What are the most effective interventions during pregnancy for preventing stillbirth?

Antenatal interventions for preventing stillbirth, fetal loss and perinatal death: an overview of Cochrane systematic reviewsA stillbirth is generally defined as the death of a baby before birth, at or after 24 weeks of development. It is most common in low ‐ and middle‐income countries but also affects people in high‐income countries. Numbers of stillbirths have not fallen much in the last 20 years and, despite the high numbers, it is not widely recognised as a global health problem.This overview of Cochrane systematic reviews included 43 Cochrane reviews that assessed 61 different ways of preventing stillbirth during pregnancy, or infant deaths around the time of birth. However, few of these provided any clear evidence of an effect during pregnancy to reduce the risk of stillbirth or infant death. They were grouped into four different areas: nutrition, preventing infection, managing mothers'other healthcare problems, and looking after the baby before it is born.NutritionGiving mothers balanced energy and protein supplements to increase the growth of the baby, particularly in undernourished pregnant women, probably reduces stillbirth by 40%.For Vitamin A alone versus placebo (sham) or no treatment, and multiple micronutrients with iron and folic acid compared with iron with or without folic acid, there was clear evidence of no effect.Prevention and management of infectionsInsecticide ‐treated anti‐malarial nets versus no nets may reduce loss of the baby in the womb...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news

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The new Supreme Court nominee believes that a zygote -- the single cell that results from the merger of a sperm cell and an ovum -- is a human being just like you and your Aunt Fannie, and entitled to all of the rights, dignity and respect due accordingly. Can you guess what is wrong with this idea? As I have noted previously, it most certainly does not come from the Bible, not from the Old Testament or any saying ascribed to Jesus or Paul. Nobody actually knew what conception was until the 20th Century, actually, but people knew that pregnancy resulted from sexual intercourse and that it didn't become apparent until ...
Source: Stayin' Alive - Category: American Health Source Type: blogs
HORSHAM, PA, September 30, 2020 – The Janssen Pharmaceutical Companies of Johnson &Johnson announced today that the U.S. Food and Drug Administration (FDA) has approved SIMPONI ARIA® (golimumab) for patients 2 years of age and older for the treatment of active pJIA and has extended the PsA indication for this same patient population. “This latest FDA approval of SIMPONI ARIA for pediatric use in active pJIA and active PsA not only brings a new option to young patients living with these diseases but also adds to the growing body of evidence for this treatment,” said Mathai Mammen, M.D., Ph.D., Glob...
Source: Johnson and Johnson - Category: Pharmaceuticals Source Type: news
Wondering when to get your flu shot? The best time is before influenza (flu) starts circulating widely. For most people, September or October is ideal for protection through the whole flu season, as the immune response from the vaccine wanes over time. And while changes and restrictions due to COVID-19 may make getting a flu vaccine less convenient for some this year, the pandemic makes it more important than ever. Why do I need to get a flu vaccine yearly? Influenza A and Influenza B cause most cases of flu in humans. Both have many strains that constantly change, accumulating genetic mutations that disguise them from the...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Cold and Flu Coronavirus and COVID-19 Vaccines Source Type: blogs
During these trying COVID days, patients have been limited in the care they receive because clinics have been limiting access and because patients themselves have been wary of visiting medical facilities. Pregnant women are a particularly vulnerable ...
Source: Medgadget - Category: Medical Devices Authors: Tags: Ob/Gyn Public Health Radiology Telemedicine Source Type: blogs
At a time of an unprecedented global pandemic, there is an increase anxiety in interfacing with any medical appointment. For some this means concerns in accessing medical care coming forward, fears of not being able to receive the treatment needed with hospitals over capacity. For others, it reflects a time of concern of contamination of getting COVID if one does not already have it. For a unique group, there is an intersection and special loneliness of accessing medical care in the time of pregnancy and delivery. With the barriers in place regarding not having partners present for appointments, the first heart beat, and ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Family Parenting Pregnancy Women's Issues birth coronavirus COVID-19 Motherhood New Parents Source Type: blogs
TITUSVILLE, N.J. – (August 3, 2020) – The Janssen Pharmaceutical Companies of Johnson &Johnson today announced that the U.S. Food and Drug Administration (FDA) has approved the supplemental new drug application (sNDA) for SPRAVATO® (esketamine) CIII nasal spray, taken with an oral antidepressant, to treat depressive symptoms in adults with major depressive disorder (MDD) with acute suicidal ideation orbehavior.1 SPRAVATO® is the first and only approved medicine that has been shown to reduce depressive symptoms within 24 hours,1 providing a new option for significant symptom relief until a longer-ter...
Source: Johnson and Johnson - Category: Pharmaceuticals Tags: Innovation Source Type: news
  Take the bull by the horns! Pick yourself up by your bootstraps! Are these cliches condescending for people with mental illness? Or is there a grain of truth to them? Today, Gabe and Lisa debate the pros and cons of the all too common “taking your life back” advice we all get from well-meaning people. Gabe shares his personal story of gaining back control of his life a day at a time while healing from depression. When you struggle with mental illness, how much of your behavior, thoughts and emotions do you actually have control over? Is it helpful to feel in control of your life, even when it screws you...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Mental Health and Wellness Not Crazy Podcast Self-Help Source Type: blogs
Pregnancy and childbirth present a specific challenge to the maternal cardiovascular system. Pre-existing cardiac diseases, or cardiac diseases that occur during pregnancy, are associated with a significant risk of morbidity and mortality for both mother and baby. In recent decades, cardiac disease has emerged as a leading cause of maternal death in most high income countries, including Australia and New Zealand.The burden of cardiac disease in pregnancy is likely to be growing due to an increase in adult survivors with congenital heart disease embarking on pregnancy coupled with demographic shifts in the age and cardiovas...
Source: Heart, Lung and Circulation - Category: Cardiology Authors: Tags: Original Article Source Type: research
tti Birth cohort studies are the most appropriate type of design to determine the causal relationship between potential risk factors during the prenatal or postnatal period and the health status of the newborn up to childhood and potentially adulthood. To date, there has been a growth in interest regarding observational population-based studies which are performed to provide answers to specific research questions for defined populations, for instance, assessing the exposure to environmental pollutants or drugs on the risk of developing a disease. Birth cohorts based on the recruitment and active follow-up of mothers an...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Editorial Source Type: research
Hypoplastic left heart syndrome (HLHS) is a birth defect that affects normal blood flow through the heart. As a baby develops during pregnancy, the left side of the heart does not form correctly. Ava Weitl, now a first grader, was born with HLHS. She had her first heart surgery the day she was born. Now she is part of pioneering research [...]
Source: News from Mayo Clinic - Category: Databases & Libraries Source Type: news
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