Many Pregnant Women Live Too Far From a Doctor to Get Regular Care. Here ’s How Technology Can Help

For anyone who is pregnant, having a hospital delivery room nearby means knowing that when the baby arrives medical assistance will be close at hand. But for too many of those in rural America, this comfort is often no longer available—and it is putting both women and babies at risk. In fact, the United States is the only industrialized nation with an increasing rate of maternal mortality and this problem hits women of color especially hard. The facts are stark. Between 2004 and 2014, 179 rural counties across the country lost access to in-county hospital obstetric care. As a result, over half of rural counties no longer have a hospital with a maternity ward. All in all, more than 5 million women now live in maternity care deserts that have no facilities offering obstetric care. Giving birth is hard work. I can personally attest to that. It gets even more difficult if each visit with a healthcare professional to monitor everything from blood pressure to blood sugar is far from home. That means even routine appointments can require a full day of travel, time off from work, forgone wages and special arrangements for childcare. Earlier this month I visited a hospital in rural Socorro, New Mexico, with Congresswoman Xochitl Torres Small and learned that many of their patients hitchhike across vast distances and then walk for miles simply to get the maternity care they need. Because this travel is so taxing, some women show up for care only once — when they are about ...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized health maternal mortality Pregnancy Source Type: news

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ConclusionsThe original CANRISK score performed well among young adults, even when compared to a young adult-specific model. We suggest that the cut-point be lowered for young adults and the tool be permitted for use in this age group.
Source: Canadian Journal of Diabetes - Category: Endocrinology Source Type: research
Pregnancy is a time of significant hemodynamic, metabolic, and hormonal stress that can unmask underlying subclinical cardiovascular abnormalities, and pregnancy-related complications may serve as early warning signs for future risk of cardiovascular disease. The increased recognition of these sex-specific risk factors could identify women who may benefit from more intensive risk factor modification to reduce morbidity and mortality later in life. In this review, we describe several pregnancy-related complications that have been associated with the risk of cardiovascular disease, including hypertensive disorders of pregnan...
Source: Cardiology in Review - Category: Cardiology Tags: Review Articles Source Type: research
Women who had bariatric surgery between their first and second pregnancies had better pregnancy and birth outcomes, a study found.Medscape Medical News
Source: Medscape Diabetes Headlines - Category: Endocrinology Tags: Ob/Gyn & Women ' s Health News Source Type: news
Infants born prematurely were at increased risk of both Type 1 and Type 2 diabetes in ensuing decades.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Diabetes Premature Babies Babies and Infants Pregnancy and Childbirth Source Type: news
Gestational diabetes mellitus (GDM) is a common pregnancy complication. Its etiology remains incompletely understood. Studies in recent years suggest that fetal sex may affect maternal metabolic milieu during pregnancy. We sought to assess whether there is fetal sex dimorphism in the risk factors of GDM. In a prospective pregnancy cohort in Shanghai, China, we studied 2,435 singleton pregnant women without pre-existing diabetes. GDM was diagnosed according to the International Association of Diabetes and Pregnancy Study Groups (IADPSG)' criteria. Log-binomial models were applied to obtain the adjusted relative risk (aRR). ...
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
ConclusionIncreased expression levels of KISS1 and KISS1R in case of diabetes mellitus may play a role in the altered placentation process and lead to the development of preeclampsia.
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
AbstractPurpose of ReviewTo assess evidence to date for use of non-insulin agents in treatment of gestational diabetes mellitus.Recent FindingsThere has been increasing interest in the use of non-insulin agents, primarily metformin and glyburide (which both cross the placenta). Metformin has been associated with less maternal weight gain; however, recent studies have shown a trend toward increased weight in offspring exposed to metformin in utero. Glyburide has been associated with increased neonatal hypoglycemia.SummaryGlycemic control during pregnancy is essential to optimize both maternal and fetal outcomes. There are a...
Source: Current Diabetes Reports - Category: Endocrinology Source Type: research
Source: BMJ - Category: General Medicine Source Type: research
THURSDAY, Dec. 5, 2019 -- Children whose mothers had diabetes before or during pregnancy have an increased risk of developing heart disease by age 40, according to a new study. The findings " highlight the importance of effective strategies for...
Source: Drugs.com - Daily MedNews - Category: General Medicine Source Type: news
This study questioned whether raised pre-pregnancy two-hour (2 h) insulin levels, measured in recurrent embryonic miscarriage (RM) patients via a 75 g Oral Glucose Tolerance Test (OGTT), are associated with an increased risk of gestational diabetes mellitus (GDM) in a subsequent pregnancy. Patients had a 75 g OGTT and insulin levels evaluated (n = 170). 54.1% had normal glucose and insulin levels, 45.9% had levels indicating hyperinsulinism (HI). In the 98 patients who achieved a pregnancy, the prevalence of GDM was 3.7% in those without HI, and 35.7% in the patients who only had raised 2...
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research
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