Questions related to Maternal & Child Health
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.
My application requires people that i will visit to discuss my project. my project is about maternal and child health outcomes reduction through preconception care. please if interested on my project, please list your contacts and your organization to find you once i reach USA and our sponsors will contact you before. i want 10 people one should be from rural areas. Thank you for your support. i am waiting you soon
As I am currently going to start a study on IMNCI program outcome, the information is very much needed for the objective of health policy advocacy.
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.
I would like to know if live birth receives a different ICD-10 code and incur a significantly different cost when compared to fetal death (may also be referred to as miscarriage, spontaneous termination or spontaneous abortion). Does the cost depend on the method of payment - self pay, Medicaid or HMO? Does the gestational age play a role in coding and/or billing?
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.
We have beendiscussing research. I would like to have partners on my current study on "Public and Private providers of maternal and child health care services."
This ia purely social science research that extends an arm to produce cutting-edge research in healthcare systems, capacity and management.
I am willing to share a draft with an interested partner.
Please see the following:
The Labile Side of Iron Supplementation in CKD
Itzchak Slotki* and Zvi Ioav Cabantchik†
*Division of Adult Nephrology, Shaare Zedek Medical Center and Hadassah Hebrew University of Jerusalem, Jerusalem,
Israel; and †Department of Biological Chemistry, Alexander Silberman Institute of Life Sciences, The Hebrew University of
Jerusalem, Jerusalem, Israel
The practice of intravenous iron supplementation has grown as nephrologists have
gradually moved away from the liberal use of erythropoiesis-stimulating agents
as the main treatment for the anemia of CKD. This approach, together with the
introduction of large-dose iron preparations, raises the future specter of inadvertent
iatrogenic iron toxicity. Concerns have been raised in original studies and reviews
about cardiac complications and severe infections that result from long-term
intravenous iron supplementation.
J Am Soc Nephrol 26: 2612–2619, 2015. doi: 10.1681/ASN.2015010052
My name is Alaya and a new addition to this insightful platform. I am researching into a reach topic in two areas (policy and health systems and the area of maternal and child health) for a potential PHD application.
Any suggestions on a research question for a PHD in either policy and health systems or maternal and child health
If anyone has good research resources or expertise in this area that I can refer to or read, please send it my way. I am part of a determinants of health team providing support to another team regarding this topic.
Inclusion Criteria: children aged 0-6yrs, Canadian research, up to date (last 5 years), and peer reviewed.
i was doing some analysis related with maternal mortality by using DHS data sets of sub Saharan African countries. however, i faced difficulties getting the specific variable name of maternal death and ANC from sub Saharan African countries data sets.
There is high maternal and child mortality in sub-Saharan Africa countries and the solutions could be found at the community levels by promoting the cultural best practices.
I'm looking to measure maternal bonding in mothers 1-4 weeks post-partum but will be using a non-clinical sample.
Many of the questions used in measures of post-natal depression seem to be too diagnostic for what I'm looking at.
The triple test is no longer the most effective screening test for antenatal Down syndrome and consequently many national guidelines recommend other screening tests instead. Are there any robustly done studies?
I am interested to get promotional materials like poster, food-plate for promoting diet quality of pregnant and lactating women.
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 ?
designing and constructing the garments for breastfeeding mothers and accessing how well the breast is conceal while breastfeeding.
Uptake of family planning methods is still low in Nigeria. One of my students is carrying out a study on workers attitude towards family planning & would like to adapt an open access standardized family planning attitude measuring questionnaire for the study.
Many underprivileged women are not able to afford a balanced diet for themselves or their family. Is there any study where specialized low cost balanced diet counseling and education has been provided to underprivileged women with success?
The definition of obstetric violence is “…the appropriation of the body and reproductive processes of women by health personnel, which is expressed as dehumanized treatment, an abuse of medication, and to convert the natural processes into pathological ones, bringing with it loss of autonomy and the ability to decide freely about their bodies and sexuality, negatively impacting the quality of life of women.” <br />
I'm working on obstetric violence. Does anyone know of any studies about this topic?
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?
We are conducting a surveillance study looking at various socio-demographic factors and birth outcomes such as LBW and prematurity using birth certificate data. Given the limited info on the birth certificate, which would be a better predictor of adequate prenatal care, the Kotelchuck or the Kessner index.
Is anyone aware of studies from sub-Saharan Africa that deals with men's role in women's maternity experiences (e.g., birthing, etc)?
Non-nutritive sucking includes the use of a dummy; mother's drained breast (after expressing); a gloved finger from a care-giver
For measuring the women's autonomy/ attitude towards the utilization of maternal health care services in context of the low resources countries like South-east Asian and Sub-Sahara Africa countries, whereas still utilization is lower...
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.
Food alone is not enough to stop/prevent or reverse stunting (most aggressive nutrition/food based intervention achieved 0.7 Z-score reduction in stunting or one third only). Many other factors play an important role in how the body receive, react, benefit from and respond to food. Enviromental enteropathy, gut microbiota, food toxins such as mycotoxin to mention a few all play a role. Does anyone have any thoughts or ideas on how to tackle this problem?
As nurses we are taught to develop emotional distance with our patients. I have been nursing a newborn for a long time and have just lost him and find myself overwhelmed. Is it appropriate?
I am researching whether postpartum risk assessment scales are adequately measuring all risk variables that contribute to crimes of maternal infanticide.
Should I measure a specific kind of infection instead? Or are there ways in measuring infections in general?
Maternal Health Service Utilization among Mothers of Kinaye Primary Health Care area, Belgaum, A Community based Cross Sectional study.
The HIV-infected mothers may have multiple physical, emotional, and social concerns, including coming to terms with the reality of their own infection while facing uncertainty about the HIV status of their infant. If the child is seropositive the mother usually has difficulty to inform him about his illness.
Who should tell the child's status? (doctor, mother or psychologist)
I'm writing a college research paper on this subject. Is there any document that opposes adopting option B+? Scholarly would be preferable but anything will help. I found lancet article and commentary on Is option B+ best? however, could not find any more.
I am looking to write an article about maternal depression and would like some stats on depression beyond PND.
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?
I know about some recent studies supporting the association between marital distress and psychopathologies as major depression, anxiety disorders, alcohol and drugs use disorders, and personality disorders in general population. (South SC, et al. J Abnorm Psychol. 2011) But, what about in risk population as pregnant women? In Spain, almost the 98% of induced abortions are because of "mental health disorders". However, this concept in primary care means a big hole where many conditions could be included.