. Study results suggest increasing the awareness of PTB, contraceptive utilization and counseling to enhance birth spacing, antenatal care visits, and accessibility to services among women in Ethiopia should be given due attention. Health care providers should focus on mothers with previous adverse birth outcomes and those exposed to medical problems during pregnancy. Additional community based longitudinal studies supplemented with qualitative methods are recommended. [ABSTRACT FROM AUTHOR]

المؤلفون: Jamali, Qamar Zaman, Shah, Rashed, Shahid, Farhana, Fatima, Aisha, Khalsa, Saraswati, Spacek, Jana, Regmi, Presha

المصدر: PLoS ONE; 6/17/2019, Vol. 14 Issue 6, p1-15, 15p

مصطلحات موضوعية: HEALTH facilities, FOCUS groups, PREMATURE labor, CHILDBIRTH, PREMATURE infants, BIRTH rate

مصطلحات جغرافية: PAKISTAN, SINDH (Pakistan)

مستخلص: Background: More than 2.5 million newborns die each year, accounting for 47% of children dying worldwide before their age of five years. Complications of preterm birth are the leading cause of death among newborns. Pakistan is amongst the top ten countries with highest preterm birth rate per 1000 live births. Globally, Every Newborn Action Plan (ENAP) has emphasized on Kangaroo Mother Care (KMC) as an essential component of neonatal health initiatives. Materials and methods: We conducted this qualitative study with 12 in-depth interviews (IDIs) and 14 focus group discussion (FGD) sessions, in two health facilities of Sindh, Pakistan during October-December 2016, to understand the key barriers and enablers to a mother's ability to practice KMC and the feasibility of implementing and improving these practices. Results: The findings revealed that community stakeholders were generally aware of health issues especially related to maternal and neonatal health. Both the health care providers and managers were supportive of implementing KMC in their respective health facilities as well as for continuous use of KMC at household level. In order to initiate KMC at facility level, study respondents emphasized on ensuring availability of equipment, supplies, water-sanitation facility, modified patient ward (e.g., curtain, separate room) and quality of services as well as training of health providers as critical prerequisites. Also in order to continue practicing KMC at household level, engaging the community and establishing functional referral linkage between community and facilities were focused issues in facility and community level FGDs and IDIs. Conclusion: The study participants considered it feasible to initiate KMC practice at health facility and to continue practicing at home after returning from facility. Ensuring facility readiness to initiate KMC, improving capacity of health providers both at facility and community levels, coupled with focusing on community mobilization strategy, targeting specific audiences, may help policy makers and program planners to initiate KMC at health facility and keep KMC practice continued at household level. [ABSTRACT FROM AUTHOR]

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المؤلفون: Anggraini, Anggita Bunga

المصدر: KnE Life Sciences; 2/28/2019, Vol. 2019, p85-91, 7p

مصطلحات موضوعية: PREMATURE labor, ECLAMPSIA, CHILD mortality, CHILDBIRTH, MOTHERS

مصطلحات جغرافية: JAKARTA (Indonesia), INDONESIA

مستخلص: Based on WHO data, the preterm birth rate in Indonesia in 2010 is 15.5 per 100 live births. Preterm birth is one of death leading cause in children under five years old because it can lead to severe complications. This study aimed to identify several factors related to preterm birth. The cross-sectional study was conducted in two selected hospitals in Jakarta from January 1st through December 31st, 2011. Data collected from medical records among women who delivered in those hospitals. The analysis performed by using multivariate logistic regression. This study collected 4191 samples. Eight hundred five examples were included in this analysis while remain samples excluded due to incomplete data records and post-term birth. The prevalence of preterm delivery in two hospitals was 14.84%. Compared to women in 20-34 years age group, a young mother with aged 17-20 years old had 3.37 fold higher chance to have preterm birth [adjusted odds ratio (ORa)=3.37; p=0.018]. Meanwhile, mothers with (pre-)eclampsia had 3.76 fold higher chance to have a preterm birth (ORa=3.76; p=0.0005). Furthermore, women with antepartum hemorrhage had a higher chance to have a preterm birth (ORa=12.52; p= 0.0005). A young mother, women who work in military/policy/civil servants/state, (pre-)eclampsia mother, and mother with antepartum hemorrhage had a higher risk of preterm birth in selected hospitals in Jakarta. [ABSTRACT FROM AUTHOR]

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المؤلفون: Mcintyre, SafinaHassan¹ (AUTHOR), Newburn-Cook, ChristineV.¹ (AUTHOR) christine.newburn-cook@ualberta.ca, O'Brien, Beverley¹ (AUTHOR), Demianczuk, NestorN.² (AUTHOR)

المصدر: Health Care for Women International. Aug2009, Vol. 30 Issue 8, p670-689. 20p. 1 Diagram.

مصطلحات موضوعية: *RISK factors in premature labor, *LABOR (Obstetrics), *MATERNAL age, *CHILDBIRTH in middle age, *CHILDBIRTH, *MOTHERS

مستخلص: To determine if older maternal age (35 years and older) at first birth was an independent risk factor for spontaneous preterm labor, we conducted a retrospective population-based cohort study. Using provincial perinatal data, we developed separate risk models for low- and high-risk women using multivariate logistic regression. We found that older maternal age exerted a direct and independent effect on spontaneous preterm labor for both nulliparous women with no preexisting chronic illnesses or pregnancy complications (low-risk) and nulliparous women who did not have any preexisting chronic illnesses, but developed one or more pregnancy complications (high-risk). [ABSTRACT FROM AUTHOR]

المؤلفون: Melamed, Nir nirm@clalit.org.il, Yogev, Yariv, Hadar, Eran

المصدر: Acta Obstetricia et Gynecologica Scandinavica. Jan2008, Vol. 87 Issue 1, p63-67. 5p. 3 Charts, 1 Graph.

مصطلحات موضوعية: *PROSTAGLANDINS, *PREMATURE labor, *CHILDBIRTH, *CERVIX uteri, *MOTHERS

مستخلص: Objective. To evaluate the efficacy of prostaglandin E2 (PGE2) for cervical ripening at preterm and to identify factors predicting ripening failure. Design. A retrospective study of women admitted for preinduction cervical ripening with PGE2 vaginal tablets at preterm (n=444). PGE2 vaginal tablets were administered at 6-8 h intervals until cervical ripening was achieved (Bishop score ≥7) or ripening failed (Bishop score <7 after administration of 4 PGE2 tablets). Data were compared with a control group of women admitted for preinduction cervical ripening with PGE2 vaginal tablets at term (n=1,029). A multivariate logistic regression analysis was performed to detect factors predicting ripening failure. Results. Women at preterm required a significantly higher number of PGE2 tablets compared to women at term (2.0±1.1 versus 1.6±0.9, p<0.001). Overall rates of ripening failure and caesarean section due to failed induction were significantly higher in preterm than term gestations (11.4 versus 1.1% and 9.7 versus 0.4%, p <0.001), and were inversely related to gestational age. Nulliparity, lower gestational age at delivery, lack of cervical dilatation, and higher maternal age were significant predictors of ripening failure at preterm. Conclusion. The use of PGE2 for preinduction cervical ripening at preterm may be associated with an increased risk of ripening failure and caesarean section compared with term gestations. This information may be useful when consulting women regarding the available options when premature delivery is necessary. [ABSTRACT FROM AUTHOR]

العنوان البديل: Psyche of parents of premature babies. (English)

المؤلفون: Nováková, Jana, Janoušková, Kristina

المصدر: Pediatrie pro Praxi; Jun2020, Vol. 21 Issue 3, p210-212, 3p

مصطلحات موضوعية: PREMATURE labor, CHILDBIRTH, SEMI-structured interviews, INFANTS, MOTHERS

الملخص (بالإنجليزية): The article deals with the mental state of mothers of premature babies. The topic of premature births is still very topical. All levels of the mother's everyday life, and therefore the whole family, are affected and affected. Therefore, it is important to pay attention and provide top care not only to premature babies, but also to their mothers, especially to focus on their mental state. The article contains an introduction to the issue, the results of the investigation, discussion and conclusion. The aim of the survey was to analyze the psyche of two mothers who gave birth to their children prematurely. The survey was conducted in the form of a semi-structured interview. [ABSTRACT FROM AUTHOR]

Abstract (Czech): Článek se zabývá psychickým stavem matek předčasně narozených dětí. Téma předčasných porodů je stále velmi aktuální. Jsou zasaženy a ovlivněny všechny roviny běžného života matky, potažmo celé rodiny. Proto je důležité věnovat se a poskytovat špičkovou péči nejen předčasně narozeným dětem, ale i jejich matkám, zejména se zaměřit na jejich psychický stav. Článek obsahuje úvod do problematiky, výsledky šetření, diskuzi a závěr. Cílem šetření bylo analyzovat psychiku dvou matek, které porodily své děti předčasně. Šetření bylo provedeno formou polostrukturovaného rozhovoru. [ABSTRACT FROM AUTHOR]

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المؤلفون: Buil, Aude¹ (AUTHOR) audebuil11@gmail.com, Sankey, Carole¹ (AUTHOR) csankey@gmail.com, Caeymaex, Laurence² (AUTHOR) laurence.caeymaex@chicreteil.fr, Apter, Gisèle³ (AUTHOR) gisele.apter@gmail.com, Gratier, Maya⁴ (AUTHOR) gratier@gmail.com, Devouche, Emmanuel^1,3 (AUTHOR) devouche7@gmail.com

المصدر: Early Human Development. Feb2020, Vol. 141, pN.PAG-N.PAG. 1p.

مصطلحات موضوعية: *PREMATURE infants, *PREMATURE labor, *MOTHER-infant relationship, *INFANTS, *CHILDBIRTH, *MOTHERS, *RETROLENTAL fibroplasia, *RESEARCH, *NONVERBAL communication, *EYE movements, *HUMAN voice, *RESEARCH methodology, *MEDICAL cooperation, *EVALUATION research, *COMPARATIVE studies, *PSYCHOSOCIAL factors, *POSTNATAL care, *MOTHER-child relationship, *FOSTER home care

مستخلص: Background: Skin-to-skin contact (SSC) has been widely studied in NICU and several meta-analyses have looked at its benefits both for the baby and the parent. Very few studies however have investigated benefit for communication.Aims: Investigate the immediate benefits of Supported Diagonal Flexion (SDF) positioning during SSC on the quality of mother - very-preterm infant communication and to gain insight into how mothers' and very-preterm infants' communicative behaviours are coordinated in time just a few days after birth.Subjects and Study Design: Monocentric prospective matched-pair case-control study. Thirty-four mothers and their very preterm infants (27 to 31 + 6 weeks GA; mean age at birth 30: weeks GA) were assigned to one of the two SSC positioning, either the Vertical Control (n = 17) or the SDF Intervention positioning (n = 17). Mother and infant were filmed during the first 5 min of SSC, 15 days after the very first SSC (i.e. 18 days after very premature birth, i.e. on average 32.4 weeks GA).Outcome Measures: Infants' state of consciousness according to the Assessment of Preterm Infants' Behavior scale. Onset and duration of infants' and mothers' smiles, gazes and vocalizations, and their temporal proximity inside a 1-sec time-window.Results: In the SDF Intervention Group, very preterm infants vocalized three times more and mothers vocalized, gazed at their baby's face, and smiled more than in the Vertical Control Group. Moreover, in a one-second time-frame, temporal proximity of mother-infant behaviours was greater in the SDF Intervention Group.Conclusions: Our study shows that SDF positioning creates more opportunities for mother-infant communication during SSC. SDF positioning fosters a greater multimodal temporal proximity thus supporting a more qualitative mother-infant communication. [ABSTRACT FROM AUTHOR]

المؤلفون: Stanhope, Kaitlyn K.¹ (AUTHOR) kaitlyn.keirsey.stanhope@emory.edu, Hogue, Carol R.¹ (AUTHOR), Suglia, Shakira F.¹ (AUTHOR), Leon, Juan S.^1,2 (AUTHOR), Kramer, Michael R.¹ (AUTHOR)

المصدر: Health & Place. Nov2019, Vol. 60, pN.PAG-N.PAG. 1p.

مصطلحات موضوعية: *HISPANIC Americans, *PREMATURE labor, *IMMIGRATION policy, *MOTHERS, *CHILDBIRTH

مصطلحات جغرافية: UNITED States

مستخلص: Immigration policy climate may have pervasive effects on the health of immigrants and their families. We examine how living in a state at the time of delivery with a more restrictive immigration policy climate impacts risk of very preterm birth (VPTB) among Hispanic mothers in the United States. We used data from the United States live birth files, 2005-2016. We fit generalized linear mixed models predicting VPTB including information on individual (e.g., age, parity, specific Hispanic origin group) and geographic (e.g., county level poverty, ethnic density) risk determinants. Living in a state with a more restrictive immigration policy climate is associated with a slight increase in odds of VPTB for Hispanic women (aOR: 1.07 (1.04-1.10)). [ABSTRACT FROM AUTHOR]