Science topic

Maternal Health - Science topic

Maternal health refers to the health of women during pregnancy, childbirth, and the postpartum period. It encompasses the health care dimensions of family planning, preconception, prenatal, and postnatal care in order to reduce maternal morbidity and mortality.
Questions related to Maternal Health
  • asked a question related to Maternal Health
Question
14 answers
Obese women have an increased risk of pregnancy-related complications, including hypertension, gestational diabetes, and blood clots. Maternal obesity is also known to be associated with increased rates of complications in late pregnancy such as cesarean delivery, and shoulder dystocia.
Relevant answer
Answer
Maternal obesity increases risks of pregnancy complications such as gestational diabetes, preeclampsia, preterm birth, and birth trauma, which have been shown to be associated with offspring neurodevelopment.
  • asked a question related to Maternal Health
Question
13 answers
 84% of Jordan population have vitamin D deficiency 
  • asked a question related to Maternal Health
Question
4 answers
A young primigavida had an unsupervised home delivery, had some bleeding at home and presented with what looked like anemic heart failure. Packed cell volume however came out to be 42% and 46% on two different occasions. she was discharged home when she appeared to have stablised only to reurn a week later with orthopnoea, pulmonary oedema and a very low blood pressure of 90/?mmHg. Within the resources available, the managing team placed her on a diuretic for the pulmonary oedema. But they also commenced her intravenous fluids for the hypotension in addition to dobutamine for inotropic effect.
Achieving the right balance in concurrent use of diuretics and intravenous therapy in thesame patient is very challenging especially in resource constrained settings.
We would be glad to have peoples' experiences or suggestions/recommendations in the management of such a case.
Relevant answer
Answer
actually this is so difficult to give any diuretics patient at home since the pecient is hypotension , the first treatments is the resuscitation of the patient fluid then reassessing of the cases then follow the client at the health facility and giving of the flrocimid drug for edema
  • asked a question related to Maternal Health
Question
6 answers
I am conducting research for a Health Psychology MSc. My chosen topic is to explore racial healthcare experience disparities, and healthcare inequalities, in the maternal/perinatal period. I am trying to find an appropriate health psychological theories that can be applied to these to help underpin my research and interview schedule.
Thank you.
Relevant answer
Answer
This article may be
Exploring the Group Prenatal Care Model: A Critical Review of the Literature useful.published J perinatal education 2012
ALSO
THIS ARTICLE RELATE 2019
  • asked a question related to Maternal Health
Question
6 answers
Schistosomiasis morbidity has been reported to be associated with adverse pregnancy outcomes like low birth weight, prenatal death and maternal death. The most implicating risk factor is anaemia. Recent studies have also stressed the poor immunogenicity of vaccine in neonates of untreated infected mothers and there have been reports on the occurrence of proinflammatory cytokines associated with Schistosoma fibrosis in neonates of infected mothers suggesting a possibility of congenital transmission and adverse effects in neonates. While the WHO has recommended the administration of praziquantel to infected mothers during pregnancy (though without many randomized control trials as at the time of the recommendation), recent evidences have however shown beneficial effects as regards non-treatment during pregnancy. In one study, the children of treated women were reported to show high prevalence of eczema! Furthermore, the most acclaimed risk factor of infection (anaemia) which is the major cause of LBW, prenatal death etc was reported not to be associated with schistosomiasis ruling out coinfection with hookworm and Plasmodium falciparum. Infact another observation showed no association between mother's infection and response to vaccination in children. I want your opinion in this regards as Schistosoma researcher. If you have done something related to this subject matter, I would love to know your findings.
Relevant answer
Intestinal schistosomiasis infect the intestines and result to abdominal pain, diarrhea and other symptoms. The usual treatment for schistosomiasis is praziquantel which proves effective treatment in all forms of schistosomiasis. Pregnant woman who has schistosomiasis should be treated as it affect the uterine during pregnancy. Infection of schistosomiasis are also proven to be transmitted by the child thus having congenital infection. Praziquantel can be recommended to pregnant woman as WHO stated that it can decrease the burden and improve the pregnancy and fetal outcomes. There are also studies stated that “animal reproduction studies have failed to demonstrate a risk to the fetus” (Friedman et al., 2017). This explains that it can also be administered to humans with high possibility that it will not risk the fetus as well. But for now, as WHO recommended, praziquantel can be used to treat pregnant patients with schistosomiasis.
References:
  • asked a question related to Maternal Health
Question
6 answers
I'm doing an epidemiological major and I am still creating my thesis. So if we give a supplementation for breastfeeding to women how long will the composition of milk be changed? Please share.
Relevant answer
Answer
When the baby absorbs the nipple, a neurotransmitter will pass on to the pituitary gland and hormones called prolactin and oxytocin are produced. Prolactin hormone transfers orders to change blood to breast milk, and oxytocin hormone works to propaves breast milk that accumulates in breast canals.
  • asked a question related to Maternal Health
Question
4 answers
This is related to a research project I am working on - " The role of De-worming drugs during pregnancy in determining Birth Weight: Evidence from India’s latest Family Health Survey "
According to the NFHS- Roughly, 5% of the sample (n=5,000) had used drugs to rid of intestinal worms during pregnancy - most of them got this at the public health centers - There is no information on which drug or the frequency or which trimester.
I am looking for any material that chalks out the national government's guidelines or recommendations on the use of deworming/anthelminthic drugs during pregnancy(either mebendazole or Albendazole or both).
I know that WHO recommends Mebendazol in the last 2 trimesters in regions with high prevalence of parasitic infections -
Also, from your last email Dhruv - I understood that both are available at public health centers.
Are Anganwadi or ASHA workers given any guidelines regarding these during antenatal checkups for anaemic women?
I have surfed the net and googled enough for the last few days - I must be using the wrong keywords.
I would really appreciate it if you could give me some information on the practices followed in the public health system or pass on any written material on the issue. If you can think of someone who would know more - please fee free to pass on my question & contact.
Relevant answer
Answer
It is not recommended to take pharmacological doses of Anti-helmenthics during pregnancy, but it is preferable to take natural substances that have similar properties to medications such as taking small doses of pomegranate peel powder with honey and for no more than five days...
  • asked a question related to Maternal Health
Question
10 answers
A questionnaire which can assess anxiety in pregnant women.
Relevant answer
Answer
Is this topic still relevant? Anyway, I know prof Van den Bergh described the PRAQ in her dissertation. If you can get a copy of that (perhaps as her here, on Research Gate?)..... And prof Huizink did quite some work on it too, I believe. Can either of the profs help?
  • asked a question related to Maternal Health
Question
4 answers
I am looking for opinions and primary research that attempts to answer this question.
Relevant answer
Answer
Dear Katherine, 
Thanks for this good question, Early offer donor milk affects maternal milk contribution check these links for your answer http://journals.sagepub.com/doi/pdf/10.1177/0890334416632203
Journal of Perinatology 33, 446-451 (June 2013) | doi:10.1038/jp.2012.153
  • asked a question related to Maternal Health
Question
8 answers
Does anyone know of any specific guidelines (UK, europe or US) for follow up of patients with preeclampsia or gestational diabetes post delivery?
In particular  which patients to follow up, when to start and stop follow up, what parameters to measure and how often (e.g. 3-monthly, yearly?).
Relevant answer
Answer
For gestational diabetes, in the US, ACOG recommends a 2 hour Glucose Tolerance Test to be done at the 6 weeks post partum visit to screen for Type 2 Diabetes with our gestational diabetics.
  • asked a question related to Maternal Health
Question
7 answers
As per literature search, I found that most of the systematic reviews on corticosteroid therapy in prevention of pre-term birth complications are conducted in high economic countries. I am interested to do a systematic review on corticosteroid therapy in prevention of pre-term birth complications in middle and low economic countries, where there is a high infant mortality rate due to pre term delivery. Iam completely new to this concept. Your contribution, suggestions and support is required to design, conduct and publish this study. I hope any one who are expertise in this area can help me. 
Thank you
Relevant answer
Answer
Hi Narayana
A word of advice about your review, don't forget to consult with or better yet, add a librarian to your review team.  Many librarians have developed special skills in crafting comprehensive search strategies and we also know how to work the different search interfaces. Both Cochran and the IOM (or rather, its new name) recommend working with a librarian for systematic reviews.  There is much more to searching than most clinicians and researchers realize.  Without the search specialist on your team, it is quite likely that you will miss some pertinent stuff.
Good luck on your review.
Karen
the librarian
  • asked a question related to Maternal Health
Question
23 answers
I need to know the cases of mortality rate increased
Relevant answer
Answer
Why ? chloromphenicol.you can use analogue of chloramphenicol and has a similar spectrum of activity such as Thiamphenicol.
return to your question: Birds  you treated with chloromphenicol may be  exposed to a septicemic shock. 
best regards
  • asked a question related to Maternal Health
Question
3 answers
Hi!
I am doing a research paper regarding the Effects of Zoonotic Pathogens and their transmission to slaughterhouse workers. Zoonoses are prevalent in areas wherein there is exposure to livestock. Slaughterhouses workers are exposed to them everyday. My question is, How do the working conditions in slaughterhouses affect the transmission of zoonotic pathogens amongst workers?
Thank you! :) 
Relevant answer
Answer
I'm sure the article from the link above will be very helpful,
Best regards.
  • asked a question related to Maternal Health
Question
2 answers
Sympathetic baroreflex activation and vagal suppression is a branch of early onset preeclampsia.
Relevant answer
Answer
Many thanks for your reply. It looks promising.
  • asked a question related to Maternal Health
Question
1 answer
My prior and current works on small ruminant reproductive disorders indicate a huge problem of abattoir pregnancy wastage in Ethiopia. Whereas this holds significantly negative economic and ethical implications, it also offers unique opportunity for exploring pregnancy physiology and fetal development in depth. I am particularly interested to investigate genital microbiome and immunological functions in gravid uteri and fetus. As previously mentioned, acquiring necessary study specimens is manageable. Therefore, I am looking for potential partners capable of offering facilities and support for advanced gnomic diagnosis.
Relevant answer
Answer
  • asked a question related to Maternal Health
Question
5 answers
I have read the recent withdrawal of the recommendation to use Diclectin for morning sickness. Pyridoxine is recommended in its place. Diclectin contains 10 mg, but the smallest dose of pyridoxine I can find at the pharmacy is 100 mg. I would like some opinions from obstetricians and midwives as to what dose they recommend.
Relevant answer
Answer
The above comments confirm that there is no published research about taking oral pills of B6 for nausea and vomiting during pregnancy.  My experience as a midwife for 35 years shows that B6 has no positive effect on NVP during  pregnancy.  Perhaps because the women are too sick to take pills. Or it is just too late.  The above comments imply that too much is harmful but only fat soluble vitamins can be toxic . B6 is water soluble and excess is urinated in the urine.
I have found that taking 50 mg a day for 3 months before conception prevents NVP.    I published this.    50 mg dose is available at www.puritan.Com for $6 for 3 month supply
A 10 mg dose would also do it, but I can no longer find less than 50 mg to buy
Women taking B complex pills with B6 inside found no deceased NVP during pregnancy, so encourage only B6 not B complex. 
I know of no other researchers who research the use of B6 to prevent NVP.  Would be interested in hearing from any one like that.
  • asked a question related to Maternal Health
Question
32 answers
I'm very interested in this maneuver because it is common practice though there is little evidence on it.
who has interesting research ideas on this topic? who has already useful protocols and instruction tools for this maneuver?
Relevant answer
Answer
Cars are for the most part reliable.   However, when a certain tire is found to be faulty and risk the lives of 1 in 100,000 users,  it is taken off the market.  NO RCT STUDY IS DONE.  It is taken off the market because it might kill a man or two.  But not so when women are involved.   Killing a woman here or there is just irrelevant collateral damage, according to the person who thinks we need an RCT to know if fundal pressure is dangerous.  Because here we have in this discussion, experienced practitioners with decades of experience who say,  FUNDAL PRESSURE WILL DIRECTLY CAUSE UTERINE RUPTURE and/or destruction of the spleen, both of which are life changing events and sometimes life ending events.  And it is not as if anything bad would have happened if you DID NOT DO FUNDAL PRESSURE.  The baby would have delivered for sure.  Fundal pressure just satisfied the need to move the woman out of labor and delivery ward.   At least when a tire is faulty, well the car was useful at getting the person to another location. But fundal pressure has no need to be used at all.   All those babies will come out, just a bit later.   And the kind owners of the RESEARCHGATE.NET give us a method of communicating facts to each other, so that we dont have to reinvent the wheel and do unnecessary RCT studies about KNOWN PROTOCOLS THAT KILL AND MAIM WOMEN,  like the known and ever present DANGERS of fundal pressure.  Cathleen Gavel obviously is young  and thinks she just discovered some terrific way to deliver babies by using fundal pressure instead of letting the uterus and the mother push it out.   Instead of learning from others,  she wants an RCT .    That defies all logic.  And everyone on this list who has worked for 20 years or more knows it.    Obviously when people are being observed in an RCT, they will be extra careful not to explode the spleen, and the study will be small and not large enough to wait for the inevitable uterine rupture or spleen explosion.   After FUNDAL PRESSURE Is found to be supposedly safe in some study that has not enough participants to say anything, god forbid, then people will go back to rupturing uterus and exploding spleens and now they can do it without remorse because of some small RCT study, by someone who is resistant to listening to people with 35 years of experience,   says so.    To hear anyone say that a RCT study of FUNDAL PRESSURE IS needed, is like saying we need a RCT study to see if we should use hair dryers while in the shower, or whether female genital mutilation, removing the clitoris, increases female sexual pleasure etc etc.    If the purpose of the study is to justify killing women, then it is a very good idea to do a RCT on Fundal pressure.   
  • asked a question related to Maternal Health
Question
3 answers
We are currently conceptualizing a mixed method study on perinatal experiences of  women of childbearing age in a rural community for the purpose of improving perinatal services to women and ultimately decrease maternal morbidity and mortality.
Relevant answer
Answer
Sounds like a very interesting study! Bronfenbrenner's ecological systems theory may be helpful, and also pairs well with life course theory, which I was happy to see mentioned above.  I find ecological systems theory to be very flexible, allowing researchers to simultaneously attend to how individual, relational, community-level, and systems-based factors shape a person's experiences. This theory can even account for "chronosystem" influences like historical context and developmental period. 
  • asked a question related to Maternal Health
Question
1 answer
Relevant answer
Answer
Dear Nurussolehah Yusof,
Here I send you a paper we wrote about it:
  • asked a question related to Maternal Health
Question
6 answers
One of the only things missing from YouTube is a triplet home birth. I am looking for a woman willing to deliver her full term triplets at home and post the video example to counter the endless effort to define labor and delivery as extreme sport.  Safe triplet deliver at term would be fairly easily accomplished because triplets are small and it is possible to deliver all three within 10 minutes if the woman pushed in squatting, with some coaching.
Relevant answer
Answer
Triplet pregnancy
In my country, not recommended triple birth pregnancies at home
The exceptions to vaginal delivery include the following:
Presenting triplet in breech position
Conjoined twin anatomy
Most cases of mono-amniotic twins
Signs of fetal distress or an abnormality that warrants abdominal delivery
Higher order births
In my country, cesarean delivery is planned for higher order births
Although the frequency of multiple gestations is lower than singleton gestations, multiple gestations account for a disproportionate share of neonatal morbidity and mortality. Much of this can be attributed to a higher rate of preterm delivery for multiple gestations. The mean gestational age at delivery is 35 weeks for twins, 32 weeks for triplets and 29 weeks for quadruplets. As a result, 25% of twins and 75% of triplets require admission to the neonatal intensive care unit (NICU). Neurologic outcomes also appear to be worse in multiple births. When matched for gestational age at delivery, infants born from multifetal pregnancies have an approximately 3-fold increase in cerebral palsy (see the Gestational Age from Estimated Date of Delivery calculator). There is an approximate fivefold increased risk of stillbirth and sevenfold increased risk of neonatal death.
Monochorionic gestations are at risk for twin twin transfusion syndrome (TTTS) which can occur about 15% of monochorionic pregnancies. TTTS is thought to be caused by vascular anastomoses within the placenta causing one twin to become underperfused (the "donor" twin) and the other twin to show signs of overperfusion (the "recipient" twin). Pregnancies complicated by TTTS are at significantly increased risk of neonatal morbidity and mortality.
Maternal morbidity is also increased in a multifetal gestation. Women with multiples are more likely to be hospitalized with complications including preterm labor, preterm premature rupture of membranes, preeclampsia, placental abruption, pulmonary embolism, and postpartum hemorrhage. As a result, hospital costs are higher in these pregnancies.
  • asked a question related to Maternal Health
Question
20 answers
A 35 years old lady, a known case of Psoriasis is on Homeopathic treatment. She has been married for the last 2 years and has now reported for evaluation for infertility. She has normal menstrual periods. Her general, systemic and pelvic examinations are within normal limits except for psoriatic patches. Laboratory investigations are normal. On pelvic USG, uterus is normal size and endomyomtrial echotexture is normal. There are 2 small subserous fibroids, one small cyst in right adnexa adjacent to ovary (? parovarian cyst) and an endometrial polyp of 13 x 8 mm size. Planning for hysteroscopic polypectomy. Can one go ahead with laparohysteroscpic evaluation in this case along with polypectomy?
Relevant answer
I would carry out a hyeteroscopic polypectomy in the first instance. Laparoscopic evaluation will be done only if no success even after polypectomy. The question I often ask myself is "what is the size of a polyp that can have an effect thus needs removal?"
  • asked a question related to Maternal Health
Question
13 answers
A 23 years old girl has been having recurrent vaginitis for the last one year.She has been in relationship for the last few years. Barrier contraception is being used with the present partner. She used to have unprotected intercourse with the previous partner. The clinical picture is that of fungal vaginitis. Local antifungal agent, Clotrimazole (at times along with Clindamycin) have been administered few times. She was put on once a week Flucanozole tablet for 6 weeks. The couple had taken combination of Azithromycin, Flucanozole and Secnidazole few months back. GTT done recently is WNL. HIV and VDRL were done in February and repeated few days back. They are non reactive. High vaginal swab has been taken for culture. Vaginal secretions have been collected for cytology. Report is awaited. How to manage this case?
Relevant answer
Answer
The screening process has been methodical with extensive screening for STI's , Diabetes and  immune compromise undertaken. Repeat antifungals x 6 administered. Barriers are in use: Penis-vaginal transmission ruled out.
Is there another source for the vaginitis? gut and oral sources come to mind. Any information on whether cunnilingus and /or fellatio is practiced. Source/pool Identification
Suggest a medication break, diet change -try yogurt alternate day as a meal item or snack , avoid antibiotic use. How about some pro-biotics?  
  • asked a question related to Maternal Health
Question
8 answers
Hello,
I need Literature review on the following points. can somebody please help?
1. Importance of Maternal Health and how its link with child health?
2. Maternal Health in developed and developing countries.
3. Spatial Distribution of Maternal Health in slums, international slums and Pakistan slums.
4. what research gap do we see in Pakistan for the above points.
My topic is Assessing Maternal health, practices in slums of Islamabad.
Best,
Hina
Relevant answer
Answer
These are just general comments and might be useful. 
1. Importance of Maternal Health and how its link with child health?
Ans: WHO, UN and INGO's has numerous documents on this. Very easy to find. It has latest updates and critical reviews. 
2. Maternal Health in developed and developing countries.
Ans: World bank data can be used for comparative analysis among developed and developing countries (P.S. this terminology is being replaced with low-income, middle income economic countries). 
3. Spatial Distribution of Maternal Health in slums, international slums and Pakistan slums.
Ans: In my opinion, it would be difficult to map distribution in slums (esp in case of Pakistan) where you don't have boundaries and cannot have a visual representation. Secondary Data would be (if available) for whole of slums. When collecting primary data, even with GPS locations you can't generalize for whole neighborhood because of unplanned settlements and variable densities. 
4. what research gap do we see in Pakistan for the above points.
Ans: Download MICS survey data to know about current women health and child care. Also see old reports for analyzing improvement (or deterioration) in health sector in Punjab Province. Identify sector on which needs improvement based on this data. Assess health policy success and failures, and reasons and potential for further improvement. 
Best of luck for you research. 
  • asked a question related to Maternal Health
Question
17 answers
We`ve noticed that the number of abruptio placentae cases has dramatically increased in Ramadan (the month of fasting) in our hospital. Is there any study that links between them?
Relevant answer
Answer
Lakea et al (1997) found in a British cohort study that overweight and obesity in early adulthood appear to increase the risk of menstrual problems, hypertension in pregnancy increasing the risk of abruptio placentae. In a large cohort of singleton pregnancies Aliva et al. (2010) found that the risk of preeclampsia and eclampsia increased significantly with increasing BMI and decreasing age. Extremely obese teenagers were almost four times as likely to develop preeclampsia and eclampsia compared with nonobese women and teenagers were most at risk because of the combined effects of young age and obesity. In estimating risk factors for preeclampsia Baker and Haeri (2012) confirmed that maternal obesity and excessive gestational weight gain place the gravid teen at increased risk for preeclampsia. They suggested that the modifiable nature of these risk factors permits the possibility of intervention and prevention. 
A recent study study of the interrelationship between gestational weight gain, pre-pregnancy body mass index, race/ethnicity with hypertensive disorders during pregnancy showed that although there are some ethnic/racial variations, pregnant women who exceeded gestational weight gain recommendations are at increased risk of hypertensive disorders and risk of abruptio placentae (Masho et al 2016).
  • asked a question related to Maternal Health
Question
16 answers
Expectant management of preeclampsia with severe features?
Dear RG members. 
Do you consider that patients with severe pre-eclampsia could be put into a expectant management protocol? I mean: Do you think that expectant management of preeclampsia with severe features is a reasonable approach?
I appreciate your comments. 
Kind regards. 
Ramiro
PS: references feedback
Obstetrics
Perinatology
Preeclampsia
Maternal-fetal medicine 
Relevant answer
Answer
There are several issues to consider:
First and foremost,the health of the mother is paramount. If the severe feature are an indication of maternal CNS  dysfunction( Unremitting Headache, Visual disturbance) then temporization is unwise and potentially catastrophic.
IT is reasonable to stabilize with IV magnesium and IV anti-hypertensive agents and then reassess. IF after controlling the BP and seizure prophylaxis with Magnesium, the severe symptoms resolve, then  temporization may be considered BUT the risk to mom and fetus from an abrupt acceleration in condition is high and I would not consider it in a setting where emergent delivery  and experienced nursing are not available.
I have found that some patients with severe features are paradoxically volume overloaded( BNP is markedly elevated) and with careful use of Lasix and labetolol the elevated LFTs and low platelets have improved and normalized.  
So if treatment and optimization of the maternal condition is successful, temporization to get a full course of Betamethasone is warranted and likely to be beneficial.
Beyond 48 hrs, temporization is not going to benefit the fetus unless you are either at the limits of viability(22-25 weeks) OR unless you can get at least a week additional maturation in utero.
Remember the ONLY group that did worse in Liggins initial work on steroid for lung maturation was in the hypertensive, proteinuric, growth restricted fetus.
I agree with the other contributor that temporization in the face of severe features after 34 weeks is unwise and unlikely to benefit the baby, in fact, I usually deliver once a full course of steroids is on board after 32 weeks since the survival is over 95% at that GA.
  • asked a question related to Maternal Health
Question
3 answers
can anyone help me to get tool for quantitative study on obstetric violence
  • asked a question related to Maternal Health
Question
7 answers
what is the role of physical therapy in the management of uterine prolapse?
if yes then what type of interventions are useful to be  applied in patients with uterine prolapse? 
Relevant answer
Answer
I recommend two kinds of treatments for pelvic floor strengthening .
one is electrotherapy ( interferential therapy with 4 cups accessories)patient is lying on his or her back and flexed his/her knee and then two cups attached to inner thighs and two lower abdomen and wires are attached so red leads cross one direction and black on the other direction so criss cross way. Both currents should intersect at the pelvic floor muscles and use this for 10 minutes.
2 :
exercises in supine and hold a swiss ball between his or her ankles and ask patient to lift it up and hold there for 10 secs.
Repeat this exercise with ball this time between thighs and hold it and push ball upward .and hold there for 10 secs then repeat 5 to 10 times. 3 -4 times a day.
                                         Good Luck
  • asked a question related to Maternal Health
Question
7 answers
as propoli has many benefits to human and animal, I want to know its effects in pregnancy moman
Relevant answer
Answer
As previously told by Ms Judy Slome Cohain, you usually cannot know for sure whether there is real propolis in supplements.  unless you gather it directly from a bee hive 
Propolis is very expensive so it is open to fraud. 
While it is generally accepted and advertised to be beneficial for humans, the effects on the embryogenesis can not be predicted.   On the other hand, it is not possible to avoid all harmful effects in pregnancy.  A pregnant woman can not be isolated from the real World.  
Detailed information on propolis and animal studies should be obtained initially..  Also women in close contact with bee hives and those   WHO have consumed propolis in early pregnancy should be investigated for adverse affects.
There is always a chance of hypersensitivity reaction.
A substance can not be assumed to be innocent in pregnancy just because it is natural, as previously stated by Mr. Carl Weiner
Best regards.
  • asked a question related to Maternal Health
Question
1 answer
I'm interested in whether employees tend to stay connected to the workplace and their colleagues during maternity leave and, if they do, do employees generally initiate this contact themselves or do employers sometimes have initiatives in place to maintain some level of contact during this leave.
Relevant answer
Answer
I think there should be such research, but you have to use Google search engine to get such research articles and researchers contact that can assist you with a better and detailed information on what you want
  • asked a question related to Maternal Health
Question
2 answers
Does anyone know of social psychoanalytic articles (2002 onwards) detailing older mothers' experiences of pregnancy and child rearing - including stigma and/or pressures from society/culture, family and/or the medical profession and how this affected their parenting? Thanks.
Relevant answer
Answer
Thank you Brenda
I am trying to find articles on mature first time gravidas/primaparas (35 and over), ie delayed parenthood.  I should have clarified.
  • asked a question related to Maternal Health
Question
3 answers
This is for my doctoral thesis and I would like to look at the factors that increase motherly guilt and dissatisfaction or reduce confidence in their abilities and how these affect their mental health.
Relevant answer
Answer
You are welcome Reyhan! I'd love to hear your thoughts about this approach to research (Institutional Ethnography) if you find it helpful :)
  • asked a question related to Maternal Health
Question
9 answers
The woman was diagnosed as genital warts in vagina and uterine cervix in the early pregnancy. She was treated and now the genital warts was not found in vagina and uterine cervix. Can she give birth by vaginal delivery?
Relevant answer
Answer
during pregnancy ,The vaginal walls undergo striking changes in preparation for the distention and increased elastic fiber that accompanies labor and delivery.
The considerably increased volume of cervical secretions within the vagina during pregnancy
The rise in maternal circulating relaxin levels also during pregnancy, increased vascularity and hyperemia develop in the skin and muscles of the perineum and vulva, with softening 
of the underlying abundant connective tissue.
  Risk factors  for lacerations include:
nulliparity, shoulder dystocia maternal position or the use of perineal massage during second stage.
longer second-stage labor, precipitous delivery, persistent occiput posterior position, increasing fetal birthweight,………………..
          used to guide and control the fetal head to avoid expulsive delivery. Slow delivery of the head decrease lacerations. Perineal techniques during the second stage of labour reducing perineal tears .                                                                     
  • asked a question related to Maternal Health
Question
4 answers
Many thanks for your kind assistance with this question!
Relevant answer
Answer
Can you explain a little bit more what you mean? Do you mean you are having difficulty recruiting women with risk factors? Or are you losing tissue samples somewhere?
  • asked a question related to Maternal Health
Question
7 answers
termination of second trimester miscarriage
Relevant answer
Answer
There really are no RCTs on the subject of 2nd trimester abortion with previous Caesarean. Several trials of D&E vs induction for 2nd trimester termination of pregnancy were prematurely halted due to poor enrollment or follow-up.
That leaves us with observational studies. These basically show that major complications are similar in both D&E and induction, but induction has a higher likelyhood of minor complications, notably retained placenta and readmission for infection/retained placental products.
Berghella and Ben-Ami specifically looked at 2nd trimester abortions in women with prior Caesarean deliveries. Ben-Ami et al compared 2nd trimester  D&E in women with and without prior Caesarean and the only differenc ein complications was that cervical laceration was more common in women with a prior Caesarean.
Berghella found 2 cases of uterine rupture in 461 cases of 2nd trimester labour induction abortion (0.4%) in women with 1 prior Caesarean.
Pubmed links to the articles below:
The long and short of it is that there is no compelling evidence to suggest one method over another so it is a decision to be made between the woman and her care provider. Local expertise with D&E varies so that certainly influences the options as well.
  • asked a question related to Maternal Health
Question
2 answers
maternal health in urban displacment ?
Relevant answer
Answer
Sorry, this is not in my research field.
  • asked a question related to Maternal Health
Question
6 answers
Someone could help with paper indication or reports of studies (prevalence and or qualitative) that had  evaluated somehow the abortion from a male perspective?
Relevant answer
Answer
Hi Dr Diehl, One of our Masters students wrote a paper on this, in her first year of the degree.  She also did an amazing conference poster and keynote speech on the topic, at the UK's Association of PsychoSexual Nursing, in 2012. 
Papworth V (2011) Abortion services: the need to include men in care provision. Nursing Standard. 25, 40, 35-37. Date of acceptance: March 4 2011.
Best wishes,
David
  • asked a question related to Maternal Health
Question
3 answers
1-what do you think are the most appropriate quanti and quali study designs/methodologies to investigate the relation between caffeine exposure during pregnancy and births before 37-41 weeks of gestation ?
2-what are the ethical considerations to be taken into account during this study ?
Relevant answer
Answer
See our article in the European Journal of Public Health, Vol. 23, No. 3, 480–485
doi:10.1093/eurpub/cks089
Risk factors of preterm birth and low birth weight babies among Roma and non-Roma mothers: a population-based study.
In the multivariable logistic regression model (non concerning ethnic differences) the effect on PTB of non-daily versus daily consumption of caffein was: OR=0.97 95%CI=0.84–1.26 p=0.899.
  • asked a question related to Maternal Health
Question
27 answers
This woman is at 20 weeks of gestation. She is Rh negtive and her husband is Rh positive. No Rh antibody was detected a week ago. Her first baby died from Rh hemolytic disease. What should we do for this woman?
Relevant answer
Answer
First of all, please be sure that the previous baby died of HDN, no other causes. Now, if that is confirmed, there is no use of doing indirect Coomb's test titre. rather start fetal monitoring from 18 weeks, preferably by Middle Cerebral Artery (MCA) Doppler velocimetry. If the PSV (Peak systolic velocity) of MCA is more than or equal to 1.5 MOM (multiples of median), consider cordocentesis and then dependning on fetal hematocrit, you may need intrauterine transfusion. If MCA PSV is less than 1.5 MOM but more than 1.29 MOM< then repeat the test every 2-7 days. If MCA PSV <1.29 MOM, then repeat every 7-14 days. 
  • asked a question related to Maternal Health
Question
5 answers
Dear friends, I need your valuable suggestions / feedback on following points.
1. Why we are not calculating (Maternal Mortality Ratio)MM-Ratio for districts / blockwise / villagewise in India specifically or developing countries?
2. Why we are not using MM-Rate in India / developing countries?
3. Suppose, if you want to give rankings to districts of maharashtra regarding progress in Maternal Health, which indicator we should use? Please reply
Relevant answer
Answer
Dear Suhas,
The maternal mortality ratio (MMR) is defined as the number of maternal deaths during pregnancy or within 42 days after the termination of pregnancy per 100,000 live births during a year. Accidental deaths are excluded. It is calculated as the number of maternal deaths during a given year per 100,000 live births during the same period – and is hence strictly speaking a ratio.
(The term maternal mortality rate is to be reserved for maternal deaths per 100,000 women in the reproductive age group – a rarely used statistic best left alone!!)
Since maternal deaths are relatively infrequent occurrences, a very large sample size is required to give an MMR estimate with any degree of confidence. Most of these sample surveys are much smaller than the size required- at best they give a state level estimate – not district level estimates.
The most often cited source is the National Family Health Survey of year 1992-93 (NFHS –I) and the year 1998-99 (NFHS- 2). The sample size of NFHS was 90,000 households and this was barely adequate even for a national estimate. Its state level estimates were even more unreliable. The limitation of even its national estimate is made clear by comparing the two NFHS estimates. Thus in NFHS -1 it reported a maternal mortality ratio of 437 in NFHS -1 for the two years preceding the survey, and in NFHS -2 it reported an MMR of 520, but they could not confirm whether this represented a real increase in MMR or just a “not significant” statistical variation.
Maternal mortality rate is currently not available from the routine demographic sources like Census, National Sample Survey (NSS) and the Sample Registration System (SRS). The Registrar General of India (RGI) registers all deaths and births and this should give us an estimate. The caution is that birth and death registration in India still remains very incomplete and this is more so in states where higher mortality is expected. Thus the routine death report analysis of the RGI office is not useful for this. The RGI office also conducts the Sample Registration System which is much more accurate for birth and death registration. In two years, 1997 and 1998, the RGI office did come up with SRS based estimates which at the national level were plausible but its state estimates were considered unreliable.
One option is to get a large size maternal mortality study done. This requires a very large sample and would be very costly and impractical. The other is to try to arrive at it from death registration figures or from sub-center reports. Unfortunately these reports are often very incomplete and tend to grossly under report maternal deaths.
One possible approach has been called the sisterhood method. This method makes use of the data collected from female respondents in a sample survey on the number of ever-married sisters they had, the number who were not currently alive and the number who died while pregnant, during childbirth or within six weeks after delivery. This procedure cuts down the required sample size drastically because women generally have several sisters who could have been exposed to the risk of maternal mortality each time they were pregnant.
The two proxy indicators in use in combination are skilled assistance at birth (safe delivery) and couple  protection rate.
Moral: Do not set goals for MMR- because it cannot be measured reliably at the district level. Setting goals for skilled assistance at births is as useful and much more reliable as an indicator!!! But do keep track of maternal deaths and investigate all deaths through Verbal Autopsy if possible”.
  • asked a question related to Maternal Health
Question
6 answers
Please, advise me any publications in this topic would also be helpful. 
Relevant answer
Answer
just because they are close does not make them the same!  The endometrium is a completely different environment and I would say not influenced by what is going on in the cervical region 
  • asked a question related to Maternal Health
Question
4 answers
I am looking for information on male involvement in antenatal education and my interest is to have information on what was delivered to men during the health talks. These projects were done in Kenya by ICAP in 2012/2013, South africa in Durban by Population Council in 2004 and another one in Nepal in 2005/2006. I know in High income countries they have organized sessions for couples and it will be good to learn as well what is in their curriculum for couple counseling. I will appreciate if I get the information or the contacts of these organizations so that I can access the information.
Relevant answer
Answer
Thank you Ian
Kind regards
  • asked a question related to Maternal Health
Question
4 answers
We are studying the effect of major life stressors on preeclampsia in rat and human. What must be measured in pregnant subjects to better illustrate the situation?
Relevant answer
Answer
Dear Colleagues
I appreciate all your valuable comments and suggestions.
sincerely
Ehsan Saboory
  • asked a question related to Maternal Health
Question
10 answers
I am asking this because I feel there is no such document and I am interested in designing one for childbearing women. Please midwives, obstetricians help.
  • asked a question related to Maternal Health
Question
12 answers
In line with achieving the MDG 5.
Relevant answer
Answer
For Kenya-specific Maternal Mortality Data, consider
1) Demographic Health Survey of Kenya in 2014:  http://dhsprogram.com/what-we-do/survey/survey-display-451.cfm
For a broader context on maternal mortality estimates by region, see table 2 in this 2012 Lancet Paper by Say et al:
1) Global causes of maternal death: a WHO systematic analysis
  • asked a question related to Maternal Health
Question
4 answers
new experiences  .....cooperation.
Relevant answer
Answer
STBM microparticles released from the maternal part of the bearing with the development of the fetus. In a normal pregnancy the placenta is the most-developed at 36-40 weeks. In addition, they circulate in the blood to the collapse of the spleen. In most of the microparticles is emerging STBM and pregnancy complicated: preeclamsia. In IUGR bearing is failing is probably STBM microparticle concentration in the blood is lower
  • asked a question related to Maternal Health
Question
3 answers
This scale is used to describe the extent to which women feel in control during childbirth.
Relevant answer
Answer
I don't think that you need any permission. You can use this validated scale for your researc. Good luck from Trudy
  • asked a question related to Maternal Health
Question
9 answers
Is there any reference indicate that the early supplementation may decrease milk production due to less frequent breastfeeding, developing breastfeeding difficulties, reduced maternal breastfeeding confidence, and perceived insufficient milk supply?
Relevant answer
Answer
Early introduction of formula or glucose solution reducts breastfeeding rates and duration. Citation from my paper ( Factors Associated with the Duration of Breastfeeding in the Freiburg Birth Collective, Germany (FreiStill), R. Rasenack1, C. Schneider1, E. Jahnz1, J. Schulte-Mönting2, H. Prömpeler1, M. Kunze1 Geburtsh Frauenheilk 2012; 72: 64–69 ): "The breastfeeding situation on the first postpartal day has a considerable influence upon the duration of breastfeeding. Women who, following birth, can nourish their babies on the breast alone frequently breastfeed their children for longer than six months. When glucose solution is orally administered in addition, the percentage of children breastfed over a longer time is lower. With formula supplementation nutrition the percentage of children breastfed longer than six months declines significantly." More literature with the same result: Haggkvist AP, Brantsaeter AL, Grjibovski AM et al. Prevalence of breast-feeding in the Norwegian Mother and Child Cohort Study and health service-related correlates of cessation of full breast-feeding. Public Health Nutr; 13: 2076-2086,  Declercq E, Labbok MH, Sakala C et al. Hospital practices and women's likelihood of fulfilling their intention to exclusively breastfeed. Am J Public Health 2009; 99: 929-935,  DiGirolamo AM, Grummer-Strawn LM, Fein SB. Effect of maternity-care practices on breastfeeding. Pediatrics 2008; 122 Suppl 2: S43-49
  • asked a question related to Maternal Health
Question
4 answers
This is important to move forward health and social equity research.
Relevant answer
Answer
Southern blot is the most common method to look at telomere length, which we have used extensively.  However, it depends on how sensitive you need it to be.  It may not be sensitive enough to detect very small differences in length over multiple samples.  Some PCR based methods are more involved, but may give you more sensitivity after optimization.
  • asked a question related to Maternal Health
Question
5 answers
I am researching the psychological effects of birth trauma to women and an emerging theme of 40 interviews appears to be PTSD. However, it would be beneficial to examine the accuracy of this theme.
Relevant answer
Answer
Dear Beatrice and Daniel
 Thank you so much for this great information - I will also  share this with Prof Hans Peter Dietz - the head of this research team re levator ani/ OASIS birth injuries.
  • asked a question related to Maternal Health
Question
4 answers
Eclamsia is a major cause of maternal mortality, morbidity and adverse fetal and neonatal outcome. There are research attempts to investigate the factors associated with eclamsia; but is there any recent finding that suggests the association of eclamsia with specific nutrient deficiency in developing countries.
Relevant answer
Answer
Yes interesting we are investigating the topic where severe anemia is associated with  preeclampsia.   Furthermore calcium Vit D, Zinc  deficiency  were found to  be associated with  preeclampsia.  Perhaps through  antioxidant effect,
  • asked a question related to Maternal Health
Question
2 answers
Working on a maternal health project
Relevant answer
Answer
O' lord i barely speak English.
  • asked a question related to Maternal Health
Question
1 answer
How can I manage a decrease of maternal CO during Cesarean section ?
Relevant answer
Answer
 Can you provide a few more specifics? For example preoperative morbidity - has she valvular heart disease, a cardiomyopathy or what? Also, what sort of anaesthetic are you using and are you measuring cardiac output? What is causing the decrease in cardiac output?
The simplistic (and not very helpful) answer to your question is to increase it. But depending on cause and amount by which the CO is decreased there are a number of possible options including nothing at all (i.e. watch and wait), but we need more details.
  • asked a question related to Maternal Health
Question
4 answers
For a case of unilateral serous multilocular ovarian cyst with multifocal dermoid cysts incorporated in the wall of the cyst in a 29 years old female with 2 living children?
what about differential diagnosis and possible ones ?
  • asked a question related to Maternal Health
Question
3 answers
As explained in these youtubes, I have been preventing all meconium aspiration by delivery on hands and knees, and waiting a minute or more between delivery of head and body. This gives a minute for meconium and vernix to drain from the lungs, trachea and nose. By the time the body is delivered, the lungs and trachea are clear of all meconium.
Relevant answer
Answer
plus vigorous suctioning
  • asked a question related to Maternal Health
Question
2 answers
We have plasma, that we kept from a previous experiment, that was obtained after separating blood using Histopaque 1077. Now we would like to use that plasma to extract cell free DNA. Would you expect to be able to recover cell free DNA from that plasma? Or would the histopaque 1077 interact with the cfDNA during the blood separation and possible deplete plasma of it?
Relevant answer
Answer
Dear Dr. Mishra,
Thank you very much for your answer.
Clara
  • asked a question related to Maternal Health
Question
9 answers
Severe hypertension 
Relevant answer
Answer
The majority of your female patients with severe post-cesarean hypertension (diastolic pressure > 109 mmHg) will have no acute end-organ damage (hypertensive urgencies). In these patients the blood pressure should be lowered gradually over a period of 24–48 hours, usually with oral medication. Rapid reduction in blood pressure in these patients may be associated with significant morbidity.
In patients with true hypertensive emergencies, rapid but controlled lowering of blood pressure is indicated to limit and prevent further organ damage. However, the blood pressure should not be lowered to normal levels.
The ideal pharmacologic agent for the management of hypertensive crises would be fast-acting, rapidly reversible, and titratable without significant side effects. No single ideal agent exists.
It should be noted that most patients with hypertensive emergencies are volume depleted. Volume repletion with intravenous crystalloid will serve to restore organ perfusion and prevent the precipitous fall in blood pressure that may occur with antihypertensive therapy.
Diuretics should be avoided because of adverse interaction with post-cesarean-dependent fluid depletion.
ACE-inhibitors and A-2-blockers may also potentiate the post-cesarean-dependent fluid depletion.
When anxiety and pain are present, these problems should be properly treated, because this fact may lower blood pressure.
Rapid acting intravenous agents should not be used outside the intensive care unit because a precipitous and uncontrolled fall in blood pressure may have serious consequences.
A variety of different antihypertensive agents are available for use in patients with hypertensive crises. The agent(s) of choice will depend on the end-organ involved as well as the monitoring environment.
Following your description, oral and sublingual nifedipine are potentially dangerous in female patients with post-cesarean hypertensive crises and are not recommended.
Clonidine and ACE-inhibitors (if there is no fluid depletion) are long acting and poorly titratable, but these agents are particularly useful in the management of hypertensive urgencies.
Some ACE-inhibitors are available for i.v. therapy (e.g. by contacting the pharmaceutic company and asking for a 'hospital' formulation).
Reductions in diastolic blood pressure by 10–15% or to about 110 mm Hg is generally recommended. This endpoint should be achieved within 1 hour. Once the end-points of therapy have been reached, the patient can be started on oral maintenance therapy and the intravenous agent weaned off.
  • asked a question related to Maternal Health
Question
1 answer
We captured the raw data of the maternal heart rate as part of another study, but would like to analyze it later to determine possible associations with pregnancy outcome.
Relevant answer
Answer
Maternal HRV is a convinient instrument to evaluate regulatory balance that could promote control of hemodynamics. Variability (oscillations) of maternal hemodynamic processes spreads its influence through placental barrier and provide fetomaternal cooperation. Maternal sinus respiratory arrhythmia is the most valuable oscillator in the system of "mother-placenta-fetus".
  • asked a question related to Maternal Health
Question
12 answers
Most places women give birth in un-natural position like lithotomy position leading to more tears of perineum and also difficult last phase of delivery
Relevant answer
Answer
It is interesting that some of the comments include the "operator" or those "conducting" the delivery. It is worth considering that the woman will birth the baby and have some instinct as to the best position. This said the medicalisation of birth often means that women conform to recumbent position which suits the medical model. Even when there is intervention such as CTG etc a more woman centred approach can be considered.
  • asked a question related to Maternal Health
Question
7 answers
I am researching whether postpartum risk assessment scales are adequately measuring all risk variables that contribute to crimes of maternal infanticide.
Relevant answer
Answer
hi Collette
i just came across a tool named postnatal negative thought questionaire. hope this will give you some idea
  • asked a question related to Maternal Health
Question
2 answers
I assume that restriction of access to emergency obstetric care, which occurs in acute and chronic conflict settings, would result in increased incidence of obstetric fistula. There is some evidence of this in Darfur. I am looking for other settings in which this may be an issue.
Relevant answer
Answer
In conflict situations you can take South Sudan as an example in recent survey minimal estimated prevalence of at least 30 fistulas per 100,000 women of reproductive age (95% CI 10–100) was estimated.
  • asked a question related to Maternal Health
Question
14 answers
Vertical or Transverse
Relevant answer
Answer
If there is already a vertical scar on the abdomen then i would go for a repeat vertical for cosmetic reasons. In addition there could be adhesions from the previous incision and negotiating those through a pfannenstiel or Joel cohen's could be very challenging.
  • asked a question related to Maternal Health
Question
4 answers
Women often do not realize they are pregnant at five weeks, when they may be subject to fevers, infections or take prescription or recreational drugs that can disrupt the regulatory system. Could this explain some de novo copy-number variations?
Relevant answer
Answer
It is my understanding that teratogenesis specifically denotes a malformation of some kind and does not include "subtle" effects that cannot be determined at birth, such as neurological disorders.
What I am really look for is what I asked: Can elevated maternal heat cause copy number variations and if so, would an embryo that is only five or six weeks old be vulnerable to copy number variations if there were an elevation in maternal heat. The source of de novo copy number variations, which are not inherited, does not seem to be well understood, yet we live in a world of cause and effect so I am trying to determine what might be causing de novo copy number variations associated with neurological disorders such as autism and ADHD.
  • asked a question related to Maternal Health
Question
4 answers
A woman was found abnormal TSH at 35+5 weeks of gestation. Her TSH was 4.0 with normal FT3 and FT4. Should she be advised to take levothyroxine?
Relevant answer
Answer
No treatment is required. It is a case of subclinical hypothyroism. What will be the benifit to the fetus if thyroxine is given at 37th week of gestation. Only TPOAbs are to be screened.
  • asked a question related to Maternal Health
Question
6 answers
There is no published trial and it might be an option for pregnancies extremely premature with uterine activity or modified cervix
Relevant answer
Answer
There is any evidence that maintanance tocolysis (independently of chosen tocolytic) helps, neider for prolonging of gestational age, or regardinng fetal morbidity and mortality.
  • asked a question related to Maternal Health
Question
13 answers
We have patient, which had c-section 35 days ago because of preeclampsia at 34 week of gestation. She was in ICU during 16 days because of gestosis complications (oliguria) and was administered hemosorption few times and she recieved meronem 10 days and after that - zyvox for 7 days.
After that she was in nephrological department during next 14 days and already was getting ready to discharge. 3 days ago fever appeared (39,5 degree centigrade), procalcitonin is 100 ng/ml, leucocytes amount 3 days ago was 30*10^9/ml, today - 0,5*10^9/ml and agranulocytosis was detected. It was an episode of low blood pressure (60/30), which was treated with dopamine. In blood Staphylococcus epidermidis is discovered.
Pulse is 130/min, breath rate 40/min, saturation with oxygen is 97%, without oxygen - 92%.
Low-lobe pneumonia and serose liquid in pleura and peritoneum were discovered.
US of kidney and urine samples are normal. US of uterus is normal. No bacteria was discovered in bacteriological investigation of urine and cervix uteri.
Now she receives vancomycin and plasmapheresis.
Where could be nidus (focal point) of infection? What additional examination should we do?
Relevant answer
Answer
Good luck Olga. You do care.
  • asked a question related to Maternal Health
Question
3 answers
Has someone operationalize knowledge of maternal mortality?
Relevant answer
Answer
Gertrude Nyaaba's response aptly describes the situation.
  • asked a question related to Maternal Health
Question
16 answers
Gestational Diabetes Mellitus and Lactation suppression
Relevant answer
Answer
--Delayed lactogenesis may be due to lower prolactin concentrations that are found with maternal obesity and insulin resistance;
-- Longer separation of newborns from diabetic mothers or greater use of non-breast milk liquids in the neonatal period to treat hypoglycemia.
-- Decreased insulin sensitivity may delay milk production as a result of protein tyrosine phosphatase, receptor type F (PTPRF) over-expression in the mammary gland .
1. Lemay DG, Ballard OA, Hughes MA, Morrow AL, Horseman ND, Nommsen-Rivers LA. RNA Sequencing of the Human Milk Fat Layer Transcriptome Reveals Distinct Gene Expression Profiles at Three Stages of Lactation. PLoS ONE 2013;8:e67531
2. Matias SL, Dewey KG, Quesenberry CP Jr, Gunderson EP. Maternal prepregnancy obesity and insulin treatment during pregnancy are independently associated with delayed lactogenesis in women with recent gestational diabetes mellitus. Am J Clin Nutr. 2013 Nov 6. [Epub ahead of print] PubMed PMID: 24196401.
  • asked a question related to Maternal Health
Question
4 answers
.
Relevant answer
Answer
Could you not use CD4 counts and viral load to compare the two groups and relate to out come? They are readily available in our environment. You could also consider using the HIV subtypes eg HIV-! and HIV-II as we know the former is more aggressive. Full blood counts if regular could also be used.
  • asked a question related to Maternal Health
Question
19 answers
What are non-obstetrical causes of maternal mortality?
Relevant answer
Answer
The causes of maternal death in Spain are reflected in this table:
Causes of maternal mortality in Spain
Direct obstetric causes: 50 %
- Hypertension (preeclampsia , eclampsia ) 30.76
- Pulmonary embolism ( embolism includes LA) 23.07
- Obstetric Hemorrhage 23.07
Other causes: 7.7%
Indirect obstetric causes:42,3%
- Cardiovascular Pathology 36.3
- Neurological pathology 27.27
- Infectious pathology 18.18
- Pathology nephrourologic 9.09
- Pathology neoplastic 9.09
- Cause unknown 7.69
  • asked a question related to Maternal Health
Question
4 answers
I am looking for health promotional strategies for increasing the participation of pregnant women in the malaria control programs targeted for them. Does someone have an idea?
Relevant answer
Answer
In Nigeria, we have 'integrated preventive treatment' incorporated into the Focused Antenatal Care along with other ANC care. The essential thing therefore is getting women to attend ANC, once there, they have the preventive treatment and listen to the health talks on Malaria. Where available, the insecticide treated nets are also distributed. A cash reward for ANC attendees was recently introduced by the government as part of a maternal mortality reduction intervention strategy.
  • asked a question related to Maternal Health
Question
2 answers
I am now conducting research on gender in mental health in order to discover differences of care, treatment, rehabilitation between male and female having mental disorders/mental illness.
Relevant answer
Answer
You may also want to review three older texts by Beere 'Gender Roles: A Handbook of Tests and Measures ' and 'Sex and Gender Issues: A Handbook of Tests and Measures' (1990) and Women and women's issues : a handbook of tests and measures (1979). More recent texts include 'Handbook of gender research in psychology, volumes 1 & 2' (Chrisler & McCreary, 2010).
If I were searching in PsycINFO, I would use the specific disorders in which I am interested, choose female as the population, add any other qualifier(s), and be sure to 'limit' those using TESTS & MEASURES from the PsycINFO LIMITS options.
Treatment AND Female[limit:population group] AND tests & measures[limit] AND 300 adulthood <age 18 yrs and older>"[limit:age group] AND yr=2007-Current
resulted in 2038 retrievals. Of course this is a dumpster search that is not very precise. However, the important thing is that EACH of these articles/book chapters will have a listing of the tests & measures used in the articles.
In "Suicide risk assessment: Gateway to treatment and management," there are four tests& measures discussed: Systematic Suicide Risk Assessment, Admission Systematic Suicide Risk Assessment, Discharge systematic suicide risk assessment, and the Reasons for Living Inventory.
Simple if you know how to craft searches and exploit databases, which I have been doing for the past twenty years.
  • asked a question related to Maternal Health
Question
3 answers
24 year old female patient presented with total peripheral facial nerve paralysis at 28th gestational week. She had 2 miscarriages before. Notwithstanding the associated risks and complications she insists on taking steroid treatment. What would your approach be?
Relevant answer
Answer
If you have a Bell's palsy dx or even if the dx is Ramsey Hunt's sindrom it has the same mehcanism which is: inhbition of the motor neural cell in the VII cranial nerv nucleus, produced by the interneural cell (gabaergic) located at the lenticular nucleus, which is functioning in excess because the cortex motor neural cell is been also inhbited. In one word facial nerve palsy has been produced through a disbalance between excitatory and inhibitory neurotransmitters, now you can restore the neurotransmitters equilibrium through differents neuroprotectors but I'll only mention one which is pirirdoxine (vitamine B6), which can be administered by mouth or parenterally, but because it is needed an enough dosis is better to use the intravenously via. It will also produce excellent efects on the fetus brain. If you want deeper information, please e mail me: ramiro.vergara@funda-cyt.com. This is new knowledge generated at Fundacyt.
  • asked a question related to Maternal Health
Question
3 answers
Is there any documentation that list the use of herbs to induce, reduce labor time, and decrease labor pain?
Relevant answer
Answer
If you know any herbal medications please share so we can learn from your experience
  • asked a question related to Maternal Health
Question
14 answers
Just to clarify, I am talking about POST eclamptic seizure, NOT in the case of severe pre-eclampsia. M
Relevant answer
Answer
No it does not have to be a C/S delivery It will depend on your vaginal examination findings that is whether the cervix is dilated etc.
  • asked a question related to Maternal Health
Question
59 answers
To prevent retention of placenta and also with reference to delayed cord clamping.
Relevant answer
Answer
Hi Prabhat,
I understand that the conversation has drifted but the first premise needed to be challenged i.e. that all women need artifical oxytocin. The research upon which medicine bases AMTSL is flawed in that no researchers controlled the critera for who was eligible for physiologial 3rd stage care nor how it was defined or delivered.
  • asked a question related to Maternal Health
Question
12 answers
What is your experience with efficacy of metformin in achieving ovulatory cycles?
Relevant answer
Answer
I prescribe 1000-1500mg daily,divided dose for 3-6month.patient before,during and after use should be checked ;liver enzyme,cr,...
  • asked a question related to Maternal Health
Question
11 answers
Calcium channel blockers may cause periferal edema. Does it contribute further pathological fluid retension?
Relevant answer
Answer
Yes, you are right, howerever, when the clinical features are characteristic (obesity, serious edema, mild hypertension with just significant proteinuria appearing after the 34th week, and normal weight's or large fetus) one can be sure that this is not a true (early-onset) PE. In such ceses we use alfa-methydopa, urapidil and frequently diuretics (when hemoconcentration is not serious).
In cases with doubt we do hemodynamic examination with impedance cardiograph.
  • asked a question related to Maternal Health
Question
2 answers
I am looking to write an article about maternal depression and would like some stats on depression beyond PND.
Relevant answer
Answer
Thank you! Glad to see someone finally answered :-)
  • asked a question related to Maternal Health
Question
61 answers
Most countries, other than the USA, have some sort of social support to assist new parents. The duration or paid leave is varied, as is the percentage of salary that mothers receives. What are the goals of maternal paid leave in each country? Do countries evaluate the efficacy of the program? Are there long-term impacts that have been researched?
Relevant answer
Answer
In Germany, maternity leave started in 1878 (an employment ban for three weeks after giving birth to a child). In 1883, public health insurance was installed, which included payments for women in childbed as well. We had a major reform starting in 1986 that aimed to ensure social protection for a period of three years for parents (mothers and fathers alike). Parents were protected agains dismissals for 3 years, 24 month of which were paid parental leave. This, however, led to rather long work interruptions of mothers (compared by international standards) which is seen as one reason for the rather high gender wage gap in Germany. The reform of 2007 aims to reduce these work interruptions and to promote active fatherhood. Thus, paid paternity leave was reduced to 14 month, with 2 months to be taken by the father. You can send me an e-mail (joerg.althammer@ku.de) and I will give you more information about this reform and Germany's family policy monitoring program.