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1
المصدر: Women and Birth. 34(5):498-504
مصطلحات موضوعية: Awareness, Fetal movements, Fetal well-being, Mindfetalness, Self-assessment method
الوصف: BACKGROUND: Information given to pregnant women about fetal movements is important in maternity care and decreased fetal movements is associated with fetal growth restriction and stillbirth. The fetal movement pattern is different for every fetus and women perceive different types of movements. Mindfetalness is a self-assessment method for a woman to use to become familiar with her unborn baby’s fetal movement pattern.AIM: We aimed to explore midwives’ perceptions about informing pregnant women about fetal movements and their experiences of working with Mindfetalness in their daily work.METHODS: A web-questionnaire was distributed to midwives who participated in a randomized controlled trial evaluating Mindfetalness, a method for the observation of fetal movements. In total, 67 maternity clinics in Stockholm, Sweden, were randomized to Mindfetalness or routine care. Of the 144 midwives working in maternity clinics randomized to Mindfetalness, 80% answered the questionnaire.FINDINGS: The midwives thought that the leaflet about Mindfetalness was supportive in their work when informing women about fetal movements and the majority wanted to continue to distribute the leaflet when the trial ended. The midwives also expressed that the study increased their own knowledge about fetal movements. Women embraced the information about Mindfetalness positively and appreciated the written material. The midwives thought that talking about fetal movements in maternity care is an important but challenging task.CONCLUSION: Mindfetalness is a useful tool to use in maternity clinics when informing pregnant women about fetal movements. The written information was appreciated by both pregnant women and midwives.
وصف الملف: print
الوصول الحر: https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-10910Test
https://doi.org/10.1016/j.wombi.2020.10.007Test -
2دورية أكاديمية
المصدر: Journal of Nursing Care; Vol 6, No 2 (2023): Journal of Nursing Care ; 2614-1698 ; 10.24198/jnc.v6i2
مصطلحات موضوعية: Fetal well-being, Obstetric emergencies, Women’s Health
الوصف: An obstetric emergency is a condition that can threaten the life of a pregnant woman and the fetus, which occurs during pregnancy, childbirth and the puerperium. This review aimed to analyze the effectiveness of emergency obstetric interventions based on previous studies. The study was a systematic review carried out in seven stages through three databases from Ebsco, Pubmed and Proquest. The keywords used were (pregnant women) AND (emergency intervention) AND (nursing OR nurse) NOT (systematic review). The inclusion criteria in this study were: full-text, peer review, English, articles for the last five years, subject: nursing, nurses, emergency medical care, nursing care, emergency services, and document type: articles. Based on the search database, 10,496 papers were obtained, 733 documents that matched the inclusion criteria and seven papers that fit the theme were obtained. The result that based on the initial stage of the literature search, four interventions were adequate, including ACLS training, multidisciplinary management, making coloured ribbons for premature pregnancy detection, and maternal near-miss detection tools. Interventions with less effective based on statistical test results were supportive care, home visits with IPV (intimate partner violence) interventions, and administration of CPR, defibrillation, ETT insertion, and administration of epinephrine. Nurses still carry out a few emergency developmental interventions. It is necessary to develop engagement interventions related to maternal emergencies to improve the welfare of mothers and babies. Further study is needed to strengthen the evidence base of innovative interventions for specific obstetric emergencies.
وصف الملف: application/pdf
العلاقة: http://jurnal.unpad.ac.id/jnc/article/view/48344/21072Test; http://jurnal.unpad.ac.id/jnc/article/view/48344Test
الإتاحة: https://doi.org/10.24198/jnc.v6i2.48344Test
https://doi.org/10.24198/jnc.v6i2Test
http://jurnal.unpad.ac.id/jnc/article/view/48344Test -
3دورية أكاديميةAsistencia al control prenatal como factor predictor de bajo peso al nacer. Revisión Sistemática ; .
المؤلفون: Sacta Rivera, Dayana Estefania
المساهمون: Pérez Ramírez, Jacinto Eugenio, 0302974027, .
المصدر: Universidad Católica de Cuenca ; Repositorio Institucional - UCACUE
مصطلحات موضوعية: Atención prenatal, Recién nacido de bajo peso, Bienestar fetal, Salud materno-infantil, Factores de riegos, Prenatal care, Low birth weight newborn, Fetal well-being, Maternal and child health, Risk factors
الوقت: Azogues - Ecuador
الوصف: Antecedentes: La asistencia a un control prenatal de calidad disminuye las probabilidades de obtener neonatos con bajo peso al nacer (BPN), mientras que la inasistencia o asistencia a menos de 4 visitas aumentan relativamente la incidencia de morbimortalidad de los recién nacidos. Objetivo: Correlacionar la asistencia al control prenatal como factor predictor de bajo peso al nacer. Metodología: Revisión bibliográfica de artículos científicos, guías de práctica clínica e investigaciones sistemáticas documentadas de los últimos 5 años, en español e inglés de bases científicas como Pubmed, Scielo, Elsevier, Uptodate y Google Académico. En base a los criterios de la declaración PRISMA 2020. Resultados: Se analizaron un total de 24 artículos orientados en determinar la importancia de la atención prenatal en el primer nivel, factores de riesgo asociados al BPN y las complicaciones del BPN. Discusión: El control prenatal constituye un pilar fundamental en bienestar materno-fetal basado en la identificación de riesgos, promoción y educación sanitaria y la intervención terapéutica, para evitar complicaciones maternas y neonatales. El BPN resulta ser una complicación asociado a factores biológicos, psicológicos, socioeconómicos y ambientales, tanto de la madre como el feto. Las complicaciones precoces y tardías que engloba el BPN son las alteraciones neurológicas, respiratorias como la inmadurez pulmonar y la displasia broncopulmonar y comorbilidades a largo plazo como la enfermedad renal crónica, hipertensión arterial y Diabetes Mellitus tipo 2. ; Background: Assisting with quality prenatal care reduces the chances of having neonates with low birth weight (LBW), whereas non-attendance or attendance at fewer than four visits relatively increases the incidence of morbidity and mortality in neonates. Objective: To correlate prenatal care attendance as a predictor of low birth weight. Methodology: It was a bibliographic review of articles, clinical practice guidelines, and documented systematic investigations of scientific ...
وصف الملف: application/pdf; viii, 42 páginas
العلاقة: http://creativecommons.org/licenses/by/4.0/deed.esTest; Sacta Rivera D.E. (2023) Asistencia al control prenatal como factor predictor de bajo peso al nacer. Revisión Sistemática. Universidad Católica de Cuenca; 10BT2023-TMed-75; https://dspace.ucacue.edu.ec/handle/ucacue/15650Test
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4دورية أكاديمية
المؤلفون: Yılmaz, Atakan, Öncel Yel, Gizem, Kemancı, Aykut, Erdur, Bülent, Özdemir, Özmert M.A.
مصطلحات موضوعية: Emergency department, postmortem cesarean, pregnancy arrest, trauma, surfactant, adult, advanced cardiac life support, Apgar score, Article, bronchoscopy, cardiopulmonary arrest, case report, cesarean section, clinical article, cyanosis, Delayed postmortem cesarean section, electroencephalography monitoring, emergency health service, emergency ward, female, fetal well being, fetus, fetus mortality, health care personnel, human, injury, neonatal intensive care unit, newborn, oxygen saturation, prematurity
الوصف: Cardiopulmonary arrest is an occasional occurrence during pregnancy. As soon as maternal arrest is noticed in a woman in the second half of her pregnancy, medical teams should be called for perimortem cesarean (C/S). A 31–week-pregnant female patient was brought to our emergency department by the emergency medical service team with cardiopulmonary resuscitation (CPR) after a traffic accident. The patient, with no pulse or spontaneous breathing, was recognized as exitus. However, CPR was sustained to maintain fetal well-being. Before the arrival of the on-call gynecologist, we as emergency physicians initiated C/S both for fetal well-being and to avoid heighten-ing the risk of fetal mortality and morbidity. The Apgar scores were 0/3/4 and oxygen saturation values were 35/65/75% at 1/5/10 min, respectively. On the postnatal 11th day, the patient did not respond despite the advanced cardiac life support (ACLS) and thus was considered exitus.The ACLS team should be knowledgeable and well-equipped to perform C/S, to do aftercare, to watch for related risks in the infant. In our case, it took 40 min for the fetus to be removed from the mother’s womb, starting from the estimated time of exitus. © 2023, Turkish Association of Trauma and Emergency Surgery. All rights reserved.
العلاقة: Ulusal Travma ve Acil Cerrahi Dergisi; Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; https://doi.org/10.14744/tjtes.2022.34124Test; https://hdl.handle.net/11499/51296Test; 29; 440; 442; 2-s2.0-85149999638; WOS:000996087000026
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5دورية أكاديمية
المؤلفون: Haad Akmal, Fırat Hardalaç, Kubilay Ayturan
المصدر: Diagnostics; Volume 13; Issue 11; Pages: 1931
مصطلحات موضوعية: diagnostics, cardiotocography, fetal heart rate, fetal well-being, machine learning, classification, feature extraction, feature selection, Bayesian optimization
الوصف: Cardiotocography (CTG), which measures the fetal heart rate (FHR) and maternal uterine contractions (UC) simultaneously, is used for monitoring fetal well-being during delivery or antenatally at the third trimester. Baseline FHR and its response to uterine contractions can be used to diagnose fetal distress, which may necessitate therapeutic intervention. In this study, a machine learning model based on feature extraction (autoencoder), feature selection (recursive feature elimination), and Bayesian optimization, was proposed to diagnose and classify the different conditions of fetuses (Normal, Suspect, Pathologic) along with the CTG morphological patterns. The model was evaluated on a publicly available CTG dataset. This research also addressed the imbalance nature of the CTG dataset. The proposed model has a potential application as a decision support tool to manage pregnancies. The proposed model resulted in good performance analysis metrics. Using this model with Random Forest resulted in a model accuracy of 96.62% for fetal status classification and 94.96% for CTG morphological pattern classification. In rational terms, the model was able to accurately predict 98% Suspect cases and 98.6% Pathologic cases in the dataset. The combination of predicting and classifying fetal status as well as the CTG morphological patterns shows potential in monitoring high-risk pregnancies.
وصف الملف: application/pdf
العلاقة: Machine Learning and Artificial Intelligence in Diagnostics; https://dx.doi.org/10.3390/diagnostics13111931Test
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6دورية أكاديمية
المصدر: Nutrients; Volume 13; Issue 3; Pages: 872
مصطلحات موضوعية: iodine supplements, iodized salt, gestation, APGAR score, newborn, fetal well-being
جغرافية الموضوع: agris
الوصف: Iodine is an essential micronutrient for the synthesis of thyroid hormones. The proper functioning of the thyroid axis is essential for the normal development of the nervous system, especially in the first trimester of gestation. The aim of the present study was to analyze the perinatal outcomes, anthropometry, and APGAR test scores of newborns and to relate them to maternal thyroid status. A total of 190 newborns participated in the study. No correlation was found between thyroid stimulating hormone (TSH) and maternal ioduria values in the first trimester of gestation with the weight or length of the newborn, or the APGAR score at one minute after birth. However, we found significant differences between the APGAR scores of children whose mothers had an iodine sufficiency level in the first trimester compared to the children of mothers with iodine deficiency. Similarly, the APGAR scores of children whose mothers had a TSH > 4 have significantly better APGAR scores than the children of mothers with a TSH < 4. Likewise, we found significant differences between the measurements of the newborns depending on whether their mothers smoked. The children of mothers who took iodine supplements or iodized salt obtained the highest APGAR score at one and five minutes after birth. It is essential to focus on recommending adequate consumption of iodine supplements and iodized salt prior to gestation and at least during the first trimester to achieve better fetal well-being.
وصف الملف: application/pdf
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7دورية أكاديمية
المؤلفون: Sona1, 1, Kalia, Raman2, Pareek, Bharat3
المصدر: International Journal of Nursing Education 10(2):106-109. 2018
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المؤلفون: Ayturan, Haad Akmal, Fırat Hardalaç, Kubilay
المصدر: Diagnostics; Volume 13; Issue 11; Pages: 1931
مصطلحات موضوعية: diagnostics, cardiotocography, fetal heart rate, fetal well-being, machine learning, classification, feature extraction, feature selection, Bayesian optimization
الوصف: Cardiotocography (CTG), which measures the fetal heart rate (FHR) and maternal uterine contractions (UC) simultaneously, is used for monitoring fetal well-being during delivery or antenatally at the third trimester. Baseline FHR and its response to uterine contractions can be used to diagnose fetal distress, which may necessitate therapeutic intervention. In this study, a machine learning model based on feature extraction (autoencoder), feature selection (recursive feature elimination), and Bayesian optimization, was proposed to diagnose and classify the different conditions of fetuses (Normal, Suspect, Pathologic) along with the CTG morphological patterns. The model was evaluated on a publicly available CTG dataset. This research also addressed the imbalance nature of the CTG dataset. The proposed model has a potential application as a decision support tool to manage pregnancies. The proposed model resulted in good performance analysis metrics. Using this model with Random Forest resulted in a model accuracy of 96.62% for fetal status classification and 94.96% for CTG morphological pattern classification. In rational terms, the model was able to accurately predict 98% Suspect cases and 98.6% Pathologic cases in the dataset. The combination of predicting and classifying fetal status as well as the CTG morphological patterns shows potential in monitoring high-risk pregnancies.
وصف الملف: application/pdf
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=multidiscipl::f1fc448c80658b01a6556b897dc3ef05Test
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9دورية أكاديمية
المؤلفون: Drukker, Lior, Staines-Urias, Eleonora, Villar, José, Barros, Fernando C, Carvalho, Maria, Munim, Shama, McGready, Rose, Nosten, Francois, Berkley, James A, Norris, Shane A, Uauy, Ricardo, Kennedy, Stephen H, Papageorghiou, Aris T
المصدر: Department of Obstetrics & Gynaecology
مصطلحات موضوعية: Doppler, INTERBIO, INTERGROWTH-21(st) ultrasound, Antepartum testing, Fetal growth restriction, Fetal well-being, Longitudinal study, Multinational study, Perinatal morbidity, Perinatal mortality, Placenta, Pulsatility index, Reference ranges, Resistance index, Systolic/diastolic ratio, Umbilical artery, Obstetrics and Gynecology
الوصف: Background: Reference values for umbilical artery Doppler indices are used clinically to assess fetal well-being. However, many studies that have produced reference charts have important methodologic limitations, and these result in significant heterogeneity of reported reference ranges.Objectives: To produce international gestational age-specific centiles for umbilical artery Doppler indices based on longitudinal data and the same rigorous methodology used in the original Fetal Growth Longitudinal Study of the INTERGROWTH-21st Project.Study design: In Phase II of the INTERGROWTH-21st Project (the INTERBIO-21st Study), we prospectively continued enrolling pregnant women according to the same protocol from 3 of the original populations in Pelotas (Brazil), Nairobi (Kenya), and Oxford (United Kingdom) that had participated in the Fetal Growth Longitudinal Study. Women with a singleton pregnancy were recruited at weeks' gestation, confirmed by ultrasound measurement of crown-rump length, and then underwent standardized ultrasound every 5±1 weeks until delivery. From 22 weeks of gestation umbilical artery indices (pulsatility index, resistance index, and systolic/diastolic ratio) were measured in a blinded fashion, using identical equipment and a rigorously standardized protocol. Newborn size at birth was assessed using the international INTERGROWTH-21st Standards, and infants had detailed assessment of growth, nutrition, morbidity, and motor development at 1 and 2 years of age. The appropriateness of pooling data from the 3 study sites was assessed using variance component analysis and standardized site differences. Umbilical artery indices were modeled as functions of the gestational age using an exponential, normal distribution with second-degree fractional polynomial smoothing; goodness of fit for the overall models was assessed.Results: Of the women enrolled at the 3 sites, 1629 were eligible for this study; 431 (27%) met the entry criteria for the construction of normative centiles, similar to the proportion ...
وصف الملف: application/pdf
العلاقة: https://ecommons.aku.edu/pakistan_fhs_mc_women_childhealth_obstet_gynaecol/207Test; https://ecommons.aku.edu/context/pakistan_fhs_mc_women_childhealth_obstet_gynaecol/article/1206/viewcontent/American_Journal_of_Obstetrics.pdfTest
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10دورية أكاديمية
المؤلفون: ÖZER, Mehmet, ÖZER, Pınar Tuğçe, OĞLAK, Süleyman Cemil, İLERİ, Alper, EMİRALİOĞLU ÇAKIR, Zübeyde, SEVER, Barış, ALDEMİR, Onur Süleyman, KANTARCI, Sercan, GÜLSEREN, Varol, PALA, Halil Gürsoy
المصدر: Innovations in Medicine and Healthcare in the 100th Year of the Republic; Volume: 5, Issue: Supplement (1) 82-6 ; 2687-4555 ; Medical Records
مصطلحات موضوعية: COVID-19, Doppler ultrasound, Fetal well-being, Obstetrics and Gynaecology, Kadın Hastalıkları ve Doğum
الوصف: Aim: The fetal effects of severe acute respiratory syndrome coronavirus-2 (SARS-COV-2) infection have been the subject of controversy since the beginning of the pandemic. We aimed to investigate the effect of SARS-COV-2 infection on fetal Doppler parameters.Material and Methods: This prospective case-control study was conducted at İzmir Tepecik Training and Research Hospital between September 1, 2021, and June 1, 2022, on pregnant women confirmed to have SARS-CoV-2 by RT-PCR testing. Pregnant women who had mild to moderate coronavirus disease 2019 (COVID-19) infection during pregnancy were compared with a control group of pregnant women not infected with the COVID-19 virus. All Doppler and fetal biometry ultrasound assessments between 34 and 37 weeks of gestation were performed in our unit.Results: Pregnant women infected and not infected with COVID-19 were demographically homogeneous. When the groups were compared in terms of fetal Doppler parameters, including left and right uterine artery (UtA) pulsatility index (PI), middle cerebral artery (MCA) PI, and systolic/diastolic ratio (S/D), as well as umbilical artery (UA) S/D and PI, no statistically significant difference was observed (p>0.05).Conclusion: We consider that mild to moderate COVID-19 does not affect Doppler ultrasound parameters and fetal well-being during pregnancy.
وصف الملف: application/pdf
العلاقة: https://dergipark.org.tr/tr/download/article-file/3342373Test; https://dergipark.org.tr/tr/pub/medr/issue/80267/1345373Test
الإتاحة: https://doi.org/10.37990/medr.1345373Test
https://dergipark.org.tr/tr/pub/medr/issue/80267/1345373Test
النص الكامل