The effects of asking a fertility intention question in primary care settings: a systematic review protocol

The objective of the systematic review is to determine the effectiveness of incorporating questions of pregnancy intention into primary care.MethodsA systematic search of the literature will be conducted for any studies comparing questions of pregnancy intention in primary care settings with no intervention or a control intervention. Types of studies will include randomized controlled trials, non-randomized trials, and observation studies. Participants will include patients of reproductive age presenting to primary health care settings. Interventions will include any assessment of fertility intention and follow-up care compared with a control group or no intervention. Outcomes will include quantitative data with rates for contraceptive uptake, and any pregnancy related outcome. Databases (Ovid MEDLINE; Pubmed; CINAHL; EMBASE; CDR/DARE databases; Web of Science; ISRCTN registry; Clinicaltrials.gov; Cochrane Library) will be searched from the year 2000 to current. Screening of identified articles and data extraction will be conducted in duplicate by two independent reviewers. Methodological quality will be assessed using the Jadad scale. Methodological quality of observational and non-randomized trials will be assessed using the Newcastle-Ottawa scale. Discrepancies will be resolved by consensus or by consulting a third author. Meta-analyses will be performed if appropriate.DiscussionDetermining the effect of including questions of pregnancy intention into primary care can prov...
Source: Systematic Reviews - Category: Global & Universal Source Type: research

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Monitoring fetal heart rate during pregnancy is essential to assist clinicians in making more timely decisions. Non-invasive monitoring of fetal heart activities using abdominal ECGs is useful for diagnosis of heart defects. However, the extracted fetal ECGs are usually too weak to be robustly detected. Thus, it is a necessity to enhance fetal R-peak since their peaks may be hidden within the signal due to the immaturity of the fetal cardiovascular system. Therefore, to improve the detection of the fetal heartbeat, a novel fetal R-peak enhancement technique was proposed to statistically generate the weighting mask accordin...
Source: IEEE Transactions on Biomedical Engineering - Category: Biomedical Engineering Source Type: research
This article reviews progress made in low- and middle-income countries in the 25  years since the ICPD in six areas central to ASRH—adolescent pregnancy, HIV, child marriage, violence against women and girls, female genital mutilation, and menstrual hygiene and health. It also examines the ICPD's contribution to the progress made.
Source: Journal of Adolescent Health - Category: Child Development Authors: Tags: Review article Source Type: research
CASE: Leo is a 26-month-old boy who you are seeing for an urgent care visit due to “sleep difficulty,” particularly sleep onset. Since age 1, he screams, hits, and kicks his mother every day, starting after she gets home from work at 5 PM (or before the family's dinnertime on her days off) and escalating over the course of the evening until he “wears himself out” and falls asleep in a crib in his own room around 9 to 10 PM Once asleep, he sleeps well through the night and wakes easily around 7 AM in a pleasant mood; his mother leaves for work soon after he awakens. He naps after lunch for 2 to 3 h...
Source: Journal of Developmental and Behavioral Pediatrics - Category: Child Development Tags: CHALLENGING CASE Source Type: research
Publication date: Available online 20 November 2019Source: Regulatory Toxicology and PharmacologyAuthor(s): Stephen B. Harris, Jerold F. Hardisty, A. Wallace Hayes, Klaus WeberAbstractA series of regulatory studies were carried out to investigate the effects of the FAAH inhibitor BIA 10–2474 on fertility, embryo-fetal toxicity and pre- and post-natal development in rats and rabbits. Despite some reductions in sperm count in rats from 50 mg/kg, there were no major changes in male fertility up to 100 mg/kg. In female rats administered up to GD6, there were increases in pre-implantation loss at 50 and 100 mg/kg bu...
Source: Regulatory Toxicology and Pharmacology - Category: Toxicology Source Type: research
A ring-tailed lemur mother carrying her twins. Research at the Duke University Lemur Center Found that a lemur’s pregnancy hormones affect her daughter’s aggression later in life. [Research supported by National Science Foundation grants BCS 0409367, IOS 0719003, BCS 1749465 and SBE ...This is an NSF Multimedia Gallery item.
Source: NSF Multimedia Gallery - Category: Science Source Type: video
ConclusionsExpanded Medicaid coverage may improve access to and utilization of health care among women of reproductive age, which could ultimately improve preconception health.
Source: American Journal of Preventive Medicine - Category: International Medicine & Public Health Source Type: research
Maternal mortality has steadily increased in the US over the last 2 decades, which has increased the focus on events that may threaten a mother's health and even her survival during pregnancy and childbirth. Although it is intuitive that a mother's health is linked to the outcome of her pregnancy, there are few studies that have explored the relationship between acute maternal illness at birth with long-term outcomes of prematurity.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: The Editors' Perspectives Source Type: research
Alcohol is the drug of choice for most teenagers and can lead to severe consequences. Alcohol abuse by teenagers not only affects the young people who are drinking, but also impacts the safety of the people they encounter. Luckily, there are signs to look out for, ways to prevent alcohol abuse by teenagers and ways to get help. Stats on Alcohol Abuse by Teenagers Alcohol is the most commonly used and abused drug among youth in the United States, making it a very large problem. Here are some statistics on alcohol abuse by teenagers, provided by the CDC. Excessive drinking is responsible for more than 4,300 deaths among un...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Alcohol Drinking Teenagers alcohol abuse alcohol treatment alcohol treatment center alcoholism teens Source Type: blogs
(Reuters Health) - More teenage girls and young women in rural communities become pregnant for the first time on purpose and carry first pregnancies to term, compared to their urban counterparts, a U.S. study suggests.
Source: Reuters: Health - Category: Consumer Health News Tags: healthNews Source Type: news
ConclusionThere was heterogeneity regarding ESBL-E colonisation rates in different continents. The pooled prevalence rate was higher in Africa compared with other areas. Given that the highest rate was observed in Africa, implementing screening efforts for ESBL-E colonisation during pregnancy may be justified.
Source: Journal of Global Antimicrobial Resistance - Category: Infectious Diseases Source Type: research
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