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Introduction: Institutional delivery service utilization is essential to improve maternal and child health. However, little is known about institutional delivery service utilization in Debre Berhan, Ethiopia. This study was aimed at assessing the magnitude of institutional delivery service utilization. Methods: Community based c.. Read More
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Health Assessment of a Rural Obstetrical Population in a Midwestern State
A critical access hospital in a Midwestern state experiences an alarming number of high-risk pregnancies including pregnancies complicated by gestational diabetes mellitus. A health collaborative among local healthcare providers, a regional health system, a medical school, and the state health department was established to impro.. Read More
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Psychological problems, communication challenges and cognitive impairment are often present in children with Autism spectrum disorders (ASD). When children with ASD require medical treatment, healthcare teams’ inability to access relevant medical and behavioral information, lack of awareness of these challenges, and poor p.. Read More
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Women Refusing Standard Obstetric Care: Maternal Fetal Conflict or Doctorpatient Conflict?
Evidence based guidelines can help healthcare practitioners to provide better and more cost effective care for the average patient with a specific medical problem [1]. During the past 15 years, the Cochrane Collaboration, NICE, and many other national and international organizations have provided obstetric medicine with a wealth.. Read More
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Decision Making in the Face of Uncertainty: Perinatal Zika Virus Infection
Zika virus is currently impacting the Americas with its third major global outbreak. Most notably, this outbreak, which began in 2015, has been temporally linked to cases of microcephaly within Brazil. Zika’s worrisome fetal outcomes have raised concern about perinatal Zika infection. There is little known about the virus&.. Read More
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A Tunisian Case of Dyssegmental Dysplasia: Silverman-handmarker Type
Objective: Dyssegmental dysplasia, Silverman-Handmaker Type, is an autosomal recessive lethal disorder, originally considered as a Kniest-like skeletal dysplasia with camptomelia. It is linked to functional null mutations of the perlecan gene (HSPG2) located on chromosome 36.1-35. We report the first case diagnosed in our depart.. Read More
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Myxedema crisis is an extreme complication of uncontrolled hypothyroidism. It is usually seen in elderly women with undiagnosed hypothyroidism and is rare among young. There have been very few reports of myxedema coma in labor. This report pertains to a case of undiagnosed hypothyroidism in a 30 year old lady with twin pregnancy.. Read More
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Use of Alcohol during Pregnancy in France: Another French Paradox?
Drinking alcohol during pregnancy in human may cause Fetal Alcohol Syndrome (FAS) in the worst cases or Fetal Alcohol Effects (FAE) in the lightest cases. FAS inevitably induce growth retardation, craniofacial as well as congenital malformations and irreversible cognitive and behavioural deficits in the children whereas FAE lack.. Read More
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Attachment-keeping NICU Infants Safe
Child maltreatment is a risk for graduates of the newborn intensive care unit (NICU). Infants represent the highest child maltreatment victimization group and parents, particularly mothers, are significantly represented as perpetrators. The challenges of a NICU environment along with the care burdens associated with NICU infants.. Read More
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Prepregnancy Body Mass Index and Offspring Birth Weight in Women with Type 1 and Type 2 Diabetes
Objective: To evaluate offspring birth weight in relation to prepregnancy body mass index in women with pregestational diabetes. Methods: A cohort study of 260 consecutive women with type 1 or type 2 diabetes, included January 2012 to May 2014, and classified as normal weight (prepregnancy body mass index <24.9 kg/m2), overwe.. Read More
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Prenatal Education and Postpartum Well-being
Background: Postpartum adjustment to the first-time parents is a great challenge in life. Failure to adjust and adapt in the early period of postpartum could lead to a more serious psychological disorders in the mothers as well as the fathers. Therefore, this study aimed to review the effectiveness of prenatal education as an ea.. Read More
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Emergency Contraception and Abortion among University Students
Purpose: Women under age 25 have the highest rates of unintended pregnancies, emergency contraception (EC), and abortion. EC has not shown to prevent unintended pregnancies; yet some advocate for more availability. This study examined EC use and abortion among university students. Methods: This was a descriptive, international s.. Read More
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Background: Preterm delivery and sub-optimal fetal growth are associated with each other and affect both mother and infant. Our aim was to determine (i) whether there are detectable differences in DNA methylation between early and late gestation and (ii) whether changes in DNA methylation from entry are associated with spontaneo.. Read More
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Metrological Assessment of Infrared Tympanic Thermometers: A Safety Measure
Background: There are different temperature readings in different body sites that are estimated values of the core temperature. The IR tympanic thermometers measure the thermal radiation of the tympanic membrane. These devices are often considered the best non-invasive and most accurate technique to measure body temperature. The.. Read More
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Introduction: Obesity is common among reproductive age women, and disproportionately im-pacts racial/ethnic minorities. Our objective was to assess racial/ethnic differences in obesity-related dietary behaviors among pregnant and postpartum women, to inform peripartum weight management interventions that target diverse populatio.. Read More
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Posterior Reversible Encephalopathy Syndrome (PRES): Series of cases
The hypertensive pregnancy disorders, including preeclampsia, complicate more than 10% of all pregnancies and are the mainly cause of maternal and perinatal morbidity and mortality around the world. A rare syndrome associated with hypertension, preeclampsia and eclampsia is the syndrome of reversible posterior encephalopathy (PR.. Read More
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Pain in New born and Nursing Management
It is determined that first nociceptors (pain sensing receptors) occur in the perioral region at 7 weeks of intrauterine life, spread in the rest of face, the palms of the hands and feet at 11 weeks, with arms and legs at 15 weeks, all cutaneous and mucosal surfaces at 20 weeks. Distribution of nociceptive nerve endings in the s.. Read More
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A Paratubal Cyst Associated with Flegmonous Appendicitis: A Case Report and Review of Literature
Paratubal cysts (PTCs) are remnants of paramesonephric or mesonephric ducts and mostly benign. Paraovarian and paratubal cysts are used synonymously. These masses have been reported in all age groups, beginning from premenarchial period up to menopause, but most commonly are seen in the third and fourth decades of life. A 14- ye.. Read More
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Who Caesarean Section Rate: Relevance and Ubiquity at the Present Day – A Review Article
Background: In 1985 the World Health Organization (WHO) claimed that there were no reasons for any region in the world to have a caesarean section (CS) rate above 10-15%. Even so, many of the developed countries present superior CS rate. Although CS rate rise in countries with high maternal and neonatal morbi-mortality is benefi.. Read More
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Background: Small for gestational age (SGA) babies have higher perinatal mortality, morbidity, sequelae. Iron deficiency anaemia in mother significantly increases SGA. Objective: To know relationship between SGA neonate, preterm pains, preterm births with anaemia in mother. Material methods: Analysis of case records of primigrav.. Read More
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