Journal articles: 'First-time expectant'

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Ganapathy, Thilagavathy. "Tokophobia among First Time Expectant Fathers." International Journal of Psychiatric Nursing 1, no. 1 (2015): 99. http://dx.doi.org/10.5958/2395-180x.2015.00024.9.

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Finnbogadóttir, Hafrún, Elizabeth Crang Svalenius, and Eva K Persson. "Expectant first-time fathers’ experiences of pregnancy." Midwifery 19, no. 2 (June 2003): 96–105. http://dx.doi.org/10.1016/s0266-6138(03)00003-2.

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Al Furaikh, Samia Saud, and Thilagavathy Ganapathy. "FIRST TIME EXPECTANT FATHERS’ PERSPECTIVES ON BREASTFEEDING." Volume 2 Issue 2 2, no. 2 (April 15, 2018): 80–87. http://dx.doi.org/10.31674/mjmr.2018.v02i02.012.

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Background: Mothers who have a supportive and encouraging partner are more likely to plan to breastfeed for a longer duration. Objective: To explore the first-time expectant fathers’ attitudes towards breast feeding practices. Methods: A descriptive cross-sectional study was carried out among n=157 purposively selected first-time expectant fathers attending antenatal clinics along with low risk term primigravida at a tertiary care corporate maternity hospital, Cosmopolitan Bangalore city, Karnataka, India from June 2015 to July 2016. In accordance with Declaration of Helsinki, data was collected by The Iowa Infant Feeding Attitudes Scale (IIFAS). SPSS version 20 was used for analysis. Results: In general men had a favorable attitude towards breastfeeding (51.6±6.98) but they did not articulate specific benefits of it. Most expectant fathers reported that breastfeeding is the ideal way to feed a baby, contains the perfect proportion of nutrients and provides babies with a wide range of health benefits. Plus, breastfeeding is a great way for a mother to bond with her baby physically and mentally. However, 57.2% of them preferred formula-feeding for the baby while mother is away and felt it as healthy as breast milk. Although the men were generally supportive of breastfeeding, majority (58%) did not support breastfeeding in the public places. A few knew about the long-term benefits of breastfeeding on mother and infants. Majority (82.4%) expressed a need for support and information from health personnel on how they could practically support their partners in promoting and enabling breastfeeding. A significant association has been found between their attitudes and level of education and occupation at 0.05 levels. Conclusion: Health professionals must provide man-centric prenatal education to promote breastfeeding practices. They should involve, include and support fathers, recognizing their importance in the breastfeeding relationship.

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Chen, Charles P., and Lindsay Morris. "Improving career wellbeing for first-time expectant mothers." Australian Journal of Career Development 29, no. 2 (June 22, 2020): 137–43. http://dx.doi.org/10.1177/1038416220919827.

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Within the diverse population of working women, those who experience pregnancy for the first time may face some particular challenges when it comes to their career development needs and issues. These include discrimination in the workplace, responding to social expectations and pressures, negotiating life roles, and evolving personal identities. This article discusses the major career problems encountered by this target group, both structurally and socially, with a focus on individual strategies to access personal agentic functioning and empower women facing these challenges. These workers are often overlooked in the career literature; yet, there is a range of career theories to draw upon to assist them in their needs. The application of the life-span, life-space career theory, and the narrative therapy approaches are explored in relation to the helping process. These two theoretical orientations were chosen as they address the particular challenges faced by pregnant women in the workplace, especially around negotiating life roles and an evolving personal identity. There is a need for a stronger understanding of these challenges and opportunities to support pregnant women as they seek vocational wellbeing, and how to tailor suitable, well-established career counselling strategies to meet their unique needs.

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Kan, Marni L., and Mark E. Feinberg. "Measurement and Correlates of Intimate Partner Violence Among Expectant First-Time Parents." Violence and Victims 25, no. 3 (June 2010): 319–31. http://dx.doi.org/10.1891/0886-6708.25.3.319.

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Research on the implications of varying measurement strategies for estimating levels and correlates of intimate partner violence (IPV) has been limited. This study explored measurement and correlates of IPV using a community sample of 168 couples who were expecting their first child. In line with prior research, couple agreement regarding the presence of violence was low, and maximum reported estimates revealed substantial IPV perpetrated by both expectant mothers and fathers. Different types of IPV scores predicted unique variance in mental health problems and couple relationship distress among both the whole sample and the subsamples who perpetrated any violence. Discussion focuses on the methodological and substantive implications of these findings for the study of IPV during the transition to parenthood.

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Ganapathy, Thilagavathy. "A second victim of pregnancy: “Phobic first-time expectant fathers”." Muller Journal of Medical Sciences and Research 9, no. 1 (2018): 25. http://dx.doi.org/10.4103/mjmsr.mjmsr_62_17.

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Nuntapong, P., N. Sansiriphun, and Ch Baosoung. "Factors Related to Father Involvement among First Time Expectant Fathers." International Journal of Evidence-Based Healthcare 14 (December 2016): S21. http://dx.doi.org/10.1097/01.xeb.0000511649.45594.5b.

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Boyce, Philip, John Condon, Jodi Barton, and Carolyn Corkindale. "First-Time Fathers’ Study: Psychological Distress in Expectant Fathers During Pregnancy." Australian & New Zealand Journal of Psychiatry 41, no. 9 (September 2007): 718–25. http://dx.doi.org/10.1080/00048670701517959.

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Objective: High levels of distress have previously been reported among expectant fathers, with the level of distress for new fathers falling after the birth and during the first year of their infants’ lives. The aim of the present study was to report on the associations with the fathers’ initial high levels of distress. Method: The men completed a series of questionnaires on various aspects of their psychological functioning at a baseline assessment when their partners were in the late first trimester of their pregnancy. The General Health Questionnaire-28 (GHQ-28) was the key measure of psychological distress for the present study. Men scoring >5 on the GHQ were considered to be cases of distress. The cases and non-cases were contrasted on the baseline psychosocial measures. Results: A total of 312 men completed the questionnaires, of whom 18.6% were designated as cases. GHQ caseness was associated with high levels of symptoms on other measures of psychological distress, higher levels of alcohol consumption, poorer quality of their current intimate relationship, poorer social support, a lower quality of life, high levels of neuroticism and the use of immature ego defences. Multiple regression analysis identified the key variables associated with psychological distress to be high levels of neuroticism, dissatisfaction with social support and an excess number of additional life events. Conclusions: Psychological distress among expectant fathers is associated with a range of psychological variables, particularly poor marital relationship and poor social networks. This is consistent with a general vulnerability model for psychological distress. Fathers who had insufficient information about pregnancy and childbirth were also at risk of being distressed, suggesting that more attention needs to be paid to providing information to men about their partner's pregnancy, childbirth and issues relating to caring for a newborn infant.

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Gouilhers, Solène, Yvonne Meyer, Sophie Inglin, Stéphanie Pfister Boulenaz, Céline Schnegg, and Raphaël Hammer. "Pregnancy as a transition: First‐time expectant couples′ experience with alcohol consumption." Drug and Alcohol Review 38, no. 7 (August 23, 2019): 758–65. http://dx.doi.org/10.1111/dar.12973.

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Serçekuş, Pınar, Okan Vardar, Sinem Göral Türkçü, and Sevgi Özkan. "Why are first time expectant fathers afraid of birth? : A qualitative study." European Journal of Obstetrics & Gynecology and Reproductive Biology 254 (November 2020): 231–35. http://dx.doi.org/10.1016/j.ejogrb.2020.09.032.

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Intiful, Freda, Claudia Osei, Rebecca Steele-Dadzie, Ruth Nyarko, and Matilda Asante. "Views of First-Time Expectant Mothers on Breastfeeding: A Study in Three Health Facilities in Accra, Ghana." Advances in Public Health 2017 (2017): 1–6. http://dx.doi.org/10.1155/2017/4894026.

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The objective of this study was to evaluate the views of first-time expectant mothers on breastfeeding. A qualitative study approach using focus group discussions was used to solicit the views of 25 expectant first-time mothers. The results indicated the intention to breastfeed, though some were willing to opt for formula feeding when the need arises. Knowledge on breastfeeding issues was minimal among this group. Common sources of information on breastfeeding issues were obtained from home (relatives), hospital, and television. The need to support and provide adequate education on breastfeeding issues is critical among this category of women.

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Kao, Chien-Huei, and Ann Long. "First-Time Taiwanese Expectant Fathersʼ Life Experiences During the Third Trimester of Pregnancy." Journal of Nursing Research 12, no. 1 (March 2004): 60–65. http://dx.doi.org/10.1097/01.jnr.0000387489.71062.9c.

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Edelstein, Robin S., Britney M. Wardecker, William J. Chopik, Amy C. Moors, Emily L. Shipman, and Natalie J. Lin. "Prenatal hormones in first-time expectant parents: Longitudinal changes and within-couple correlations." American Journal of Human Biology 27, no. 3 (December 15, 2014): 317–25. http://dx.doi.org/10.1002/ajhb.22670.

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Da Costa, Deborah, Phyllis Zelkowitz, Kaberi Dasgupta, Maida Sewitch, Ilka Lowensteyn, Rani Cruz, Kelly Hennegan, and Samir Khalifé. "Dads Get Sad Too: Depressive Symptoms and Associated Factors in Expectant First-Time Fathers." American Journal of Men's Health 11, no. 5 (September 18, 2015): 1376–84. http://dx.doi.org/10.1177/1557988315606963.

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This cross-sectional study aims to determine the prevalence and determinants of depressive symptoms in first-time expectant fathers during their partner’s third trimester of pregnancy. As part of a prospective study examining depressive symptoms in men over the first postnatal year, 622 men (mean age = 34.3 years, ±5.0 years) completed standardized online self-report questionnaires measuring depressed mood, physical activity, sleep quality, social support, marital adjustment, life events, financial stress, and demographics during their partner’s third trimester of pregnancy. The Edinburgh Depression Scale was used to assess depressed mood. Partners also completed the Edinburgh Depression Scale in the third trimester. The results revealed that 13.3% of expectant fathers exhibited elevated levels of depressive symptoms during their partner’s third trimester of pregnancy. Significant independent factors associated with antenatal depressive symptoms in men were poorer sleep quality, family history of psychological difficulties, lower perceived social support, poorer marital satisfaction, more stressful life events in the preceding 6 months, greater number of financial stressors, and elevated maternal antenatal depressive symptoms. These findings highlight the importance of including fathers in the screening and early prevention efforts targeting depression during the transition to parenthood, which to date have largely focused only on women. Strategies to promote better sleep, manage stress, and mobilize social support may be important areas to address in interventions tailored to new fathers at risk for depression during the transition to parenthood.

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Hsieh, Yu-Hui, Chien-Huei Kao, and Meei-Ling Gau. "The Lived Experience of First-Time Expectant Fathers Whose Spouses Are Tocolyzed in Hospital." Journal of Nursing Research 14, no. 1 (March 2006): 65–74. http://dx.doi.org/10.1097/01.jnr.0000387563.49565.22.

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Durkin, S., C. Morse, and A. Buist. "The factor structure of prenatal psychological and psychosocial functioning in first-time expectant parents." Journal of Reproductive and Infant Psychology 19, no. 2 (May 2001): 121–34. http://dx.doi.org/10.1080/02646830123982.

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Cohen-Yatziv, Liat, Sharon Snir, Dafna Regev, Ofra Shofar, and Shirley Rechtman. "Pictorial phenomena expressing maternal representations of first time expectant mothers demonstrating signs of depression." Arts in Psychotherapy 58 (April 2018): 1–10. http://dx.doi.org/10.1016/j.aip.2018.02.002.

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Longobucco, Diane Carol, and Margie S. Freston. "Relation of Somatic Symptoms to Degree of Paternal-Role Preparation of First-Time Expectant Fathers." Journal of Obstetric, Gynecologic & Neonatal Nursing 18, no. 6 (November 1989): 482–88. http://dx.doi.org/10.1111/j.1552-6909.1989.tb00500.x.

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Leach, Liana S., Andrew Mackinnon, Carmel Poyser, and A. Kate Fairweather-Schmidt. "Depression and anxiety in expectant and new fathers: longitudinal findings in Australian men." British Journal of Psychiatry 206, no. 6 (June 2015): 471–78. http://dx.doi.org/10.1192/bjp.bp.114.148775.

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BackgroundDespite growing interest in men's perinatal mental health, we still know little about whether becoming a new father is associated with increases in psychological distress.AimsTo use prospective longitudinal data to investigate whether becoming a first-time expectant (partner pregnant) and/or new father (child <1 year) is associated with increases in depression and anxiety.MethodMen were aged 20–24 years at baseline (n = 1162). Levels of depression and anxiety were measured at four time points over 12 years. Over this time, 88 men were expectant fathers, 108 men were new fathers and 626 men remained non-fathers.ResultsLongitudinal mixed models showed no significant increase in depression or anxiety as a function of expectant or new fatherhood, as compared with pre-fatherhood levels.ConclusionsOur findings suggest that, generally, expectant and new fathers are not at greater risk of depression or anxiety. Future epidemiological research should continue to identify men who are most (and least) at risk to focus resources and assistance most effectively.

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Nešporová, Olga. "The Initial Years of Motherhood and Fatherhood as Perceived by Expectant Parents: The Division of Care and Paid Work." Sociální studia / Social Studies 13, no. 4 (September 1, 2016): 9–25. http://dx.doi.org/10.5817/soc2016-4-9.

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This study provides an outline of plans and norms regarding the first years of fatherhoodand motherhood and focuses on the division of care and paid work between Czech parents. It is basedon 32 interviews conducted with expectant parents from dual-earner heterosexual couples. The ideals andplans of the expectant parents embedded in real life options were studied and analysed in order to identifyvarious care models to be employed over the first three years of parenthood. In all three principal caremodels revealed by the study sample, the fathers continued to work full time while the plans of the motherswere more varied. The models were classified as 1) the long-term full-time mother care model, 2) the longtermpart-time mother care model, and 3) the short-term mother care model. The intra-couple comparativeanalysis revealed common discrepancies between the plans of the partners regarding the employmentof the mother and the use of non-parental childcare. Expectant fathers more often professed traditionalconservative views than their female partners.

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Kim, Eun Hye, and Hyun-Sim Doh. "Development and Effectiveness of the Respected Parents & Respected Children Program for First-Time Expectant Parents." Korean Journal of Child Studies 40, no. 1 (February 28, 2019): 51–68. http://dx.doi.org/10.5723/kjcs.2019.40.1.51.

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Pepping, Christopher A., and W. Kim Halford. "Attachment and relationship satisfaction in expectant first-time parents: The mediating role of relationship enhancing behaviors." Journal of Research in Personality 46, no. 6 (December 2012): 770–74. http://dx.doi.org/10.1016/j.jrp.2012.08.005.

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Chestnut, D. H. "A survey of attitudes of expectant first-time fathers and mothers toward epidural analgesia for labor." Yearbook of Anesthesiology and Pain Management 2009 (January 2009): 195–96. http://dx.doi.org/10.1016/s1073-5437(08)79097-1.

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Ateah, Christine A. "Prenatal Parent Education for First-Time Expectant Parents: “Making It Through Labor Is Just the Beginning…”." Journal of Pediatric Health Care 27, no. 2 (March 2013): 91–97. http://dx.doi.org/10.1016/j.pedhc.2011.06.019.

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Leach, Liana. "Blogs from 11 expectant first-time fathers reveal both excitement and fears in their new role." Evidence Based Nursing 18, no. 3 (October 17, 2014): 69. http://dx.doi.org/10.1136/eb-2014-101914.

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Orbach-Zinger, S., R. Bardin, Y. Berestizhevsky, J. Sulkes, Y. David, S. Elchayuk, D. Peleg, and L. A. Eidelman. "A survey of attitudes of expectant first-time fathers and mothers toward epidural analgesia for labor." International Journal of Obstetric Anesthesia 17, no. 3 (July 2008): 243–46. http://dx.doi.org/10.1016/j.ijoa.2008.01.012.

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Ablow, Jennifer C., Amy K. Marks, S. Shirley Feldman, and Lynne C. Huffman. "Associations Between First-Time Expectant Women's Representations of Attachment and Their Physiological Reactivity to Infant Cry." Child Development 84, no. 4 (June 20, 2013): 1373–91. http://dx.doi.org/10.1111/cdev.12135.

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Chin, Kristi, William J. Chopik, Britney M. Wardecker, Onawa P. LaBelle, Amy C. Moors, and Robin S. Edelstein. "Longitudinal associations between prenatal testosterone and postpartum outcomes in a sample of first-time expectant lesbian couples." Hormones and Behavior 125 (September 2020): 104810. http://dx.doi.org/10.1016/j.yhbeh.2020.104810.

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Ninowski, Jerilyn E., Eric J. Mash, and Karen M. Benzies. "Symptoms of attention-deficit/hyperactivity disorder in first-time expectant women: Relations with parenting cognitions and behaviors." Infant Mental Health Journal 28, no. 1 (January 2007): 54–75. http://dx.doi.org/10.1002/imhj.20122.

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Kuo, Patty X., and L. Monique Ward. "Contributions of television use to beliefs about fathers and gendered family roles among first-time expectant parents." Psychology of Men & Masculinity 17, no. 4 (October 2016): 352–62. http://dx.doi.org/10.1037/men0000033.

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Condon, John T., and Vijaya Esuvaranathan. "The influence of parity on the experience of pregnancy: A comparison of first- and second-time expectant couples." British Journal of Medical Psychology 63, no. 4 (December 1990): 369–77. http://dx.doi.org/10.1111/j.2044-8341.1990.tb01632.x.

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Foley, Sarah, Claire Hughes, Aja Louise Murray, Adriana Baban, Asvini D. Fernando, Bernadette Madrid, Joseph Osafo, et al. "Prenatal attachment: using measurement invariance to test the validity of comparisons across eight culturally diverse countries." Archives of Women's Mental Health 24, no. 4 (February 9, 2021): 619–25. http://dx.doi.org/10.1007/s00737-021-01105-8.

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AbstractStudies in high-income countries (HICs) have shown that variability in maternal-fetal attachment (MFA) predict important maternal health and child outcomes. However, the validity of MFA ratings in low- and middle-income countries (LMICs) remains unknown. Addressing this gap, we assessed measurement invariance to test the conceptual equivalence of the Prenatal Attachment Inventory (PAI: Muller, 1993) across eight LMICs. Our aim was to determine whether the PAI yields similar information from pregnant women across different cultural contexts. We administered the 18-item PAI to 1181 mothers in the third trimester (Mean age = 28.27 years old, SD = 5.81 years, range = 18–48 years) expecting their first infant (n = 359) or a later-born infant (n = 820) as part of a prospective birth cohort study involving eight middle-income countries: Ghana, Jamaica, Pakistan, Philippines, Romania, South Africa, Sri Lanka and Vietnam. We used Multiple Group Confirmatory Factor Analyses to assess across-site measurement invariance. A single latent factor with partial measurement invariance was found across all sites except Pakistan. Group comparisons showed that mean levels of MFA were lowest for expectant mothers in Vietnam and highest for expectant mothers in Sri Lanka. MFA was higher in first-time mothers than in mothers expecting a later-born child. The PAI yields similar information about MFA across culturally distinct middle-income countries. These findings strengthen confidence in the use of the tool across different settings; future studies should explore the use of the PAI as a screen for maternal behaviour that place children at risk.

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MARLEAU, JACQUES D., and JEAN-FRANÇOIS SAUCIER. "PREFERENCE FOR A FIRST-BORN BOY IN WESTERN SOCIETIES." Journal of Biosocial Science 34, no. 1 (January 2002): 13–27. http://dx.doi.org/10.1017/s0021932002000135.

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Many studies in the last 45 years have shown that women prefer a boy to a girl for their first-born child, suggesting that this preference is universal in Western societies. A careful examination of these studies reveals, however, that the subjects were often women who were not pregnant and/or students. A review of sixteen studies with first-time-pregnant women showed that in most cases the opposite was true, namely, that a girl was desired more often than a boy, especially during the last two decades (from 1981 to 1996). Data concerning expectant fathers, however, indicate that they prefer a boy rather than a girl. A preference for a boy first was also observe for both non-expectant males and females. Women’s preference for a male child decreased and men’s preference increased slightly when the two sub-periods (before 1980 vs after 1981) were compared. A difference between men and women is, however, evident whatever the sub-period: men more often prefer a boy than women. These findings suggest that something specific about being pregnant is related to the preference for a girl first.

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Nommsen-Rivers, Laurie A., Caroline J. Chantry, Roberta J. Cohen, and Kathryn G. Dewey. "Comfort with the Idea of Formula Feeding Helps Explain Ethnic Disparity in Breastfeeding Intentions Among Expectant First-Time Mothers." Breastfeeding Medicine 5, no. 1 (February 2010): 25–33. http://dx.doi.org/10.1089/bfm.2009.0052.

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Biswas, Prabir, Sonali Majumdar Das, and Bibekananda Das. "Knowledge regarding diabetes among expectant mothers attending ante natal clinic of a tertiary care institution of Kolkata: a cross sectional study." International Journal of Research in Medical Sciences 6, no. 12 (November 26, 2018): 4008. http://dx.doi.org/10.18203/2320-6012.ijrms20184899.

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Background: Prevalence of gestational diabetes (GDM) has increased tremendously in India. Prevention of the condition is possible through health education. However, knowledge regarding diabetes is poor among Indian women. Thus, examining the basic knowledge regarding diabetes among expectant mothers is necessary to identify areas of deficit.Methods: An observational, analytical study of cross-sectional design was undertaken to assess the knowledge regarding diabetes among 173 expectant mothers attending the ante-natal clinic of R. G. Kar Medical College, Kolkata using a pre tested schedule.Results: Mean score of the respondents were less than 3 out of 8 which was a poor score. The overall mean diabetic score was similar for the antenatal mothers irrespective of the number of pregnancy (p=0.3154) but the score was greater than that for the non-pregnant women (p=0.0000). The expectant mothers showed better response compared to the controls when asked whether a person can have diabetes but be unaware of the condition; whether diabetes can harm a person’s body before diagnosis; long term complications of the disease(P<0.05). However, answers were similar across all groups with respect to queries like the age group in which the condition is more commonly diagnosed and whether diabetes is curable (p>0.05). The pregnant women had less reported leisure time physical exercise and first degree relative with diabetes (p<0.05).Conclusions: Mean knowledge score of the expectant mothers was more than the women controls though the overall score was poor. A structured awareness program is urgently needed which would first address diabetes in general and then the specifics of GDM.

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Stanley-Stevens, Leslie, and Karen Claiborne Kaiser. "Decisions of First Time Expectant Mothers in Central Texas Compared to Women in Great Britain and Spain: Testing Hakim’s Preference Theory." Journal of Comparative Family Studies 42, no. 1 (January 2011): 113–30. http://dx.doi.org/10.3138/jcfs.42.1.113.

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Boyd, Wendy, Karen Thorpe, and Collette Tayler. "Preferences of First-Time Expectant Mothers for Care of their Child: ‘I Wouldn't Leave them Somewhere that Made Me Feel Insecure’." Australasian Journal of Early Childhood 35, no. 2 (June 2010): 4–12. http://dx.doi.org/10.1177/183693911003500202.

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Huusko, L., S. Sjöberg, A. Ekström, E. Hertfelt Wahn, and S. Thorstensson. "First-Time Fathers’ Experience of Support from Midwives in Maternity Clinics: An Interview Study." Nursing Research and Practice 2018 (November 8, 2018): 1–7. http://dx.doi.org/10.1155/2018/9618036.

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Background. Research shows that first-time fathers want to take part in preparation for birth and parenthood but they describe being excluded by health professionals. Aim. The aim of this study was to illustrate first-time fathers’ experiences of support from midwives in maternity clinics as a step in the validation of “The Father Perceived-Professional-Support” (The FaPPS) scale. Methods. A qualitative content analysis with an inductive and deductive approach was used; seven first-time fathers were strategically selected and interviewed. In the inductive part the following open question was asked: “How did you perceive the support from the antenatal midwife/midwives?” In the deductive part, the fathers were asked to respond to the FaPPS scale, in order to receive their thoughts and understanding of the scale, inspired by the “Think-aloud” method. Findings. The inductive results showed two main categories: Experience of not knowing what support they needed and Experience of being excluded. The fathers found support from other fathers in parental education classes, but they lack time to discuss. Overall it seems as if the fathers answered both from their own perspective and from the mothers’ perspective. This was not evident in the deductive results. The FaPPs scale should therefore include professionals’ ability to strengthen social support from other first-time fathers and professionals’ ability to offer support to the mother. Conclusion and Clinical Implications. The fathers experienced exclusion both by themselves and also by midwives. Midwives should offer both parents the opportunity to pose questions. It is important for expectant fathers that time for discussion is planned in parental education classes. The FaPPS scale is useful but needs further development. Parts of our result are in line with earlier research, for decades; therefore it is necessary to focus more on support for fathers.

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Nicol, Marian. "Vulnerability of First-Time Expectant Mothers During Ultrasound Scans: An Evaluation of the External Pressures That Influence the Process of Informed Choice." Health Care for Women International 28, no. 6 (June 21, 2007): 525–33. http://dx.doi.org/10.1080/07399330701334281.

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Rikken, J. F. W., K. W. J. Verhorstert, M. H. Emanuel, M. Y. Bongers, T. Spinder, W. Kuchenbecker, F. W. Jansen, et al. "Septum resection in women with a septate uterus: a cohort study." Human Reproduction 35, no. 7 (April 30, 2020): 1578–88. http://dx.doi.org/10.1093/humrep/dez284.

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Abstract Study question Does septum resection improve reproductive outcomes in women with a septate uterus? Summary answer In women with a septate uterus, septum resection does not increase live birth rate nor does it decrease the rates of pregnancy loss or preterm birth, compared with expectant management. What is known already The septate uterus is the most common uterine anomaly with an estimated prevalence of 0.2–2.3% in women of reproductive age, depending on the classification system. The definition of the septate uterus has been a long-lasting and ongoing subject of debate, and currently two classification systems are used worldwide. Women with a septate uterus may be at increased risk of subfertility, pregnancy loss, preterm birth and foetal malpresentation. Based on low quality evidence, current guidelines recommend removal of the intrauterine septum or, more cautiously, state that the procedure should be evaluated in future studies. Study design, size, duration We performed an international multicentre cohort study in which we identified women mainly retrospectively by searching in electronic patient files, medical records and databases within the time frame of January 2000 until August 2018. Searching of the databases, files and records took place between January 2016 and July 2018. By doing so, we collected data on 257 women with a septate uterus in 21 centres in the Netherlands, USA and UK. Participants/materials, setting, methods We included women with a septate uterus, defined by the treating physician, according to the classification system at that time. The women were ascertained among those with a history of subfertility, pregnancy loss, preterm birth or foetal malpresentation or during a routine diagnostic procedure. Allocation to septum resection or expectant management was dependent on the reproductive history and severity of the disease. We excluded women who did not have a wish to conceive at time of diagnosis. The primary outcome was live birth. Secondary outcomes included pregnancy loss, preterm birth and foetal malpresentation. All conceptions during follow-up were registered but for the comparative analyses, only the first live birth or ongoing pregnancy was included. To evaluate differences in live birth and ongoing pregnancy, we used Cox proportional regression to calculate hazard rates (HRs) and 95% CI. To evaluate differences in pregnancy loss, preterm birth and foetal malpresentation, we used logistic regression to calculate odds ratios (OR) with corresponding 95% CI. We adjusted all reproductive outcomes for possible confounders. Main results and the role of chance In total, 257 women were included in the cohort. Of these, 151 women underwent a septum resection and 106 women had expectant management. The median follow-up time was 46 months. During this time, live birth occurred in 80 women following a septum resection (53.0%) compared to 76 women following expectant management (71.7%) (HR 0.71 95% CI 0.49–1.02) and ongoing pregnancy occurred in 89 women who underwent septum resection (58.9%), compared to 80 women who had expectant management (75.5%) (HR 0.74 (95% CI 0.52–1.06)). Pregnancy loss occurred in 51 women who underwent septum resection (46.8%) versus 31 women who had expectant management (34.4%) (OR 1.58 (0.81–3.09)), while preterm birth occurred in 26 women who underwent septum resection (29.2%) versus 13 women who had expectant management (16.7%) (OR 1.26 (95% CI 0.52–3.04)) and foetal malpresentation occurred in 17 women who underwent septum resection (19.1%) versus 27 women who had expectant management (34.6%) (OR 0.56 (95% CI 0.24–1.33)). Limitations, reasons for caution Our retrospective study has a less robust design compared with a randomized controlled trial. Over the years, the ideas about the definition of the septate uterus has changed, but since the 257 women with a septate uterus included in this study had been diagnosed by their treating physician according to the leading classification system at that time, the data of this study reflect the daily practice of recent decades. Despite correcting for the most relevant patient characteristics, our estimates might not be free of residual confounding. Wider implications of the findings Our results suggest that septum resection, a procedure that is widely offered and associated with financial costs for society, healthcare systems or individuals, does not lead to improved reproductive outcomes compared to expectant management for women with a septate uterus. The results of this study need to be confirmed in randomized clinical trials. Study funding/competing interest(s) A travel for JFWR to Chicago was supported by the Jo Kolk Studyfund. Otherwise, no specific funding was received for this study. The Department of Obstetrics and Gynaecology, University Medical Centre, Groningen, received an unrestricted educational grant from Ferring Pharmaceutical Company unrelated to the present study. BWM reports grants from NHMRC, personal fees from ObsEva, personal fees from Merck, personal fees from Guerbet, other payment from Guerbet and grants from Merck, outside the submitted work. The other authors declare no conficts of interest. Trial registration number N/A

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Timokhina, Elena V., Vladimir A. Lebedev, Alina M. Karpova, Parvin F. Kurbanzade, and Mariya V. Mikheeva. "Premature rupture of the fetal membranes during premature pregnancy. Management: reality and prospects." V.F.Snegirev Archives of Obstetrics and Gynecology 8, no. 2 (June 1, 2021): 93–100. http://dx.doi.org/10.17816/2313-8726-2021-8-2-93-100.

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Premature rupture of the fetal membranes is a complication of pregnancy, causing premature labour and birth of a premature newborn. Premature birth rate consist of 6 to 12%. MATERIALS AND METHODS: We perform a retrospective analysis of 71 cases of patients with a premature rupture of the fetal membranes with active and expectant management and perinatal outcomes. The 1st group consisted of 19 patients with a gestation age of 2228 weeks, the 2nd group ― 52 patients with a gestation age of 2934 weeks. RESULTS: The duration of the period between rupture of membranes and delivery in patients of the first group (2228 weeks) was: up to 48 hours ― 3 patients, 48 hours 14 days ― 15 patients, more than 14 days ― 1 patient. In patients of the second group (2934 weeks), respectively: up to 48 hours ―17 patients, 48 hours 14 days ― 30 patients, more than 14 days ― 5 patients. The duration of expectant management for PRFM in premature pregnancy is determined by the duration of pregnancy, the condition of the mother of the fetus, the presence of clinical and laboratory signs of chorioamnionitis, the amount and changing of the volume of amniotic fluid. The management of prolongation preterm pregnancy led to the fact that the gestational age at the time of delivery compared to the time of hospitalization significantly increased. In the group of patients, 2228 weeks gestation, the increase averaged 6.7 days, the maximum increase was 25 days, in the group of patients 2934 weeks gestation, the increase averaged 6.8 days, the maximum increase in gestational age was 35 days. CONCLUSION: The expectant management of premature pregnancy in PRFM allows to increase the gestational age (by an average of 6.8 days), to increase the weight of the fetus, to reduce perinatal mortality, to reduce the need for prematures in mechanical ventilation by more than half, to ensure a high level of discharge of newborns home.

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Zanata, Régia Luzia, Maria Fidela de Lima Navarro, José Carlos Pereira, Eduardo Batista Franco, José Roberto P. Lauris, and Sílvia Helena Barbosa. "Effect of caries preventive measures directed to expectant mothers on caries experience in their children." Brazilian Dental Journal 14, no. 2 (2003): 75–81. http://dx.doi.org/10.1590/s0103-64402003000200001.

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The aim of this prospective study was to determine the effectiveness of caries preventive measures started during pregnancy on the caries experience of first-time mothers and their infants. Eighty-one pregnant women with low social background were selected on the basis of the presence of active carious lesions and were randomly divided into control (38) and experimental (43) groups. The initial dental status (DMFS and white spot lesions) was established through clinical examination. The prophylactic measures were repeated during pregnancy and 6 and 12 months after delivery. Both groups received primary care intervention. They were instructed in relation to the etiologic factors of dental caries and received oral hygiene kits. Oral hygiene instructions were reinforced through interactive brushing. The experimental group also received antimicrobial treatment (topical application of NaF and iodine solution immediately after prophylaxis and 3 and 5 days later) and restorative care using glass ionomer cement. By the time the children were 2 years of age, 33.3% of the infants in the control group and 14.7% in the experimental group had caries activity. A significant difference in caries prevalence was observed between children with and without visible dental plaque. The mean number of tooth surfaces with carious lesions (including areas of demineralization) was higher among the children in the control group compared to the experimental group (6.3 x 3.2), however, with no statistical significance. Maternal caries increase was a significant factor influencing the caries experience of the children. These data support the evidence of an association between caries prevalence in young children and clinical (dental plaque) and maternal factors.

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Hands, Kristen K., Alyssa Clements-Hickman, Claire C. Davies, and Dorothy Brockopp. "The Effect of Hospital-Based Childbirth Classes on Women's Birth Preferences and Fear of Childbirth: A Pre- and Post-Class Survey." Journal of Perinatal Education 29, no. 3 (June 29, 2020): 134–42. http://dx.doi.org/10.1891/j-pe-d-19-00015.

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The purpose of this study was to examine the effect of a hospital-based childbirth class on fear of childbirth, anticipation regarding the birth experience, birth preferences and perception of the birth experience among first-time mothers. Expectant mothers (N = 207) completed an investigator-designed questionnaire before and after attending a prenatal hospital-based childbirth class held in the hospital where they intended to give birth. Statistically, significant changes postintervention included a decrease in fearfulness and an increase in birth anticipation. Shifts also occurred in birth preferences. Data collected from an open-ended question revealed the participants' increased excitement about birth. Findings provide evidence that attending hospital-based childbirth classes may influence women's perceptions and preferences regarding birth.

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Tawhida, Fazle Noor E., Tabassum Ghani, Noorjahan, Shamima Akhter, and Mst Noorjahan Begum. "Out Come of Expectant Management and Induction of Labour with Premature Rupture of Membrane in Term Pregnancy." Anwer Khan Modern Medical College Journal 11, no. 1 (February 27, 2020): 59–65. http://dx.doi.org/10.3329/akmmcj.v11i1.45669.

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Introduction: Overall, at least 50% of mothers with PROM near term deliver within 48 hours. The latency period is in general inversely related to the gestational age at the time of PROM. At term, labor is desirable since infections become more likely with more prolong intervals between rupture and delivery. Neonatal complications and perinatal mortality and morbidity also associated with PROM. Material and methods: This randomized clinical trial study was carried out in the Department of Obstetrics and Gynecology Sir Salimuilah Medical College and Mitford Hospital Dhaka, during the period of January 2008 to September 2008. A total of 100 patients with term pregnancy had single fetus and cephalic presentation with PROM were enrolled in this study. After taking informed consent she was randomized in one of the two either groups according to the results of lottery. Fifty in Group I- Termination of the pregnancy (intervention group) by induction of labour and another 50 were in Group II- Expectant management for spontaneous delivery (expectant group). Randomization was 1:1 for intervention and expectant management. Proper history including demographic, past obstetric and medical history was taken, maternal temperature and Fetal heart rate was recorded. Antibiotics were given to all PROM women. The women of intervention group were induced by following ways -Women with riped cervix with oxytocin infusion and with unripe cervix, first underwent ripening by misoprostol followed by oxytocin infusion. Data was collected by standard questionnaire; results were compiled and relevant statistical calculation was done using computer-based software (SPSS). Results: The mean age was 20-24 years were predominant in both groups. Low income patients were more common in both groups. Primigravida were predominant in both groups. The mean gestation age was almost similar in both groups, no significant (p>0.05) difference was found between two groups. Majority (80%) patients had time interval 1 to 12 hours between rupture membrane and onset of labour pain in group I. On the other hand 80% patients in group II had 12 to 24 hours time interval for onset of labour pain after rupture membrane.Normal vaginal delivery was higher in group I, whereas caesarean section (LSCS) was higher group II. No statistically significant (p>0.05) difference was found between two groups.Duration of time interval between on set of labour pain to delivery was <12 hours in group I 88.0% patients and 96.0% in group II respectively. No statistically significant (p>0.05) difference was found between two groups.Hundred percent cases was live birth in both groups. Neonatal infection and death were significantly (p<0.05) higher in group II. Puerperal sepsis was significantly (p<0.05) higher in group II.The mean duration of hospital stay was 4.1±2.2 and 5.1±3.7 days in group I and group II respectively but this was not significant (p>0.05). Conclusion: In the present study there was no statistical difference in the mode of delivery and time interval between onset of labour pain and delivery in two groups though maternal complications, neonatal infection and perinatal death was higher where expectant management was followed. Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 59-65

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Hawrylyshyn, K., S. McLeod, J. Thomas, and C. Varner. "P066: Methotrexate in the management of suspected ectopic pregnancy." CJEM 20, S1 (May 2018): S80. http://dx.doi.org/10.1017/cem.2018.264.

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Introduction: Early detection of ectopic pregnancy and careful management is critical to prevent adverse clinical outcomes, including fallopian tube rupture and future decreased fertility, in patients presenting to the ED with symptoms suggestive of ectopic pregnancy. Methotrexate therapy is widely accepted as a first line treatment of ectopic pregnancy, with success rates greater than 90% if used according to published guidelines. This study aims to determine the outcomes of pregnant women who presented to the ED with suspected ectopic pregnancy whom received methotrexate as first line treatment. Methods: This was a retrospective chart review of pregnant (<12 week gestational age) women from an academic tertiary care ED with a diagnosis of ectopic pregnancy, rule out ectopic pregnancy, or pregnancy of unknown location (PUL) over a 7 year period. Results: Of 612 included patients, 30 (4.9%) were diagnosed with a ruptured ectopic pregnancy at the index ED visit. Of the remaining 582 patients, 256 (44.0%) were diagnosed with an ectopic pregnancy at the index ED visit, the Early Pregnancy Clinic, or a subsequent ED visit. Of these patients diagnosed with ectopic pregnancy, their initial treatments at time of discharge from the index ED visit were as follows: 102 (39.8%%) received methotrexate, 132 (51.6%) underwent expectant management, and 22 (8.6%) underwent surgical management. Of the 132 patients discharged with an expectant management plan, only 42 (31.8%) had a final outcome of expectant management; the others went on to be treated surgically or with methotrexate. Of the 165 patients treated with methotrexate at index visit or in follow-up, 30 (18.2%) went on to require surgical management with 17 (10.3%) documented as having ruptured on surgical evaluation. Clinical characteristics of patients treated with methotrexate include the following: mean age 32.8 years (SD 5.7), gestational age of 6.2 weeks (SD 1.2) and serum beta human chorionic gonadotropin level of 2702 mIU/mL (SD 8800). Conclusion: The proportion of patients receiving methotrexate as first-line treatment that resulted in rupture or required further surgical management is higher than reported literature at this institution. Further investigation is needed to determine if there was a relationship between methotrexate failure and non-adherence to recommended guidelines. Given the risk of a possible rupture, patient education of these risks is critical on discharge from the ED.

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Topal, Sümeyra, Sinem Yalnızoğlu Çaka, Hilal Uslu Yuvacı, and Nursan Çınar. "Factors Affecting Paternal Fetal Attachment." International Journal of Childbirth 10, no. 1 (September 1, 2020): 45–51. http://dx.doi.org/10.1891/ijcbirth-d-19-00022.

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AIMThere are very few studies examining how the prenatal attachment of the father to the fetus affects father–infant attachment, while there are numerous studies on maternal–fetal, maternal–infant attachment. The pregnancy period is a potential opportunity to increase the paternal attachment of fathers whose wives are expecting a baby. The aim of this study was to determine paternal–fetal attachment and the factors with an effect.METHODSThe sample group of this descriptive (comparative) study consisted of expectant fathers accompanied by their wives at 24–36 weeks of pregnancy (n = 182). Ethics committee approval and the necessary permissions were obtained from the relevant institution. The data were collected by the researchers using the Question Form and Paternal Fetal Attachment Scale. The data collected were analyzed using percentage distribution, the Independent samples t test and the one-way analysis of variance (ANOVA) test.RESULTSThe results of the study showed that the participants who experienced fatherhood for the first time and felt ready to be a father had higher paternal attachment scores than experienced fathers.CONCLUSIONFor the establishment of healthy attachment starting in the prenatal period and continuing thereafter, there are important tasks for healthcare professionals to ensure that fathers can cope with the new roles and responsibilities just as well as the mothers.

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Nešporová, Olga. "Hazy Transition to Fatherhood: The Experiences of Czech Fathers." Journal of Family Issues 40, no. 2 (October 12, 2018): 143–66. http://dx.doi.org/10.1177/0192513x18806028.

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Using longitudinal qualitative research, the study focuses on the transition to fatherhood and the life changes which fatherhood effects in men’s everyday lives. Comparative thematic analysis was used in the study of data provided by two waves of research focusing on 16 dual-earner Czech parental couples. The first wave of interviews took place during pregnancy and the second on the child reaching 18 months. The expectant fathers evinced vague plans concerning approaching fatherhood; some stressed involvement in childcare while others emphasized the provider role. The concept of a “hazy” transition to fatherhood evolved based on the narratives of first-time fathers and is used to describe the indistinct character of the transition to fatherhood. Identity theory is used as the explanatory framework. I suggest that the hazy transition to fatherhood involves the low social appraisal of fatherhood, the breadwinner role, and the central worker identity.

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McCarthy, G. E., D. P. Horst, R. R. Beyer, J. N. Robinson, and R. L. McCarthy. "Measured Impact of a Mandated Warning on User Behavior." Proceedings of the Human Factors Society Annual Meeting 31, no. 4 (September 1987): 479–83. http://dx.doi.org/10.1177/154193128703100421.

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Two groups of expectant first-time mothers were asked to examine an automobile infant restraint and its instruction label, then to install the restraint in an automobile. The label for one group was presented in a warning format, as now required by federal regulation, while the label for the other group was not. Error rates were higher for the warning-label group, although the difference was not statistically significant. Most subjects rated the labels as “Good” or “Very Good”, whether or not they installed the restraints correctly. Results illustrate that, in some situations, clear and direct instructions can be at least as effective as a warning in eliciting the desired behavior, and that subjective ratings of labels are not necessarily valid predictors of impact on behavior.

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Bäckström, Caroline, Therese Larsson, Emma Wahlgren, Marie Golsäter, Lena B. Mårtensson, and Stina Thorstensson. "‘It makes you feel like you are not alone’: Expectant first-time mothers’ experiences of social support within the social network, when preparing for childbirth and parenting." Sexual & Reproductive Healthcare 12 (June 2017): 51–57. http://dx.doi.org/10.1016/j.srhc.2017.02.007.

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Hamidah, Siti, and Siti Mudlikah. "Hypnotherapy to Promote Weight Loss at First Trimester on Pregnant Women with Emesis Gravidarum at Muhammadiyah Gresik Hospital." Journal for Quality in Public Health 4, no. 1 (November 26, 2020): 53–58. http://dx.doi.org/10.30994/jqph.v4i1.150.

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Background: The nutritional status of pregnant mothers affects the growth and development of fetus in the womb. The effort of hypnotherapy with the method of unconscious mind makes the condition relaxed, calm, focus decreases stress and affects the weight of early pregnant women. Purpose: The purpose of the study was to identify hypnotherapy interventions in young expectant mothers (first trimester) with emetic gravidarum on maternal weight gain. Methods: This research is a type of experimental quasi, with time series design in September 2019-April 2020. The research population is all of the first tirmester pregnant mothers at Muhammadiyah Gresik Hospital. Number of samples selected 100 respondents with quota sampling. Data collection with KIA books on first, second and third visit. Data analysis with normality test and ANOVA test. Results: The results showed a result of p < 0.001, meaning that H0 was rejected, i.e. there is an average difference in weight increase in the three groups of measurement time intervals (p < 0.05). The caller's conclusion is a hypnotherapy influence with the weight gain of pregnant women. Conclusion: Hypnotherapy can affect mothers on a psychic basis about the importance of eating while pregnant for the health of mothers and babies that are conceived.

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Journal articles on the topic 'First-time expectant'

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