Dissertations / Theses on the topic 'Antenatal'
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Nolan, Mary Louise. "Empowerment and antenatal education." Thesis, University of Birmingham, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.366168.
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Lubbe, Zoe Odette Eloise. "Training on attachment as part of antenatal programmes : the perceptions of antenatal programme presenters." Diss., University of Pretoria, 2016. http://hdl.handle.net/2263/60379.
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Attachment refers to a strong emotional bond with special people in a person?s life, in whose presence the person experiences pleasure, joy and comfort in times of stress. The first attachment in life is commonly formed between an infant and primary caregiver, which is usually the mother. The caregiving provided by the mother or caregiver will determine whether a secure or insecure attachment pattern is formed. Attachment theory indicates that this first attachment forms the basis for a cognitive representation, the so-called internal working model, which becomes part of the person?s personality and forms the foundation of the person?s perception of the self and the world as well as of all future interpersonal relationships.
As infancy is a sensitive period for the development of attachment, the prenatal period could be an appropriate time to educate expecting mothers about the importance of secure attachment and their role in the development thereof. The researcher therefore wished to explore whether antenatal programmes could be used as a platform for teaching expecting mothers about attachment. As a starting point, the goal of this study was to explore the perceptions of antenatal programme presenters on including training on attachment into antenatal programmes.
The study was based on a qualitative research approach, and applied research as the type of research. A collective case study research design was adopted and data was collected by means of semi-structured interviews that were conducted with a sample of ten presenters of antenatal programmes in the Tshwane district. The participants were selected by means of purposive sampling. Data was analysed according to methods for qualitative data analysis, and relevant ethical considerations were followed during the study.
The research findings indicate that the participants were aware of the importance and benefits of secure attachment and that they had a positive attitude towards the inclusion of training on attachment into antenatal programmes. They were eager to receive training on attachment and to adapt their programmes to include training on attachment.
The researcher concludes that it would be feasible and beneficial to include training on attachment into antenatal programmes, and to train antenatal programme presenters for this purpose. The provision of training on attachment to nurses and raising awareness of attachment in the private and public health care sectors could facilitate greater knowledge of attachment for expecting mothers. Further research in diverse settings, such as in private and public clinics and hospitals in different geographical areas, is recommended.Mini Dissertation (MA)--University of Pretoria, 2016.
Social Work and Criminology
MA
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Gauer, Philippe. "Aspects ethiques du diagnostic antenatal." Nancy 1, 1988. http://www.theses.fr/1988NAN11115.
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MATIKOLA, LINGIAH DEENANATH. "Diagnostic antenatal des epanchements intrathoraciques." Lyon 1, 1989. http://www.theses.fr/1989LYO1M229.
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Majoko, Franz. "Assessing Antenatal Care in Rural Zimbabwe." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-6018.
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Draper, J. "An experiment in community antenatal care." Thesis, University of Cambridge, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.598641.
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Olsson, Pia. "Antenatal midwifery consultations : a qualitative study." Doctoral thesis, Umeå universitet, Institutionen för omvårdnad, 2000. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-96903.
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GIRARD, BRUNO. "Diagnostic antenatal de la toxoplasmose congenitale." Nantes, 1990. http://www.theses.fr/1990NANT001M.
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Miedzybrodzka, Zofia Helena. "Antenatal carrier screening for cystic fibrosis." Thesis, University of Aberdeen, 1995. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU541313.
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This thesis explores the advantages and disadvantages of various aspects of antenatal carrier screening for cystic fibrosis, taking into account both psychological and economic factors. It also provides information specific to the implementation of screening within Grampian region. Following the introductory literature review, a population genetic study of CF in Grampian region is described. In addition to giving information about the incidence and prevalence of the disease itself, the relative frequencies of the common CF mutations are detailed. Next, there is an assessment of different molecular methods for CF mutation detection. The remainder of the thesis comprises a comparative evaluation of two different approaches to antenatal CF carrier screening, namely step-wise (disclosure) and couple (non-disclosure) testing. The evaluation covers both psychological and economic aspects of screening. Grampian was found to have a higher prevalence of the common CF mutation F508 than the southern Scottish population. Thus testing for the four commonest mutations allows detection of 92% of carriers. The use of multiplex ARMS, dot-blotting and a deletion/digest/PAGE method were compared. The multiplex ARMS system was sensitive, specific and robust, and required less labour than the other methods. Step-wise antenatal carrier screening was found to be associated with transiently high levels of anxiety amongst carriers, which dissipates when a negative partner's result is received. For the majority of screenees who will test negative, couple screening is associated with more anxiety and false reassurance. Step-wise screening was found to be slightly less expensive than couple screening. When asked to state their preferred method, more women chose step-wise than couple screening.
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Crudo, Ariann. "Antenatal Glucocorticoid Treatment and the Epigenome." Thesis, McGill University, 2013. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=119336.
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In late gestation, fetal endogenous glucocorticoids increase exponentially. This dramatic increase in glucocorticoids acts to mature several organ systems. As a result, synthetic glucocorticoids (sGCs) are administered to pregnant women at risk of delivering pre-term (>10% of all pregnancies). While this treatment is highly effective in the fetal lung, little is known concerning its long-term consequences in humans. Animal studies have demonstrated that offspring prenatally exposed to sGCs are at risk of behavioral abnormalities and modifications in hypothalamic-pituitary-adrenal (HPA) axis and endocrine function; this involves long-term changes in gene expression. Given that the effects of antenatal sGC exposure are stable, long lasting and can manifest across generations, in concert with the fact that early life exposure has the ability to modify the epigenome of offspring, we now hypothesize that epigenetic mechanisms are the route by which sGC permanently modifies behavior and endocrine function in offspring. DNA methylation is a covalent modification of DNA, which plays an essential role in generating stable changes in gene expression. For this reason, the impact of late gestational development and antenatal sGC treatment on global methylation has been investigated. Our results demonstrated organ-specific changes in global methylation, which occur following the endogenous cortisol surge. Further, we noted that these modifications in global methylation could be prematurely initiated by intrauterine exposure to sGC. However, long-term, these sGC-induced global DNA methylation changes are further altered, and these changes are present into adulthood and persist in the next generation. Further, our data indicated that prenatal sGC exposure impacts the expression of several key genes involved in epigenetic regulation.Determining the genome-wide fetal epigenetic landscape was of critical importance to begin to elucidate the mechanisms by which glucocorticoid exposure in late gestation generates its long-term consequences. High-density promoter microarrays identified the fetal hippocampal promoter regions that exhibited differential DNA methylation and Histone-3-lysine-9 (H3K9) acetylation. Our results indicated that the fetal glucocorticoid surge is partially responsible for significantly modifying promoter methylation in a large number of genes. Further, we observed that antenatal sGC exposure significantly impacts DNA methylation and H3K9 acetylation in the fetal hippocampus. The impact of elevated fetal glucocorticoid exposure was further investigated using genome-wide transcription arrays. We noted that exposure to excess glucocorticoids in late gestation substantially altered the mRNA levels of a broad number of genes. Further, we identified fetal hippocampal promoter regulatory regions, in which the glucocorticoid receptor (GR) is bound during late gestational development and following antenatal sGC therapy. Considering the extensive clinical use of antenatal sGC therapy, the data within this thesis are essential, as they provide an understanding of the long-term epigenetic consequences of such a treatment, in a relevant animal model. Further, it advances our knowledge of fetal programming and the underlying mechanisms associated with antenatal sGC treatment.À la fin de la gestation, les niveaux de glucocorticoïdes endogènes fœtaux augmentent de façon exponentielle. Cette augmentation spectaculaire des glucocorticoïdes agit sur la maturation de nombreux organes. En conséquence, des glucocorticoïdes de synthèse (sGC) sont administrés aux femmes enceintes qui risquent d'accoucher avant terme (>10% des grossesses). Tandis que ce traitement est hautement efficace pour la maturation pulmonaire du fœtus, peu de choses sont connues quant à ses conséquences sur le long terme chez l'homme. Des études chez l'animal ont montré que la progéniture exposée aux sGC pendant la gestation présentait un risque de développer des anomalies de comportement et des modifications dans l'axe hypothalamo-hypophyso-surrénalien (HPA) ainsi que dans les fonctions endocrines; ceci impliquant des changements à long terme de l'expression génique. De plus, Il a été montré que les effets de l'exposition anténatale aux sGC étaient stables, durables et pouvaient se manifester à travers plusieurs générations. Il a récemment été établit que l'exposition au début de la vie avait la capacité de modifier l'épigénome de la descendance. Une unique étude a montré que les sGC pouvaient augmenter l'expression génique dans le foie fœtal par le biais d'une déméthylation de l'ADN des promoteurs. Ainsi, nous avons proposé que des mécanismes épigénétiques pouvaient représenter une voie par laquelle les sGC modifient de façon permanente le comportement et les fonctions endocrines de la progéniture. La méthylation de l'ADN est une modification covalente de l'ADN qui joue un rôle essentiel dans la mise en place de changements stables de l'expression génique. Pour cette raison, l'impact du traitement aux sGC lors du développement gestationnel tardif et anténatal sur les niveaux de méthylation globale a été examiné. Nos résultats montrent des changements dans la méthylation globale spécifiques aux organes, qui se produisent après la poussée de cortisol endogène. De plus, nous avons noté que ces modifications de méthylation globale pouvaient être initiées prématurément par l'exposition intra-utérine aux sGC. Cependant, à long terme, ces changements de méthylation globale, induits par les sGC, sont altérés et ces changements sont présents à l'âge adulte et persistent dans la génération suivante. Par ailleurs, nos données indiquent que l'exposition prénatale aux sGC a un impact sur l'expression de plusieurs gènes clés de la régulation épigénétique. Déterminer le paysage épigénétique à l'échelle du génome entier revêtait une importance capitale pour commencer à élucider les mécanismes par lesquels l'exposition aux glucocorticoïdes en fin de gestation pouvait induire des conséquences à long terme. Des micropuces à haute densité des promoteurs ont permis d'identifier les régions des promoteurs dans l'hippocampe fœtal qui présentaient des différences de méthylation de l'ADN et de l'acétylation de la lysine 9 des histones 3 (H3K9). Nos résultats indiquent que la poussée de glucocorticoïdes fœtaux est partiellement responsable des modifications significatives de la méthylation des promoteurs d'un grand nombre de gènes. De plus, nous avons observé que l'exposition anténatale aux sGC avait un impact significatif sur la méthylation de l'ADN et l'acétylation de H3K9 dans l'hippocampe fœtal. L'impact de l'exposition à des niveaux élevés de glucocorticoïdes fœtaux a été étudié plus avant en utilisant des puces de transcription du génome entier. Nous avons noté que l'exposition à un excès de glucocorticoïdes altérait considérablement les niveaux d'expression génique, et ces changements d'expression sont associés aux niveaux de méthylation de l'ADN de leurs promoteurs. D'autre part, nous avons identifié des régions régulatrices dans les promoteurs dans l'hippocampe fœtal, dans lesquelles GR se lie lors de la gestation tardive et de la thérapie anténatale aux sGC.
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DUREY, DE NOINVILLE PASCALE. "Le diagnostic antenatal des cardiopathies congenitales." Nantes, 1993. http://www.theses.fr/1993NANT043M.
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Daire, Arthur. "A review of antenatal MR imaging and correlation with antenatal ultrasound, postnatal imaging and post morem findings." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/2847.
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To determine the most common indication for foetal MRI, and to correlate ante-natal MRI with ante-natal ultrasound, post-natal imaging and post mortem findings. This was a retrospective study of imaging between January 2006 and December 2011. Seventy foetal MRI cases with complete medical records (antenatal and postnatal) were included in the study. Antenatal ultrasound and antenatal MR imaging was compared and also compared with the postnatal imaging findings. Stata 12 was used to analyse the Data. Spearman’s test was used to test the agreement between the results. Intracranial pathology was the most common indication for foetal MRI, with ventriculomegaly being the commonest indication determined from prenatal ultrasound. There was 72% agreement between antenatal ultrasound and foetal MRI. Post-natal findings showed 28% agreement with antenatal ultrasound and 39% agreement with foetal MRI. Intracranial pathology was the major indication for foetal MRI. The study found good agreement between prenatal ultrasound and foetal MRI but poor agreement between antenatal and postnatal findings.
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Simelane, Lungile. "Pregnant women’s perceptions and understanding of the barriers to early antenatal care booking in the Shiselweni region in Swaziland." University of the Western Cape, 2020. http://hdl.handle.net/11394/8099.
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Master of Public Health - MPHGlobally, the maternal mortality rate (MMR) dropped by 44%, from 342 deaths per 100 000 to 211 maternal deaths per 100,000 live births in 2017. Developing countries have reached two-thirds coverage (69 %) of the recommended focused visits and first ANC. In sub-Saharan Africa alone, approximately 66% (201,000) of deaths occur during birth. MMR can be reduced if pregnant women initiate ANC early enough and receive quality care. In Swaziland, only 14% of pregnant women make their first ANC visit during the first trimester, 64% during the 2nd trimester and 22% during the 3rd trimester. The study aimed to explore pregnant women's perceptions of the factors contributing to late ANC booking in the Shiselweni Region.
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Thorley, Kevan. "Seeing mothers as partners in antenatal care." Thesis, Keele University, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.414753.
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Burley, Suzanne Elizabeth. "Antenatal education in the transition to motherhood." Thesis, University of Plymouth, 2003. http://hdl.handle.net/10026.1/637.
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This thesis explores the relationship between antenatal education and the transition to motherhood, focusing on the pre-natal expectations and postnatal experiences of a small sample of first-time mothers in Plymouth. The aims of the study were 1) to investigate the style and content of statutory and voluntary sector antenatal classes in the Plymouth area. 2) To investigate factors affecting non-attendance, including non-attenders' perceptions of them. 3) To examine the role of lay systems of knowledge and support in the transition to motherhood and 4) to investigate the differential impact of different patterns of knowledge and support on the experiences of new parents, with particular attention to the three key areas of maternal wellbeing, parenting skills and parental relationships. A combination of qualitative and quantitative methods was used to obtain relevant data. The findings suggested that antenatal classes in both sectors focused mainly on labour and birth. Coverage of infant care skills and other important postnatal issues like parental relationships and maternal wellbeing were virtually non-existent. The style of antenatal classes was perceived as overly-prescriptive and directive. Information about labour and birth often duplicated what women already knew. The greatest benefit of attending classes was social, rather than informational. Many women found the classes did not provide them with realistic expectations of new motherhood. Non-attenders were found not to be disadvantaged by not attending classes, despite the common concerns of health professionals. Instead, they drew extensively on lay information and support. In light of these fmdings, it is argued that formal antenatal classes should have a broader curriculum that is also realistic. This study is implicitly critical of the biomedical framework in which maternity services are couched. It contributes to the field by broadening the definition of antenatal education to include informal and lay sources, engaging with users' (rather than just providers') views, to help evaluate antenatal education services. Importantly, it does this by evaluating them in the context of new motherhood.
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Mametja, Selaelo Mabu. "Factors associated with late antenatal care attendance." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/9401.
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Includes bibliographical references.The prevalence of late attendance for antenatal care in South Africa remains high despite the reported benefits of early initiation of antenatal care. The study aimedat identifying factors associated with late initiation of antenatal care. Methods: Cross sectional survey data collected for a FAS prevention programme in rural and urban South Africa were used. The primary study made use of face-to-face interviews with female participants the age range of 18 to 44 years. The dependent variable, gestational age, was categorized into a binary variable across 4 months gestational age. Independent variables consisted of scales and categorical variables (mostly binary) within the following domains: (a) socio-demographic factors; (b) characteristics of index pregnancy including substance use information; (c) psychosocial factors; (d) community factors; and (e) partner characteristics.
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McCaw-Binns, Affette Michelle. "Does antenatal care make a difference? An examination of antenatal care in Jamaica and its relationship to pregnancy outcome." Thesis, University of Bristol, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.335732.
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Bayouh, Fikirte Girma. "Developing antenatal maternal mental health services: Identifying depression in pregnant women attending antenatal care in Sodo district health centres, Ethiopia." Master's thesis, Faculty of Health Sciences, 2020. http://hdl.handle.net/11427/32589.
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Background Major Depressive Disorder is a leading cause of disease burden for women of childbearing age. The prevalence of perinatal depression is significantly higher in women from low and middle income countries than from high income countries. Antenatal depression is associated with low birth weight and preterm delivery. There is also evidence that depression during pregnancy can alter the development of a woman's fetus and her child, with an increased risk for child emotional and behavioral problems. Detection of perinatal depression in primary health care (PHC) is very low. This research gathered evidence on the current practice of detection of pregnant women with moderate-severe depression in the Sodo district and explored potential solutions to the identified challenges. Methods A qualitative study was conducted in four health centres and a primary hospital, located in the Sodo district, Ethiopia. In-depth interviews were carried out with pregnant women diagnosed to have depression. Focus group discussions (FGDs) were conducted with antenatal care (ANC) PHC workers. A framework approach to qualitative data analysis was used. OpenCode computer software was used for data handling during the analysis. Results Nine pregnant women were interviewed in-depth and twelve ANC PHC workers participated in two FGDs. Identified themes were categorized under client, provider and system level barriers, and illness related influences. Women's reluctance to disclose symptoms and seek help and not thinking what they had was an illness and/or not thinking they would get help from ANC clinic were client-side barriers to identifying depression. ANC PHC workers not asking about depressive symptoms, their reluctance to disclose a diagnosis of depression to the affected women and not thinking women with mental health problems are in their clinics were the main provider level barriers. The setting not being conducive for depression assessment, inadequate mental health training and ANC assessment format not having a place for recording mental health assessment were system level barriers raised. Difficulty in differentiating clinical depression from normal emotional reaction emerged as the main illness related influence. ANC PHC workers proposed community awareness-raising, improving communication between women and PHC workers and making mental health assessment part of the routine ANC service, among others, as possible solutions to improve detection of antenatal depression in ANC clinics. Conclusion Multiple client, provider and system level barriers to detection of depression in pregnant women in ANC clinics were identified in the current study. The identified barriers call for interventions at different levels; awareness raising at a community level, training on communicating about emotional concerns and mental health care at a provider level and enabling the health care system to support integration of mental health care into maternal health services at a higher level. Follow-up studies are required to better understand the experiences of women and providers, to quantify the magnitude of the problem and to develop and evaluate contextually appropriate interventions to improve detection of depression in pregnant women.
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Simkhada, Bibha. "Antenatal care uptake in Nepal : barriers and opportunities." Thesis, University of Aberdeen, 2011. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=166164.
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Antenatal care (ANC) has been recognised as a way to improve health outcomes for pregnant women and their babies. Only 29% of pregnant women receive the recommended four antenatal visits in Nepal and reasons for such low utilisation of ANC are poorly understood. The main aim of this thesis is to explore opportunities and barriers in ANC uptake and the family’s role in decision-making in Nepal. In-depth interviews were conducted with 30 purposively selected prenatal or postnatal mothers (half users, half non-users of ANC), 10 husbands and 10 mothers-in-law in two communities (one semi-urban, one rural). There is no single factor that determines the use of ANC in the study area. Use of ANC is influenced by cultural norms and values. Culturally women have low status in the household and this contributes to the low uptake of ANC. Heavy workloads (inside and outside the home) are expected of all young women and challenge ANC uptake in rural areas. The findings suggest that husbands and mothers-in-law have a strong influence in the use of ANC. Mostly the mothers-in-law are pivotal family members who make decisions about ANC for their daughters-in-law. Educated husbands are reported to be positive towards ANC. Husbands’ lack of support in ANC is mostly related to alcoholic habit. Education had a positive effect on ANC uptake due to improved knowledge of its function. Perceptions regarding the need for ANC are shaped by previous experiences and severity of the condition of pregnancy. Some women did not go for ANC as pregnancy was seen as a normal condition. Similarly, perceived quality of care such as satisfaction towards the services, privacy and confidentiality, communication skills of the health worker are highlighted as important issues in ANC uptake. Factors related to affordability of care such as poverty and cost of the services are discouraging to some, especially poor families. Similarly, availability and accessibility of the services were highlighted as important issues in ANC uptake. Comprehensive health promotion and educational interventions could be positive actions but should target both women and their family members, particularly mothers-in-law and husbands.
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Ahmad, Raheelah. "Explaining antenatal health seeking behaviour : a sensemaking perspective." Thesis, Imperial College London, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.516500.
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Doubell, Chantéll. "Antenatal care for HIV positive women / Chantéll Doubell." Thesis, North-West University, 2007. http://hdl.handle.net/10394/741.
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Approximately 29.1% of South African women of childbearing age tested HIV positive during their first antenatal visit in 2006 (DoH, 2007). This rate of HIV amongst the women of childbearing age reinforces the importance of understanding the management of HIV during pregnancy. During antenatal visits the general health of the woman and her unborn baby is assessed and managed. Management includes antiretroviral therapy to the HIV infected women with a CD4 count below 200 cells/mm3, while women with a CD4 count above 200 cells/mm3 receive a single dose of nevirapine with the onset of labour provided to them by their local clinics. Currently, in Potchefstroom, women receive antenatal care at local primary health-care clinics and antiretroviral drugs at the antiretroviral clinic. There is little or no collaboration between the various clinics and the question arises if the needs of the women are being met.
The aim of the research was to promote the health of HIV positive pregnant women by providing insight into the needs of these women and to formulate recommendations for antenatal care. The specific objective is to explore and describe the needs of HIV positive pregnant women regarding antenatal care.
An explorative, descriptive, contextual design, following a qualitative approach was used during the research. Semi-structured interviews were used to collect data. Interview questions were compiled from the research problems. Before the commencement of data collection, permission was obtained from the district health manager and Potchefstroom Hospital. A total of sixteen (16) HIV positive women were interviewed after informed consent had been obtained. Data analysis was done after each session and themes were categorised according to the women's needs.
From the interviews it was found that each woman has her own specific needs regarding antenatal care. The needs of the participants followed a similar pattern and for this reason it could be divided into various categories. These categories
include a need for support, a need for education, a need for improved services and a need for a non-judgemental environment. Conclusions were drawn and recommendations were made for nursing practice, nursing education and nursing research.Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2008.
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Amram, Serge. "Diagnostic antenatal des malformations reno-urinaires : considerations actuelles." Clermont-Ferrand 1, 1989. http://www.theses.fr/1989CLF11002.
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Cahen-Riehm, Sophie. "I. R. M. Du cerveau antenatal : technique - resultats." Aix-Marseille 2, 1991. http://www.theses.fr/1991AIX20811.
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JACOB, LAXENAIRE ISABELLE. "Diagnostic antenatal de la toxoplasmose a la reunion." Aix-Marseille 2, 1993. http://www.theses.fr/1993AIX20194.
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Patel, Jignesh. "Population pharmacokinetics of enoxaparin during the antenatal period." Thesis, King's College London (University of London), 2015. http://kclpure.kcl.ac.uk/portal/en/theses/population-pharmacokinetics-of-enoxaparin-during-the-antenatal-period(4a274f3a-b666-4d84-b8a0-2b10106a5b3e).html.
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The physiological changes of pregnancy alter the pharmacokinetics of low molecular weight heparins (LMWH). The optimal dosing strategy of LMWH for the treatment of antenatal venous thromboembolism (VTE) is not known and this has led to significant variation in prescribing practice when women are managed for antenatal VTE with LMWH. The aim of this thesis is to describe the pharmacokinetics of enoxaparin during pregnancy using the method of population pharmacokinetic (PK) modelling. In addition, pregnant women’s thrombin generation and D-dimers are measured and described and their views and adherence to enoxaparin are explored. Pregnant women prescribed enoxaparin at King’s College Hospital were eligible for recruitment. Subjects (n=123) had up to 3 anti-Xa activities drawn per clinic visit (monthly), contributing 795 anti-Xa activities for PK modelling purposes. A one compartment model, with a combined error model, produced a robust enoxaparin antenatal PK model, with weight, baseline lean body weight and gestation found to be significant covariates on enoxaparin antenatal PK. Simulations from the final PK model revealed that a once daily dose of enoxaparin is appropriate in this setting. D-dimer concentrations were found to increase in line with gestation (r=0.382). Thrombin generation was also increased during the antenatal period, with enoxaparin found to influence the different thrombin generation parameters in a dose-dependent manner. Findings from the adherence aspect of this study revealed that women were highly adherent to enoxaparin antentally (mean 97.92%) and demonstrates that women are prepared to inject themselves with a parenteral medication, if they feel it is protecting theirs and their unborn baby’s health; this belief does impact on adherence to LMWH during the postnatal period, where in some women adherence drops (mean 92.75%). This study describes the pharmacokinetic profile of enoxaparin during pregnancy and provides compelling evidence for enoxaparin once daily dosing for managing antenatal VTE.
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Watson-Jones, Deborah Lindsay. "Impact of syphilis on outcome of pregnancy and evaluation of syphilis screening strategies for the reduction of adverse pregnancy outcomes in Mwanza, Tanzania." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.246851.
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Ahmed, Shenaz. "Thalassaemia carrier testing in pregnant Pakistani women : perceptions of 'information' and 'consent'." Thesis, University of Leeds, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268966.
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Rönnberg, Ann-Kristin. "Gestational Weight Gain : Implications of an Antenatal Lifestyle Intervention." Doctoral thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-51439.
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Background: Excessive gestational weight gain (GWG) is common in developed countries and is associated with an increased risk of maternal and offspring morbidity. Evidence regarding efficacy and safety of antenatal lifestyle intervention is limited in terms of both systematic reviews and original trials. This thesis is based on the need to further explore this research area. Objectives: To assess and grade current evidence and evaluate short and long-term effects of an antenatal lifestyle intervention on women and their offspring Materials: Controlled trials of intervention publishedbefore August 2009 were systematically searched and reviewed. A randomized controlled trial (RCT) including 445 healthy women aged >18 years with a body mass index (BMI) ≥19 and ≤16 weeks pregnant and their offspring was performed during 2007-2015 in Örebro Region, Sweden. Methods: The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system was used for review. Our RCT (called the VIGA trial) compared standard care with a composite intervention consisting of education, application of a personalized weight graph, prescription of exercise and more frequent monitoring of weight. Standardized measures of weight and height in offspring waere analysed based on World Health Organization (WHO) Child Growth Standards. Results: Quality of evidence across the studies published pre-August 2009 was concluded to be very low. Our intervention significantly reduced mean GWG (kg) but the proportion of women with excessive GWG, according to recommendations, was not significantly reduced. Short- term postpartum weight retention (PPWR) was significantly lower after the intervention but no significant difference remained 1 year after delivery. Offspring mean BMI z-scores or proportion of obesity did not differ between study groups at either birth or age 5. Conclusions: The antenatal lifestyle intervention reduced mean GWG and short-term PPWR but no long-term effects on maternal weight retention or offspring obesity were seen. Alternative modes and timing of intervention should be considered in future research. Reducing the prevalence of pre-conception obesity must still be considered the primary means to improve maternal and fetal outcome.
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Stenson, Kristina. "Men's Violence against Women – a Challenge in Antenatal Care." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4140.
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Carroll, Frances. "Decision making associated with antenatal screening for Down's syndrome." Thesis, University of Bristol, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.547846.
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Leverett, Stephen. "Men and antenatal pedagogy : discourse, subject positions and affect." Thesis, Cardiff University, 2013. http://orca.cf.ac.uk/56523/.
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Antenatal education classes are a popular source of learning and support related to labour, birth and early parenthood for pregnant women and their partners. Although in the UK National Health Service (NHS) classes are the most frequently attended, the National Childbirth Trust (NCT), a registered charity involved in political lobbying, teaching and support related to maternity issues, offers a widely available alternative. The involvement of male partners within NCT antenatal education has raised questions, addressed in this study, as to how the male pedagogic subject is produced, recognised and realised within the instructional practice of NCT teachers, and the purpose it serves. Concepts drawn from Basil Bernstein’s theory of the pedagogic device influenced an empirical investigation that involved observing participants at an NCT antenatal course, combined with interviewing three antenatal teachers and analysis of official texts. The analysis helped identify the distinctive voice of the NCT, which sits in opposition to the prevailing medical and technical childbirth discourse. Analysis of the interview and observation data revealed how teachers recontextualised this discourse, in line with their own views and affective influences, to produce individually unique pedagogies, which in turn were found to produce and regulate specific subject positions for men during childbirth and the early days of fatherhood. The men’s recognition and realisation of subject positions was found to relate to the relationships and contexts produced by the pedagogy and their own affective coping strategies. The study adds to existing understandings of the transition to fatherhood and the relationship between discourse, pedagogy and subjectivities, and it proposes emergent theory about potential affective influences during the recontextualisation of pedagogic discourse. The findings also contribute to the development and practice of antenatal education for men.
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Cheng, Ka-lai, and 鄭嘉麗. "Evidence-based guideline for antenatal interpersonal psychotherapy education program." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193048.
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Background
Postnatal depression (PND) has become a world-wide public health problem. Maternal Child Health Centers (MCHCs) provide maternal and child healthcare with community-based Comprehensive Child Development Services (CCDS) aimed for early identification for provision of appropriate referral for intervention. There were 13.8% suspected PND cases in 2011(Department of Health PND Report, 2011). Antenatal Interpersonal Psychotherapy (IPT) has found efficacious for high depression risk (HDR) pregnant women. Evidence-based practice (EBP) antenatal IPT guideline best suited for MCHCs implementation.
Purpose
This dissertation intends to develop an effective EBP antenatal IPT guideline for HDR pregnant women, and to offer plans for implementation and evaluation.
Methods
Six electronic databases searched for updated relevant studies. Randomized controlled trails (RCTs) with antenatal IPT intervention for HDR pregnant women targeted. Evidence data related to EBP guideline development were extracted for critical appraisal. Program implementation potentials assessed for transferability, feasibility and cost-benefit ratio. Guideline with level of evidence and recommendation grading developed. Communication plan for different stakeholders and potential users were developed. Pilot test planned for process evaluation. Impact evaluation, outcome evaluation and economic evaluation planned to verify empirical evidences to initial changes in MCHCs.
Results
Eight RCTs studies, which compare group receiving antenatal IPT intervention with routine antenatal education group, were reviewed. Target population was HDR pregnant women. Antenatal IPT intervention found effective for HDR pregnant women with PND. The studies suggest antenatal IPT intervention give0.89 reductions in EPDS, improved psychological well-being, 0.77 reductions in GHQ and improved role competence2.43 increases in PSOC-E.
After critical appraisal of reviewed studies, antenatal IPT guideline developed. Pregnant women should be screened between 20 to 32 gestation weeks. Those with EPDS≥13 scores should enrolled into two 2-hour antenatal IPT program educated by trained nurse educators in class size ≤10. Those refusing to join the program receive routine education. Three-point measurements of EPDS, GHQ and PSOC-E at baseline, postnatal 6 to 8 weeks and 3 to 6 months of both groups are conducted. Postnatal EPDS ≥13 participants referred for psychiatric services upon their consent.
Program will propose implementation in MCHCs. Steering Committee is established and communicates with various stakeholders. Pilot test implement in one MCHC and reviewed for clinical applicability, feasibility and to obtain process evaluation for quality improvement.
Program should have quasi-experimental non- equivalent pretest-posttest control group and analyze data with ‘two-sample t-test’, ‘paired t-tests’ and ‘chi-square test’. Target achievement should be:
i. Primary outcomes: EPDS score reduced to0.89, GHQ reduced to0.77 and PSOC-E score increased to2.43;
ii. Secondary outcomes: Reduction of PND incidence and PND management caseloads by 20%.
Participants’ gestation ages, program attendance and satisfactory rates recorded. Economic evaluation indicates for every $1invested, the return is $8.45, program is a sound investment suggested.
Conclusions
Eight RCT studies provide evidence that antenatal IPT program is effective for HDR pregnant women in reducing PND, and in promoting higher maternal role efficacy level and psychological well-being. Implementation of this EBP program guideline can potentially help PND prevention and ease antenatal depression management of HDR pregnant women in MCHCs.published_or_final_version
Nursing Studies
Master
Master of Nursing
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Candelier, Claire Kathleen. "Studies on antenatal care in the South Wales valleys." Thesis, University of Sheffield, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.296766.
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Murphy-Black, T. "Evaluation of a post basic course for antenatal teachers." Thesis, University of Manchester, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.377477.
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Haddrill, Rosalind. "Understanding delayed access to antenatal care : a qualitative study." Thesis, University of Sheffield, 2015. http://etheses.whiterose.ac.uk/10533/.
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Background Delayed access to antenatal care (‘late booking’) is linked to poor maternal, fetal and neonatal outcomes. There have been few studies of women’s attitudes towards the initiation of antenatal care in the UK. The aim of the study was to understand why some women delay accessing antenatal care, and ultimately to improve such access and outcomes. Methods The synthesis of a large and methodologically diverse body of evidence, around perceptions and beliefs towards late booking for antenatal care, identified that antenatal care participation behaviour is complex, with a broad range of interacting barriers. A qualitative study was undertaken in Sheffield, interviewing 27 women presenting for their first hospital booking appointment after 19 weeks gestation, in community and maternity hospital settings. The interviews were transcribed verbatim and an iterative thematic analysis completed. Results The women were diverse in terms of age, parity, socioeconomic status and educational attainment. Three key themes relating to late booking were identified: • ‘not knowing’: realisation (absence of classic symptoms, misinterpretation), belief (age, subfertility, contraceptive use, lay hindrance); • ‘knowing’: avoidance (ambivalence, fear, self-care), postponement (fear, location, not valuing care, self-care); • ‘delayed’ (professional and system failures, knowledge and empowerment issues). Conclusions The analysis suggests a new taxonomy of themes around late booking, reflecting the interaction of cognitive, emotional, social and environmental factors which must be navigated prior to a woman’s first antenatal appointment. Common themes were evident across the social spectrum, including poor reproductive health knowledge and delayed recognition of pregnancy, but also the influence of a pregnancy ‘mindset’ and previous pregnancy experience, and the perceived priority of antenatal care. Three recommendations are made, namely to 1. address unintended pregnancies through improved reproductive health literacy, 2. enhance access to early antenatal care, and 3. improve the quality and focus of care, thus influencing women’s perceptions of its value and relevance. In combination these will facilitate the provision of timely antenatal care for all women.
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Mahlman, M. (Mari). "Genetic background and antenatal risk factors of bronchopulmonary dysplasia." Doctoral thesis, Oulun yliopisto, 2018. http://urn.fi/urn:isbn:9789526219530.
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Abstract Advances over the past few decades in ante- and neonatal care have led to the survival of a growing number of premature infants of extremely low gestational age. However, the occurrence of serious diseases, particularly those affecting the most immature infants, remains high. Bronchopulmonary dysplasia (BPD), a chronic lung disease of premature infants, is one such disease. Our current understanding of the molecular pathogenesis of BPD is incomplete; consequently, there are few preventive and therapeutic options for BPD. Moreover, it is challenging to predict the risk of BPD. Previous studies of BPD in twins revealed that the heritability of BPD is quite high. However, the individual genes that predispose premature infants to BPD are largely unknown. The aim of this study was to identify and study genes associated with BPD in order to investigate its pathogenesis. An additional aim was to add to knowledge of the risk of BPD in newborn premature infants, with an emphasis on twins. A candidate gene study found no consistent association between common polymorphisms of vascular endothelial growth factor receptor 2 and BPD. A second candidate gene study noted an association between the gene encoding Kit ligand and BPD. A genome-wide association study found a suggestive association between a locus close to the gene encoding C-reactive protein (CRP) and BPD, and in subsequent analyses, plasma levels of CRP during the first week of life predicted BPD. Finally, a nationwide register study found that the risk of BPD was lower in twins than in singletons. The results of this study add to what is known of the genetics and pathogenesis of BPD. They also provide new data on the risk of BPD, which may be used to improve early identification of infants for whom the risk of developing BPD is highTiivistelmä Ennenaikaisen syntymän ja keskoslasten hoidon kehittymisen myötä yhä useammat huomattavan epäkypsinä syntyneet lapset jäävät henkiin. Samalla erityisesti juuri näitä lapsia uhkaavien sairauksien esiintyvyys on pysynyt korkeana. Bronkopulmonaalinen dysplasia (BPD, keskosen krooninen keuhkosairaus) on yksi näistä sairauksista. BPD:n molekyylitasoinen tautimekanismi on vielä osin tuntematon, eikä BPD:tä tehokkaasti estävää tai siitä parantavaa hoitoa ole. Myös BPD riskin arvioiminen vastasyntyneen keskoslapsen kohdalla on vaikeaa. BPD on huomattavan perinnöllinen tauti. BPD:lle altistavista geeneistä on kuitenkin vasta vähän tietoa. Tämän tutkimuksen tavoitteena oli lisätä tietoa BPD:n tautimekanismista tutkimalla BPD:lle altistavia geenejä. Lisäksi tutkimuksessa tarkasteltiin BPD:n esiintyvyyttä ja syntymää edeltäviä riskitekijöitä erityisesti kaksosten osalta. Ehdokasgeenitutkimuksessa verisuonten endoteelikasvutekijää koodaava geeni ei assosioitunut toistuvasti BPD:hen. Kit ligandia koodaava geeni sen sijaan assosioitui. Koko genomin assosiaatiotutkimuksessa C-reaktiivista proteiinia (CRP) koodaavan geenin lähistöltä löydettiin BPD:hen mahdollisesti assosioituva alue. Lisäksi ensimmäisen viikon CRP-arvojen osoitettiin ennakoivan myöhemmin kehittyvää BPD:tä. BPD-riskin todettiin olevan matalampi kaksi- kuin yksisikiöisistä raskauksista syntyneillä lapsilla. Tutkimuksen tulokset lisäävät tietoa BPD:n perinnöllisyydestä ja sitä kautta BPD:n tautimekanismista. Tutkimus toi myös uutta tietoa BPD:n riskitekijöistä parantaen vastasyntyneen keskoslapsen BPD-riskin arviota
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STAL, MICHEL. "Evolutions techniques dans le diagnostic antenatal de la drepanocytose." Lille 2, 1993. http://www.theses.fr/1993LIL2P043.
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LE, MORVAN RIOU LAURENCE. "A propos d'un cas de chylothorax a diagnostic antenatal." Rennes 1, 1992. http://www.theses.fr/1992REN1M055.
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Hepburn, Mary. "The role of antenatal inpatient care in obstetric practice." Thesis, University of Edinburgh, 1986. http://hdl.handle.net/1842/19839.
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Ware, Julie, Karen E. Schetzina, Brook Foulk, Lynda Gioia-Flynt, Yvonne Moore, Kimberly Stuckey-Schrock, and Peter Grubb. "Antenatal Breastfeeding Promotion via a Statewide Quality Improvement Collaborative." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/5049.
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Chege, Eunice Nyambura. "Geographic Variations in Antenatal Care Services in Sierra Leone." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5062.
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Despite antenatal care presenting opportunities to identify and monitor women at risk, use of recommended antenatal care services remains. Barriers preventing use of antenatal services vary between countries, and limited knowledge exists about the link between geographical settings and antenatal service use. The objective of this cross-sectional quantitative study was to explore geographical variations and investigate how social demographic characteristics affect use of antenatal care for women in Sierra Leone using the Andersen behavioral model. The data used were from the 2016 maternal death surveillance report of the whole counrty (N =706). Logistic regression analysis was used to determine the individual predictor effects on antenatal care, including geographical location, the age of women, marital status, parity, and institution of birth impact. Southern, Northern, and Eastern women had significantly lower odds of attending the recommended antenatal services compared to women in the Western region (OR = .517, p = .019; OR = .497, p = .021; OR = 0.014, p = .041, respectively). The odds of married women attending the recommended antenatal services was 7.3 times more than that of the single women (OR = 7.397). Also, significantly associated with less uptake of recommended antenatal visits was lower education level among women (OR = .517). This study will contribute to positive social change by highlighting inequities in antenatal care use among women, thus allowing for accurate targeting of health promotion programs and ultimately saving lives of mothers and children of Sierra Leone through more inclusive policies.
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Kufa, Erica. "The timing of first antenatal care visit and factors associated with access to care among antenatal care attendees at Chitungwiza municipal clinics, Zimbabwe." Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/4553.
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Magister Public Health - MPHBackground and Rationale: Antenatal care (ANC) is vital for accessing prevention of mother to child transmission (PMTCT) services. The timing of the first ANC visit is critical for HIV infected pregnant women to access antiretroviral (ARV) prophylaxis as recommended. In addition pregnant women access other interventions like syphilis screening and treatment, provision of ferrous iron supplements, malaria prevention and treatment, health education, identification and management of risk factors. There is however paucity of information on factors associated with the timing and adequate use of ANC services in Chitungwiza Township, Zimbabwe. Aim: This study aimed to determine the factors associated with early access to and adequate use of ANC services among women attending ANC in the four polyclinics in Chitungwiza Township.Method:The study included a retrospective record review of women who registered for ANC in 2010 and a cross sectional study of pregnant women attending ANC clinic for the first time during the current pregnancy during the survey period. Data on gestation age at first ANC visit, number of ANC visits, age, gravidity, parity, tetanus, iron sulphate, rhesus results, HIV test result, WHO clinical stage, CD4 count, cotrimoxazole, PMTCT option accepted, date of initiation of AZT or ART; partner HIV test results; and infant feeding adherence done was abstracted into an MS Excel spreadsheet from the 2010 ANC registers in the four primary health care clinics. Every fourth record was captured. Exit interviews were also conducted on all women attending ANC for the first time during the current pregnancy using a structured questionnaire. Questions on socio-economic status, pregnancy history, reasons for seeking ANC, knowledge and belief about ANC services and their perception of the service received were asked. The outcome variables were gestation age at first ANC visit and the number of ANC visits. The spreadsheet was imported into Epi Info 7.0.9.7 and STATA 11 for analysis. The questionnaires were captured into an Epi Info 7 database exported to STATA 11 for analysis. A sample of 1,236 of first ANC visit records were abstracted from the 2010 ANC registers in the four primary care clinics and 80 women coming for ANC were interviewed in three clinics. The prevalence of pregnant women attending ANC for the first time at gestation age less or equal to 14 weeks and the prevalence of women with less than 4 ANC visits were computed. Pearson Chi-square tests were used to determine the strength of the relationships between the dependent variable (gestation age at the time of the first visit) and independent variables of age, marital status, level of education, parity, gravidity. All statistical tests were performed at 5% significance level and estimates were calculated at 95% confidence interval. Multiple logistic regression analysis was used to investigate the association between the outcome and the independent variables. Model interpretation was done using odds ratios (OR). Levels of knowledge and perception about ANC services as well as service content during the visit were also summarized. Results: Less than 1% of the women who attended ANC in 2010 came for 1st visit at week 14 or less, while of the women interviewed, 2.5% came at similar gestation age. Thirty-nine percent of women attending ANC in 2010 had at least four visits. Lower parity and tetanus immunization were significantly associated with early ANC initiation, while tetanus immunization and syphilis screening were associated with the number of visits.Among the interviewed women (n=80), 72.1% believed that a pregnant women should start ANC at 14 weeks or earlier. Most women (61.7%) cited having no money for booking as the reason for not coming earlier. Need for husband or partners permission, procrastination and not having any health problems with previous pregnancies were also a barrier to access. Uptake of HIV testing was very high at 94.7% of the women. However partner testing was very low at 2.1%. Knowledge of the appropriate time of the first ANC visit was somewhat high but not universal. Conclusions and Recommendations: Timely and adequate uptake of ANC services is very low in Chitungwiza Township. The user-fees appeared to be a major barrier to accessing ANC timely. While correct knowledge about when to go for ANC and the health problems women face during pregnancy and childbirth is prevalent,other factors like the need for permission from spouse or partner and procrastination were barriers to seeking service. Abolishing maternity fees should be seriously considered in order to increase access to timely ANC services. Sustainable means of financing services without reducing quality should be sought. There was variable uptake of various interventions in the ANC package due in part to supplies stock outs. There is need for strengthening the procurement and distribution systems so as to ensure continuous supplies at service delivery level.
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Umuziga, Marie Providence. "Assessment of common perinatal mental disorders in a selected district hospital of the Eastern Province in Rwanda." Thesis, University of the Western Cape, 2014. http://hdl.handle.net/11394/4283.
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Magister Public Health - MPHCommon perinatal mental disorders (CPMDs) are increasingly being recognised as an important public health issue including depression and anxiety. In low and middle income countries such as Rwanda, CPMDs are prevalent among women in perinatal period. In Africa, the estimated prevalence rates of depression are 11.3% and 18.3% during ante-postnatal respectively, while ante-postnatal anxiety rates are 14.8% and 14% respectively. However, in Rwanda there is limited literature on CPMDs. This study was aimed at determining the occurrence of CPMDs in a selected district hospital of the Eastern Province in Rwanda as well as the factors associated with CPMDs in the selected study area. A descriptive quantitative cross-sectional survey was conducted with a sample of one hundred and sixty five mothers in perinatal period, who were selected systematically. Demographic data and factors associated with CPMDs were determined using structured questionnaire and combined screening tools such as Zungu Self-rating anxiety scale (SAS) and Edinburgh Postnatal Depression Scale (EPDS). The Cronbach alpha values were 0.87 and 0.89 for SAS and EPDS respectively. SPSS Version 21 was utilized to analyse data. Univariate, bivariate correlational and multivariate analyses were performed. Most of the respondents (38.2%) were aged 25-29 years; Protestants (77.6%); married (44.8%); unemployed (77%) and had a primary school level of education (60.6%). With respect to participants in antenatal period (51.5%); 14.5% had a clinical level of anxiety and 19.4% had depression. In terms of participants in postnatal period (46.7%); 22.5% had a clinical level of anxiety and 29.7% had depression. However, participants in both periods (1.8%) all had a normal level of anxiety and 1.2% had depression.
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Mxoli, Winnifred Nonkonzo. "Women's perceptions and experiences of antenatal care rendered by midwives." Thesis, Nelson Mandela Metropolitan University, 2007. http://hdl.handle.net/10948/575.
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The general health status of pregnant women depends largely on the quality of the antenatal services available to them. The provision of good antenatal services ensures early detection and prompt management of any complication or disease that may adversely affect pregnancy outcome. In order to ensure high quality care, antenatal services need to be evaluated at regular intervals, both from provider and client perspective, to ensure their effectiveness in improving the health status of pregnant women. The midwife, as the first contact person for most pregnant women attending antenatal clinics in South Africa, has the potential to play a major role in improving the health status of these women. However, for the midwife to be effective in achieving this, antenatal services need to be effectively utilized by women. One of the factors that affect utilization of any service is client satisfaction with the service being rendered. This study, therefore, explores the perceptions that pregnant women have of the care that they receive from midwives at the selected antenatal clinics. The objectives of the study are to: {u100083} Explore and describe the perceptions and experiences of pregnant women attending antenatal clinic regarding the care they receive from midwives. {u100083} Make recommendations to assist registered midwives in optimizing the accompaniment of women during the antenatal period. A qualitative, descriptive, exploratory and contextual design was used for the study. The sample was chosen from the target population by means of purposive sampling and data was collected through unstructured interviews with the participants. Before data collection, permission was obtained from the Eastern Cape Department of Health and the Nursing Service Manager of the Gateway clinic, in the district hospital where the research was conducted. The Nursing Service Manager was acting as a Medical Superintendent at the time of the study. Written, informed consent was obtained from all participants before conducting interviews. Trustworthiness was ensured by means of Guba’s model throughout the study, and the aspects of truth value, applicability, consistency and neutrality were considered. Tesch’s eight steps of data analysis were used to analyze the data collected, and four main themes were identified namely: • Women perceive midwives as considerate and knowledgeable • Women perceive midwives as lazy and rude • Women experience mixed emotions about the care they receive from midwives • Though their experiences, women identified certain needs in the services and care they received at the clinic. Conclusions were drawn and recommendations for midwifery practice made based on the results of the study, with the aim of improving antenatal services rendered to pregnant women.
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Edwards, Samantha. "Exploring postnatal depression : the role of antenatal beliefs and emotions." Thesis, University of Leeds, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.410934.
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Aghajafari, Fariba. "Multiple vs. single courses of antenatal corticosteroids for preterm birth." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ58847.pdf.
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Saltvedt, Sissel. "Prenatal diagnosis in routine antenatal care : a randomised controlled trial /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-549-6/.
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唐淑嫻 and Suk-han Emily Tong. "Antenatal breastfeeding education in Hong Kong: a community-based programme." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40721310.
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Ho, Kit-ching Jane, and 何潔貞. "Screening for antenatal depression in a primary health care setting." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B43251183.
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Netsi, Elena. "Antenatal depression and infant sleep : investigating the pathways to risk." Thesis, University of Oxford, 2013. http://ora.ox.ac.uk/objects/uuid:d47928dd-eb19-4b81-aff7-0946bfd3567b.
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Introduction: Maternal antenatal depression has been associated with an increased risk of offspring psychopathology and more recently with disturbed infant sleep; in particular, shorter sleep duration, more awakenings and sleep problems. The exact mechanisms through which risk may be transmitted remain unknown, as does the question of whether all infants are equally susceptible to the effects of antenatal depression. The primary objectives of this thesis were to examine: i) The role of two potential moderators on the association between antenatal depression and infant sleep: infant reactive temperament and the serotonin transporter polymorphism 5-HTTLPR ii) The association between antenatal depression and infant sleep using objective behavioural and physiological measures. iii) Infant sleep and temperament in a pilot randomised controlled trial (RCT) following treatment of antenatal depression Methods i) The role of infant reactivity and 5-HTTLPR as potential moderators was examined in two large longitudinal cohorts: the Avon Longitudinal Study of Parents And Children (ALSPAC) and the Generation R study, based in the UK and The Netherlands respectively (n=8,991 and n=2,441). ii) An Oxford based pilot longitudinal family study (n=16) iii) A pilot randomised controlled trial of women with antenatal depression who received Cognitive Behavioural Therapy (CBT) or Care as Usual (n=25). Results i) There was evidence that reactive temperament moderated the association between antenatal depression and infant sleep; boys seemed to be most affected exhibiting more awakenings, sleep problems and shorter sleep duration. 5-HTTLPR did not moderate this association. ii) Antenatal depression was associated with shorter infant sleep duration 5 months postpartum iii) Improvement in depression was associated with shorter infant sleep duration and easier temperament 2 months postpartum Conclusion: This thesis suggests that not all infants are equally susceptible to environmental influences and this may prove important in targeting interventions. The role of genetic factors in conferring any susceptibility remains unclear. Actigraphy offering accurate representation of activity levels and timing during the day and night was a significant methodological advantage, but recruitment to a study incorporating these proved challenging. Finally, psychological interventions during pregnancy appear to have beneficial effects for child development.