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Health Protection and Global Approach to Neglected Communicable Diseases
Published in Vincent La Placa, Julia Morgan, Social Science Perspectives on Global Public Health, 2023
Maria Jacirema Ferreira Gonçalves, Anny Beatriz Costa Antony de Andrade, Amanda Rodrigues Amorim Adegboye
Surveillance should inform various strategies for the successful control of NCDs. In the case of human Chagas disease, for example, surveillance should consider 1) community engagement in the control of vector proliferation, 2) mapping of proliferation areas, 3) seroepidemiological surveys, 4) donor serology blood, 5) timely diagnosis of pregnant women during prenatal care and neonatal screening, 6) early diagnosis of the general population, and 7) timely specific treatment and epidemiological investigation of cases in the region.
Substance Abuse during Pregnancy
Published in “Bert” Bertis Britt Little, Drugs and Pregnancy, 2022
Reducing maternal and fetal/infant morbidity and mortality is the obstetrical goal of substance abuse treatment during pregnancy. Prenatal care is very important. It was the major determinant of pregnancy outcome in substance abusers, more important than attaining abstinence (MacGregor et al., 1989). Regular prenatal care was associated with better pregnancy outcomes than those who did not have prenatal care regardless of continued substance use. The primary medical goal in treatment of gravid substance user (risks to both the mother and the fetus) is thus to increase prenatal care use, early and regularly.
Prenatal Care
Published in Vincenzo Berghella, Obstetric Evidence Based Guidelines, 2022
Gabriele Saccone, Kerri Sendek
Prenatal care is the care provided to pregnant women with the aim to prevent complications and decrease the incidence of perinatal and maternal morbidity and mortality [1]. This care consists of health promotion, risk assessment, and intervention linked to the risks and conditions uncovered. These activities require the cooperative and coordinated efforts of the patient, family, prenatal care providers, and other specialized providers. Prenatal care begins when conception is first considered and continues until labor begins. The objectives of prenatal care for the mother, infant, and family relate to outcomes through the first year following birth [1].
Exploring Barriers to Access Prenatal Care Among Indigenous Mexican and Guatemalan Women in Washington State
Published in Women's Reproductive Health, 2023
Colleen Pacheco, Ileana Ponce-Gonzales, Marcela Suarez Diaz, Annette E. Maxwell
We interviewed a convenience sample of women from three indigenous communities. The small number of women from each of these communities may not be representative. Women who had a prior relationship with one of the five promotores who conducted the interviews may have been more willing to complete the survey. Therefore, it is very possible that promotoras recruited a disproportionately large number of women who had received prenatal or other health care services, and this may explain the high proportion of women who had utilized prenatal care. In addition, responses may be affected by recall bias, especially among older women, and social desirability bias. For example, women may have over-reported receipt of prenatal care during the first 3 months of the pregnancy. Promotores informed us that women often are confused about provider specialties, which could also affect their reporting of receipt of prenatal care. Although a lot of effort went into translating the survey into simple Spanish and three indigenous languages, we cannot rule out errors due to misunderstandings and incorrect translations.
Association of maternal neutrophil count in early pregnancy with the development of gestational diabetes mellitus: a prospective cohort study in China
Published in Gynecological Endocrinology, 2022
Man Kong, Hongmei Zhang, Xianchang Liu, Yanyan Ge, Zhen Zhang, Rui Zhao, Yan Li, Shanshan Huang, Guoping Xiong, Xuefeng Yang, Liping Hao, Zhongxin Lu
The study participants formed part of the Tongji Birth Cohort (TJBC), an ongoing prospective cohort of pregnant women and their offspring in Wuhan, China. A major objective of this cohort is to assess the effect of diet and lifestyle factors on both mothers and children. Women who began prenatal care before 16 weeks’ gestation at the authors’ hospital and who were eligible for entry into our cohort from Mar 2018 to the present were included. The analysis process followed the procedure described in Figure 1. Among the 1467 pregnant women who performed prenatal care before 14 weeks of gestation in the cohort, women without information on GDM diagnosis (n = 353) or missing blood cell test (n = 373) were excluded. Those who reported infectious disease (e.g. HIV, virus, hepatitis, syphilis) (n = 5), abnormal liver or renal function (n = 2), preexisting diabetes (n = 4). Finally, a total of 731 participants with blood test results in the first trimester were selected to determine the association between the levels of blood cell parameters and GDM risk. The TJBC study was approved by the Ethics Review Committee of Tongji Medical College, Huazhong University of Science and Technology, in accordance with the principles of the Helsinki Declaration II. Each participant in the study was informed of the study protocol and signed informed consent before participating in this study.
Poor prenatal care does not predict well child care for children born to mothers with opioid use disorder
Published in Journal of Substance Use, 2020
Esther K. Chung, Vanessa L. Short, Dennis J. Hand, Ruth S. Gubernick, Diane J. Abatemarco
Sociodemographic and health characteristics for the overall sample of 138 mother-child dyads are shown in Table 1. The study population consisted of largely young, White, non-Hispanic, multiparous mothers who reported father involvement and were Medicaid recipients or uninsured. The majority of women reported a history of depression and at least half, a history of anxiety. Bipolar disorder was reported in one-quarter and post-traumatic stress disorder in 11%. Separate from their MMT, approximately two-thirds of mothers had evidence of other substance use with 1/3 having additional opioid use during pregnancy. Gestational age at the onset of prenatal care ranged from six to 39 weeks (median = 18 weeks). Approximately two-thirds (59%) of women lacked adequate prenatal care. For 14 mothers, there were incomplete, “unknown” or no prenatal care records; and four lacked prenatal care records attributed to incarceration. Twenty-nine (21%) enrolled in the MBP program noted above, with 69% (20) completing the 12-week program.