What's new in midwifery - 16th September 2021

Some recent things you may want to know about.  There may be other items on Twitter - I retweet using #whatsnewinmidwiferyFirst aCochrane systematic review looking at the routine use of ultrasound for foetal assessment before 24 weeks gestation.And an RCT looking at theusefulness of ultrasound to measure the lower uterine segment in women who have had a caesarean before, to determine who is at risk of uterine rupture, In the news,Shrewsbury and Telford hospital admits liability for the death of a baby born stillborn after the concerns of the mother were not heeded, And a discussion ofsupport for postnatal depression, by a psychiatrist, in the Guardian.Concerns from several charities and support organisations that mothers and pregnant women are worried about returning to work.
Source: Browsing - Category: Databases & Libraries Tags: midwifery Source Type: blogs

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CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Around one in five women who register for maternity care may have a mental health problem. Mild to moderate anxiety and depression are common in early pregnancy. Services need to improve for women who do not currently meet the threshold for referral to perinatal mental health services. Assessment and active monitoring of mental health is recommended, in particular for pregnant women with risk factors including a history of previous mental health difficulties, poor family support or low self-efficacy.PMID:34392103 | DOI:10.1016/j.midw.2021.103103
Source: Midwifery - Category: Midwifery Authors: Source Type: research
ConclusionThe effect of HG on fetal development as expressed by variations in fetal movement profiles in this pilot study suggest that prenatal effects of HG can be measured using movement profiles. Isotope analysis of hair can supplement this with information on nutritional imbalances early in pregnancy.
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
Abstract Objective/Background: Insomnia and depression are disorders that affect many perinatal women and that often are interrelated. The present study aimed to examine concurrent and prospective associations between mid-pregnancy insomnia and depression during mid-pregnancy and 8 weeks postpartum. Furthermore, differences in depression and in the sleep-related characteristics insomnia, chronotype, and sleep efficiency were explored between the two time points (mid-pregnancy versus 8 weeks postpartum), and between primiparous and multiparous participants.Participants/Methods: The study was part of the N...
Source: Behavioral Sleep Medicine - Category: Sleep Medicine Authors: Tags: Behav Sleep Med Source Type: research
Two lines on a home pregnancy test, a flickering heartbeat on ultrasound, and suddenly your world has changed: you’re pregnant! Regardless of where this new path takes you, you may start to examine your daily decisions in a new way as you discover an intense drive to protect the growing baby inside you. Even your exercise routines may come under scrutiny, particularly if late-night Googling has you second-guessing everything that you believed you knew. Just how safe is exercise during pregnancy? The short answer? Exercise during pregnancy is not only safe, it’s encouraged. An overriding principle for pregnancy ...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Health Source Type: blogs
AbstractThe effect of a novel mentalization-based parenting intervention was explored on prenatal self-reported mentalization (P-PRFQ), attachment (MFAS), depression (EPDS) and anxiety (STAI) among women with substance use problems. The participants were 90 pregnant women referred to obstetric outpatient care due to recent or current substance use and randomized into intervention (n = 46) and control (n = 44) groups. The intervention group received three interactive 4D ultrasound sessions and a week-by-week pregnancy diary. The control condition was constituted of treatment-as-usual in obstetric...
Source: International Journal of Mental Health and Addiction - Category: Addiction Source Type: research
We hear a lot about the three trimesters of pregnancy. But many women (and even some medical professionals) know little about a newly described and critical time period in women’s lives that desperately needs our attention: the fourth trimester. As a practicing obstetrician-gynecologist, I know that the medical care of women before, during, and immediately after pregnancy has long focused on the goal of achieving a healthy pregnancy and a healthy baby. But too often, the fourth trimester — that time between birth and 12 weeks postpartum — is swept aside. For example, we encourage all women to start taking...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Parenting Pregnancy Women's Health Source Type: blogs
In utero MRI does not need to replace ultrasound as the modality of choice...Read more on AuntMinnie.comRelated Reading: How does chemo during pregnancy affect child development? Fetal MRI can spot early brain abnormality MRI shows maternal depression meds affect babies' brains MRI links blood flow to brain development in preterm babies MRI scans during 1st trimester of pregnancy are safe
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
CONCLUSIONS: The Brazilian version is reliable and valid for use in the diagnosis of anxiety related to the performance of ultrasound procedures in prenatal care. Due to the lack of correlation with the rest of the construct, it is suggested that item 2 be removed from the final version.RESUMO OBJETIVO: Proceder à adaptação transcultural do questionário Prenatal Diagnostic Procedures Anxiety Scale para aplicação no contexto cultural brasileiro. MÉTODOS: Os processos de tradução e retrotradução seguiram critérios aceitos internacionalmente. ...
Source: Revista de Saude Publica - Category: International Medicine & Public Health Source Type: research
Publication date: Available online 12 November 2018Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Brendan P. McDonnell, Sheila Keogan, Luke Clancy, Carmen ReganAbstractObjectiveMaternal cigarette smoking is a recognised risk factor for maternal and fetal morbidity and mortality and remains a significant problem in the Irish maternity system. Approximately 11% of Irish women will continue to smoke in pregnancy, despite awareness of the negative impact on their pregnancy. Although recommendations exist for the management of pregnant smokers, information on the antenatal care of Iris...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
Abstract SSRIs are the first choice for the treatment of mood disorders during pregnancy and lactation. Despite the known side effects, the benefits/risks balance suggests their use. Hypertensive disorders of pregnancy (HDP) and Intrauterine growth restriction (IUGR) are the main vascular effects of these drugs, with mechanisms that involves endothelial dysfunction in feto-placental system. These data are supported by animal models, even if preliminary findings are not yet adequately supported by molecular and clinical data. SSRIs. applications and mode of action. Nowadays selective serotonin reuptake inhibitors (...
Source: Vascular Pharmacology - Category: Drugs & Pharmacology Authors: Tags: Vascul Pharmacol Source Type: research
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