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Letteratura scientifica selezionata sul tema "Postnatal care"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 29 luglio 2024

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Articoli di riviste sul tema "Postnatal care"

Chatterjee, Devoshree. "Postnatal care". InnovAiT: Education and inspiration for general practice 6, n. 5 (maggio 2013): 293–301. http://dx.doi.org/10.1177/1755738013479943.

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The role of GPs in providing maternity care has changed dramatically over the past 30 years, with a trend towards declining involvement; however, recent proposals have suggested greater involvement is required. Nevertheless, the GP remains an important point of contact for postnatal advice, and it is the GP who usually carries out the 6-week postnatal maternal check. This article aims to provide an overview of the common types of problems mothers may encounter in the postnatal period and how they can be appropriately managed. It also provides a guide for the topics to be covered during the 6-week postnatal maternal check.

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Bullough, C. H. W. "Postnatal Care". Tropical Doctor 18, n. 2 (aprile 1988): 79–83. http://dx.doi.org/10.1177/004947558801800214.

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Rogers, Amanda. "Transforming postnatal care". British Journal of Midwifery 26, n. 4 (2 aprile 2018): 216. http://dx.doi.org/10.12968/bjom.2018.26.4.216.

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Moffat, Polly. "Better postnatal care". Journal of Health Visiting 5, n. 5 (2 maggio 2017): 213. http://dx.doi.org/10.12968/johv.2017.5.5.213.

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Marchant, Sally, Jo Garcia, Jo Alexander, Mavis Kirkham, Debra Bick, Christine MacArthur, Helena Fortune e Heather Winter. "Hospital Postnatal Care". British Journal of Midwifery 6, n. 3 (5 marzo 1998): 194. http://dx.doi.org/10.12968/bjom.1998.6.3.194.

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McLeish, Jenny, Merryl Harvey, Maggie Redshaw, Jane Henderson, Reem Malouf e Fiona Alderdice. "First-Time Mothers’ Expectations and Experiences of Postnatal Care in England". Qualitative Health Research 30, n. 12 (17 settembre 2020): 1876–87. http://dx.doi.org/10.1177/1049732320944141.

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Postnatal care is the aspect of maternity care with which women in England are least satisfied. Little is known about first-time mothers’ expectations of postnatal care, or how these expectations relate to their experiences and appraisal of care. Thirty-two first-time mothers took part in a longitudinal qualitative descriptive study, based on two semi-structured interviews—the first in pregnancy, and the second 2 to 3 months after birth. Trajectory analysis was used to identify the thematic patterns in the relationships between postnatal care expectations, needs, experiences, and confidence. Five trajectories were identified, showing that mothers’ satisfaction with postnatal care and confidence were primarily influenced not by the extent to which their expectations were met but the varied extent to which their individual postnatal needs were met. Rapid and responsive assessment of needs both antenatally and postnatally, and appropriate adjustment of care, is key in supporting women effectively at this time.

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Singh, Amrita. "Postnatal Health Care among Urban Women". Contemporary Social Sciences 27, n. 2 (1 aprile 2018): 132–40. http://dx.doi.org/10.29070/27/57474.

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Hughes, P. E. "Postnatal care in pigs". BSAP Occasional Publication 15 (1992): 149–61. http://dx.doi.org/10.1017/s0263967x00004171.

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AbstractIn the pig industry the mortality of piglets both during the birth process and in the subsequent 3 to 5 weeks is unacceptably high. This review attempts to summarize the major causes of these losses and to suggest means whereby such losses may be minimized in the commercial situation. Stillbirth rate is discussed in relation to various management regimes and it is concluded that anoxia (the primary cause of intra-partum piglet deaths) may be minimized by the provision of careful assistance during the birth process. Pre-weaning mortality is presented as a complex interaction of factors predominant amongst which are overlying by the sow, chilling, starvation and infection. Each of these areas is discussed in detail and recommendations are made to reduce their negative influence on the survival rate of piglets. Finally, the rōle of piglet activity level/vigour is considered in relation to pre-weaning survival rate. Various factors are discussed in relation to piglet vigour and it is concluded that the two major contributors to low activity level/vigour are intra-partum hypoxia and the endocrine status of the sow and piglet at birth. To reduce hypoxia, careful intervention is again suggested. The rôle of endocrine status is yet to be fully established but promising results are presented on the use of oestradiol treatment of piglets at birth to raise activity level and reduce pre-weaning mortality rate.

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Jackson, Kate. "Postnatal care in hospital". British Journal of Midwifery 4, n. 1 (gennaio 1996): 40–41. http://dx.doi.org/10.12968/bjom.1996.4.1.40.

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Aderoba, Adeniyi Kolade, e Kwame Adu-Bonsaffoh. "Antenatal and Postnatal Care". Obstetrics and Gynecology Clinics of North America 49, n. 4 (dicembre 2022): 665–92. http://dx.doi.org/10.1016/j.ogc.2022.07.005.

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Tesi sul tema "Postnatal care"

Healy, Maria Isobel. "Rethinking postnatal care : a Heideggerian hermeneutic phenomenological study of postnatal care in Ireland". Thesis, University of Central Lancashire, 2012. http://clok.uclan.ac.uk/6654/.

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The postnatal period is an important and extremely vulnerable time for new mothers and their infants. Research has outlined the considerable extent of maternal physiological and psychological morbidity following childbirth. The underreporting and undiagnosed aspect of this morbidity has also been highlighted. Newborn infants are totally dependent on their needs being met and are also at risk of newborn conditions particularly if they are undiagnosed, for example neonatal jaundice. There is however, mounting evidence regarding the lack of postnatal support from health professionals, with women continuing to report their dissatisfaction with postnatal care. Research into postnatal care is pre-dominantly quantitative and clinically focused. Few empirical studies have examined the meaning women give to their postnatal care experiences. This research aims to generate a deeper understanding of the meanings, and lived experiences of postnatal care. In addition, it aims to reveal future possibilities to enhance women’s postnatal care experiences. Initially, an in-depth examination of relevant literature is undertaken followed by a presentation of the process and findings from a qualitative meta-synthesis. An in-depth exploration of Martin Heidegger’s biography and explication of his philosophy is then outlined. This research is a Heideggerian hermeneutical phenomenological study of Irish women’s aspirations for, and experiences of, postnatal care. Purposive sampling is utilised in this research, which was undertaken in two phases. Phase one involved group interviews over three different time periods (between 28-38 weeks gestation, 2-8 weeks and 3-4 months postnatally), with a cohort of primigravid women and a cohort of multigravid women. The second phase involved recruiting two further cohorts of primigravid and multigravid women who participated in individual in-depth interviews over the same longitudinal period. In total nineteen women completed the study. Thirty-three interviews were held in total. The data analysis is guided by Crist and Tanner’s (2003) interpretative hermeneutic framework. The women’s aspirations/expectations for their postnatal care are represented through three interpretive themes: ‘Presencing’, ‘Breastfeeding help and support’ and ‘Dispirited perception of postnatal care’. In addition, five main themes emerged from the data and capture the meanings the women gave to their lived experiences of postnatal care: ‘Becoming Family’, ‘Seen or not seen’, ‘Saying what matters’, ‘Checked in but not always checked out’ and ‘The struggle of postnatal fatigue’. The original insights from this research clearly illuminate the vulnerability women face in the days following birth. A further in-depth interpretation and synthesis of the findings was undertaken. This philosophical-based discussion drew from the work of Heidegger (1962) and Arendt (1998). Engaging with these theoretical perspectives contributed to a new understanding about why some women within a similar context, have positive experiences of postnatal care while others do not. As such, the very nature that midwives and other postnatal carers are human beings has an influence on a woman’s experience of her care. These carers, in their exposition of ‘being’ have the ability to demonstrate ‘inauthentic’ or ‘authentic’ caring practices. It is those who choose to be ‘the sparkling gems’ that are the postnatal carers who make a difference and stand out from the others. For the women in this study, their postnatal care experiences mattered. While some new mothers reported positive and meaningful experiences others revealed experiences which impacted unnecessarily. The relevance of these findings, recommendations and suggestions for future research are offered.

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Ellberg, Lotta. "Postnatal care - outcomes of various care options in Sweden". Doctoral thesis, Umeå universitet, Obstetrik och gynekologi, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1818.

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Background: In high-income countries, hospital length of stay after a normal birth has gradually decreased correspondingly to length of stay in care of other patients. A short stay provides a greater opportunity for autonomy and an increased sense of participation, but it may involve great challenges satisfying parental guidance as well as on the possibility of preventing, discovering, and treating neonatal medical conditions. Aim: This study evaluates postnatal care based on cost calculations, risk assessments, and parents’ satisfaction with care. Methods: Questionnaires were sent to 1 122 new mothers and her partner during 1998-1999. For the summary of utilization of health care services during the first 28 days postdelivery, the participants were linked with registry data from the hospital administration system for mothers and newborns (n= 773). The answers were also used to describe new parents’ experiences with postnatal care (n = 1 479). The costs for five postnatal care models were estimated, including three care options: Maternity Ward, Family Suite, and Early Discharge. Data about neonatal readmissions and death within 28 days was retrieved from the Swedish Medical Birth Register, the Swedish Hospital Discharge Registry, and the Swedish Cause-of-Death Register between 1999 and 2002 (n = 197 898). This data was related to data about postnatal follow-up practices from all 48 Swedish delivery wards. Results: The readmission rate for the mothers was similar among the various care options, and there was no difference in utilization of health care or breastfeeding outcome due to type of maternity care. As a proxy for morbidity, the readmission rate for the newborns was influenced by postdelivery follow-up routines as routine neonatal examination timing. Depending on the proportion of mothers receiving care at the Maternity Ward, the costs differed significantly between the various care models, while parents’ preferences complied with the cost-minimizing option Family Suite. Most mothers and fathers (70%) were satisfied with the overall impression of the postnatal care, but 72% were dissatisfied with at least one particular topic. A main finding was that the parents experienced a close emotional attachment, an affinity that was not always supported by the staff. The father was not treated as a principal character even though the parents wanted the father’s to be involved and recognized. Conclusions: Since the postnatal care options are not always the most cost minimizing and postnatal routines influence neonatal morbidity and parental satisfaction, the postnatal services need to be improved. Without increasing risks or costs, every postnatal care option ought to meet the families’ need for support, security, autonomy, and attachment with each other.

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Edwards, Nancy C. "Predictors of infant-care behaviours among postnatal immigrants". Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=28730.

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To identify predictors of infant-care behaviours among immigrants, women were recruited on hospital postpartum units. Among the 3,484 women screened, 11.8 percent were eligible for enrollment and 77.3 percent agreed to participate. The follow-up rate was 94 per cent. Data on predictor variables were collected during face-to-face interviews in the early postpartum period. Follow-up telephone interviews occurred at three months postpartum to assess infant-care behaviours.
Using a chunkwise, hierarchial approach to multiple linear regression modelling, maternal and infant predictors accounted for 24.2 percent of the variance in the 'Infant-care Behaviours' Score. In the second stage of model building, ethnocultural variables explained an additional 5.8 percent of the variance.
Separate analyses for women who had lived in Canada less than three years versus three or more years yielded some differences in predictors for women in the two strata. Among recent immigrants; worries about the infant's health, mother's education, and current immigration status by parity were significant predictors, explaining 23 percent of the variance. Among less recent immigrants; worries about the baby's health, prenatal class attendance, marital status, and official language comprehension ability explained 37.7 percent of the variance.
To establish effectiveness of the hospital liaison referral process, data from the predictors' study were linked with records of public health postpartum follow-up. Sensitivity of the hospital liaison referral process was less than 55 percent.
Study findings provide direction for strengthening the postpartum referral process for ethnically diverse immigrants. The significant predictor variables are readily identified by the hospital staff of postpartum units. Results illustrate the importance of assessing theory-based ethnocultural characteristics among immigrants to determine their 'at-risk' status.

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Glazener, Cathryn. "Investigation of postnatal experience and care in Grampian". Thesis, University of Aberdeen, 1999. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU118245.

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Patients and staff who participate in PNC were surveyed by postal questionnaires and interviews to obtain a complete picture of the structures, processes and experiences which comprise it. 1249 newly delivered mothers and 648 health professional staff involved in PNC responded to the surveys (response rates 90.2% and 83.4% respectively). Maternal morbidity was reported by 85% of women in hospital, 87% at home in the first two months and 76% subsequently. Excess anxiety affected up to 27% of women, and depression occurred in around 16%. These factors influenced parental attitudes to their babies, as did aspects of babies' behaviour. 3% of women were readmitted to hospital for puerperal complications within the first two months, and 5% subsequently. At least one health problem occurred in 76% of babies in hospital, 82% in the first two months at home and 88% in the year thereafter, and the proportion treated increased with time. Readmission was necessary for 4% of babies in the first two months and 15% subsequently. Problems in PNC identified by respondents included lack of staff time, lack of continuity of care (resulting in conflicting advice), unrecognised maternal morbidity and need for support, high (and increasing) use of NHS services by babies, care focused on physical health problems rather than psychological and emotional ones, and deficiency in the quality of care after the first two months. Reorganisation of PNC so that the care of the patients (mother and baby) was its focus might enable the delivery of more effective and efficient care. A redefinition of the role of the midwife, greater autonomy and better professional recognition would increase job satisfaction and improve care. Forms of care which have been shown to be ineffective or harmful should be discontinued, and those which improve postnatal outcomes should be promoted.

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Doan, Daniel. "Pamper Partum, LLC| A Postnatal Facility". Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10749979.

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The rigors of labor and childbirth are incredibly demanding on the mother's body physically, emotionally, and psychology. Most new mothers deliver in a hospital setting where they are discharged after approximately two days. However, the mother's health and well-being does not improve that drastically within those two days of post-delivery recovery. Common struggles that new mothers face include postpartum depression, intimate partner violence, mood and body changes, as well as nutrition and sleep deprivation. Therefore, it is not only important to be attentive to the newborn but to the mother's recuperation as she adjusts to postnatal life. While there are many options for new mothers to deliver their baby through hospitals or birth centers, there is a lack of postnatal care facilities in comparison.

Pamper Partum, LLC is a private company with an organizational mission to offer quality service and care that eases the transition to motherhood, to empower a new mother through education and community support, and to reduce any preventable risks associated with the postnatal period. Pamper Partum, LLC is an all-inclusive healthcare facility that provides services such as breastfeeding assistance, peer-support groups, private counseling, nutrition, general health care, and 24/7 infant monitoring in a state-of-the-art nursery. Pamper Partum, LLC will seek to be the first postnatal care facility that serves Orange County.

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McGuire, Margaret Maher. "Community postnatal care provision in Scotland : the development and evaluation of a template for the provision of woman centred community postnatal care". Thesis, University of Glasgow, 2001. http://theses.gla.ac.uk/1184/.

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The specific objectives of the study were to: 1. Investigate women's perceptions and experiences of postnatal care; 2. Examine the current pattern of postnatal care provision in terms of clinical outcomes (maternal and neonatal) and maternal satisfaction; 3. Evaluate the new model in terms of clinical outcomes (maternal and neonatal) and maternal satisfaction; 4. Compare the outcomes of both models; and 5. Evaluate midwives' perceptions of both models of care. There were no difference between the two Phases in terms of clinical outcomes (maternal and neonatal) midwifery and maternal satisfaction. In both stages of the study, the average day of postnatal discharge was day three, the mean number of postnatal visits was 4.2, and the average number of midwives to visit a woman was two. Women were very satisfied with the community postnatal care provided by midwives, although concerns were expressed about hospital postnatal care. All women agreed that community postnatal care was an important service and would choose to have the midwife visit her in their own home rather than attend health or drop in centres. Midwives applied aspects of the new template of postnatal visiting and were more likely to visit low risk women three times following introduction of the ne template. There was not change in community of carer. Findings of focus group discussions highlighted that women were not prepared for motherhood and the postnatal period. Women stated that the educational support antenatally and in the postnatal ward did not meet their expectations and needs.

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Almalik, Mona M. A. "A comparative evaluation of postnatal care for migrant and UK-born women". Thesis, University of Aberdeen, 2011. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=165719.

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The aim of this research was to explore perinatal clinical indicators and experiences of postnatal care among European and Middle Eastern migrant women, and to compare them with those of British women, at one tertiary hospital in the North East of Scotland. The numbers of non-British maternity service users increased over the period 2004 to 2008. This increase was not only in numbers but also in diversity of the countries of origins, religions, languages and specific cultural needs, which form new demands on the health services. European women were more likely to be younger, and primigravida and Middle Eastern women were more likely to be married, than British women. Both these migrant groups were more likely to breastfeed at birth and at discharge than British women. However, there was no significant difference in maternal postnatal length of stay in hospital between the study groups. The data do not suggest poorer processes of care or birth outcomes for the new migrant groups. Both migrant and British women reported positive experiences of postnatal care when their needs, those considered basic and essential for each woman after giving birth, were met. Negative postnatal experiences were explored among women from both groups when there were shortcomings in meeting those essential needs. The acceptance of and the expectations about the postnatal care provided differed between migrant and British women, due to their previous experiences in different countries. Although both migrant groups were first generation in Aberdeen and shared some needs and preferences, each migrant group had its own specific needs and beliefs that reflected the women’s culture, religion and country of origin.

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Taylor, Janice D., University of Western Sydney, College of Social and Health Sciences e of Nursing Family and Community Health School. "Exploring postnatal fatigue : influential factors and management strategies for women". THESIS_CSHS_NFC_Taylor_J.xml, 2003. http://handle.uws.edu.au:8081/1959.7/740.

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Caring for a new child is a significant, demanding, and time consuming role, often associated with increased stress. Postnatal depression is one possible outcome of increased stress and research has highlighted the importance of detecting depression in new mothers. However fatigue a correlate of depression, has only recently become a focus of research among health professionals. Understanding the nature of fatigue and its management within the postnatal period, the focus of this study, may reduce its impact on women’s lives. This longitudinal study explores changes in intensity, physical, mental and emotional dimensions of fatigue, factors associated with higher levels of fatigue, the impact of fatigue on women’s usual activities, and strategies for managing fatigue. Self-administered structured questionnaires gathered data form 504 women at 1, 6, 12 and 24 weeks after birth. Reliable and valid instruments were used to measure the relationship between the defined factors and the outcome of fatigue at the various time points. State anxiety was a consistently strong predictor of fatigue intensity across time and group. Women sought to manage their fatigue by using self-care practices and asking for help from family and friends. This research highlights two issues for health professionals – care of new mothers must include recognition that higher levels of state anxiety are associated with higher levels of postnatal fatigue: ongoing assessment of fatigue and the strategies used to manage it is essential beyond the early postnatal period
Doctor of Philosophy (PhD)

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Gilinsky, Alyssa. "Promoting physical activity among postnatal women : the More Active Mums in Stirling (MAMMiS) study". Thesis, University of Stirling, 2014. http://hdl.handle.net/1893/21226.

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Background: Adults benefit from participating in physical activity (PA) for chronic disease prevention and treatment. Postnatal women are encouraged to commence a gradual return to PA 4-6 weeks after giving birth, with participation in line with PA guidelines. The potential benefits of postnatal PA include weight management, improvements in cardiovascular fitness and psychological wellbeing. There has been limited high-quality information about the efficacy, feasibility and acceptability of PA interventions in postnatal women and few studies in the UK. Behavioural counselling interventions informed by behaviour change theory have been shown to successfully increase PA in low-active adults. Physical activity consultations (PACs) use structured and individualised behavioural counselling to enhance individuals’ motivation for change, and improve self-management skills. This approach may support adoption of PA in low-active postnatal women with research demonstrating that modifiable socio-cognitive factors influence PA behaviour. This thesis reports on the efficacy of a postnatal PA intervention, the More Active MuMs in Stirling (MAMMiS) study on change in PA behaviour. Efficacy of the intervention was tested in a randomised controlled trial. The effect on secondary health and wellbeing outcomes and PA cognitions targeted by the intervention and feasibility results are also reported. Methods: The intervention comprised a face-to-face PAC of around 35-45 minutes and 10-week group pramwalking programme. Non-attenders to the pramwalking group received a support telephone call. A follow-up PAC (15-20 minutes) was delivered after three month assessments. The first PAC involved raising awareness about benefits of PA, developing self-efficacy for change, setting goals and action planning PA, developing strategies for overcoming barriers, encouraging self-monitoring, prompting social support and selecting/changing the environment to support PA. The second PAC involved feedback about changes and preventing a return to sedentary habits. The pramwalking group met weekly for 6 walks of 30-55 minutes at a brisk pace, providing opportunities to demonstrate moderate-intensity walking and to encourage and support PA behaviour change. The control group received an NHS leaflet, which encouraged PA after childbirth. Postnatal women (six weeks to 12 months after childbirth) were identified through a variety of NHS-based and community-based strategies plus local advertisements and word-of-mouth. The primary outcome measure was evaluation of PA behaviour change using the Actigraph GT3X/GT3X+ accelerometer, an objective measure of PA behaviour; self-reported moderate-vigorous physical activity (MVPA) was measured using a recall questionnaire (Seven-Day Physical Activity Recall) and cardiovascular fitness using a submaximal step-test (Chester step-test). Secondary health and wellbeing measures were; anthropometric (i.e. weight and body mass index (BMI)) and body composition (measured using a bioelectrical impedance), psychological wellbeing (measured using the Adapted General Wellbeing Index) and fatigue (measured on a 100-point visual analogue scale). PA cognitions were measured via a questionnaire with constructs adapted from previous studies. All were taken at baseline (prior to randomisation), three and six months follow-up from baseline. Process measures were used to investigate intervention fidelity and feasibility. Acceptability was investigated in a post-trial interviews, conducted by a researcher not involved in the trial. RESULTS: Sixty-five postnatal women (average 33 years old with an infant 24 weeks old) were recruited (77% of those eligible). There was a 91% rate of retention at six months; participants who missed a follow-up assessment were younger (30 versus 34 years old) and had younger infants (21 versus 34 weeks old). Participants were less deprived and older compared with postnatal women in Scotland. Objectively measured PA behaviour did not change in response to the intervention. There was no between-groups difference in change in mean counts/minute from baseline to three months (p=0.35, 95% CI -73.50, 26.17, d=0.22) or three to six months (p=0.57, 95% CI -39.46, 71.18, d=0.13). There was no change in MVPA 7 minutes/day in either group from baseline to three (intervention =-0.70, IQR -9.86, 8.36; control =1.65, IQR -4.79, 8.21) or three to six months (intervention =0, IQR -1.13, 1.10; control =0, IQR -9.86, 8.23), with no between-groups difference baseline to three (p=0.43; r=0.10) or three to six months (p=0.75, r=0.09). Results for relative MVPA were similar. Median steps/day from baseline to three months did not change in the intervention group (0, IQR –1619.44, 1047.94) and increased by 195.95 (IQR -1519.55, 1691.03) among controls. The between-groups difference was non-significant (p=0.37, r=0.18). From three to six month follow-up steps/day increased in the intervention group and not in controls (0, IQR -1147.50, 1303.52), this between-groups difference was also non-significant (p=0.35, r=0.16). From baseline to three months self-reported MVPA declined in the intervention group (15 minutes/week; IQR -111, 15) and increased in the control group (30 minutes/week; IQR –68, 75): a non-significant between-groups difference, with a small effect size (p=0.71, r=0.22). From three to six months a decline in self-reported MVPA was found in controls (53 minutes/week; IQR -41,-101) and no change among the intervention group (0, IQ range -26, 71); a significant between-groups difference with a small effect size (p=0.04, r=0.26). There were no differences between the groups for the change in aerobic capacity from baseline to three months or three to six months with no evidence for change over time in aerobic capacity or fitness category in either group. Change in secondary outcomes did not differ between the groups from baseline to three or three to six months (although fatigue did improve in the intervention group relative to controls from baseline to three months). Considering PA cognitions, outcome expectancies declined in both groups from baseline to three months and continued to decline only in the intervention group from three to six months, a between-groups difference with a small effect size (p=0.03, r=0.26). Self-efficacy increased in the intervention group from baseline to three months and declined in the control group with a small effect size for the between-groups difference (p=0.03, r=-0.27). An increase in action 8 planning was seen among the intervention group but not controls from baseline to three months (p<0.01, r=-0.34). Both groups showed an increase in coping planning and action control; the change was larger among the intervention group relative to controls (i.e. p<0.01, r=0.44, r=0.43, respectively). Increased self-efficacy and action control were maintained from three to six months in the intervention group. Coping planning increased relative to controls (p<0.01, r=0.41) and action planning increased among controls from three to six months (p<0.01, r=0.39). Intervention fidelity and feasibility was good. All intervention participants received the initial PAC and adoption of self-management strategies was high for ‘thinking about the benefits of PA’, ‘action planning’ and ‘self-monitoring’, between baseline and three months. Most participants attended at least one walk (61% attended five or more), 89% of planned walks were conducted with no evidence of poor attendance due to season. Walks were conducted at a brisk pace and met moderate-intensity thresholds. DISCUSSION: MAMMiS aimed to recruit low-active healthy postnatal women to test the efficacy of a PAC and group pramwalking intervention. There was no evidence for an intervention effect on PA or on secondary health and wellbeing outcomes.

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黃香君 e Heung-kwan Wong. "Enhancing coping in mothers of preterm infants". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40721607.

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Più fonti

Libri sul tema "Postnatal care"

Alexander, Jo, Valerie Levy e Sarah Roch, a cura di. Postnatal Care. London: Macmillan Education UK, 1990. http://dx.doi.org/10.1007/978-1-349-21082-4.

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Jo, Alexander, Levy Valerie e Roch Sarah E. G, a cura di. Postnatal care: A research-based approach. London: Macmillan Education, 1990.

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Auerbach, Robert D. El miracle de la concepción. Trumbull, Conn: Budlong Press, 2006.

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Byrom, Sheena, Grace Edwards e Debra Bick, a cura di. Essential Midwifery Practice: Postnatal Care. Oxford, UK: Wiley-Blackwell, 2009. http://dx.doi.org/10.1002/9781444315486.

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Cameron, Joan. Postnatal care of the mother. London: Distance Learning Centre, South Bank University, 1992.

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Joan, Cameron, Henschel Dora, Hallworth Chris e Southbank University. Distance Learning Centre., a cura di. Postnatal care of the mother. London: Distance Learning Centre, South Bank University, 1992.

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Mary, Newburn, e National Childbirth Trust, a cura di. Women's experiences of postnatal care. London: National Childbirth Trust 2000, 2000.

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RM, Alexander Jo, Levy Valerie RM e Roch Sarah E. G, a cura di. Postnatal care: A research-based approach. Toronto: University of Toronto Press, 1993.

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Branch, Alberta Learning Technologies. Prenatal and postnatal care: CMH 3040. [Edmonton]: Alberta Learning, 2001.

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Yang, Yaqin. You sheng huai yun bao dian. Shijiazhuang: Hebei ke xue ji shu chu ban she, 2006.

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Capitoli di libri sul tema "Postnatal care"

Whitby, Chris. "Transitional Care". In Postnatal Care, 98–107. London: Macmillan Education UK, 1990. http://dx.doi.org/10.1007/978-1-349-21082-4_6.

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Sleep, Jennifer. "Postnatal Perineal Care". In Postnatal Care, 1–17. London: Macmillan Education UK, 1990. http://dx.doi.org/10.1007/978-1-349-21082-4_1.

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Kovacs, Gab, e Paula Briggs. "Postnatal Care". In Lectures in Obstetrics, Gynaecology and Women’s Health, 149–50. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-14863-2_32.

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Baston, Helen. "Postnatal care". In Midwifery, 190–214. Abingdon, Oxon ; New York, NY : Routledge, 2020. | Series: The basics: Routledge, 2020. http://dx.doi.org/10.4324/9780429052750-7.

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Inch, Sally. "Postnatal Care Relating to Breastfeeding". In Postnatal Care, 18–44. London: Macmillan Education UK, 1990. http://dx.doi.org/10.1007/978-1-349-21082-4_2.

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Holden, Jenifer M. "Emotional Problems Associated with Childbirth". In Postnatal Care, 45–61. London: Macmillan Education UK, 1990. http://dx.doi.org/10.1007/978-1-349-21082-4_3.

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Salariya, Ellena. "Parental-Infant Attachment". In Postnatal Care, 62–83. London: Macmillan Education UK, 1990. http://dx.doi.org/10.1007/978-1-349-21082-4_4.

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Rush, Janet. "Care of the Umbilical Cord". In Postnatal Care, 84–97. London: Macmillan Education UK, 1990. http://dx.doi.org/10.1007/978-1-349-21082-4_5.

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Adams, Margaret, e Joyce Prince. "Care of the Grieving Parent with Special Reference to Stillbirth". In Postnatal Care, 108–24. London: Macmillan Education UK, 1990. http://dx.doi.org/10.1007/978-1-349-21082-4_7.

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Mills, Marianne. "Teenage Mothers". In Postnatal Care, 125–42. London: Macmillan Education UK, 1990. http://dx.doi.org/10.1007/978-1-349-21082-4_8.

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Atti di convegni sul tema "Postnatal care"

Gulati, Radhika, Tami Benzaken, Esta Orchard, Francesca Siracusa, Michelle D’Souza, Clare Andrews e Mitchel Blair. "468 Support in the postnatal period: engaging service users to improve postnatal care". In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference, Glasgow, 23–25 May 2023. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2023. http://dx.doi.org/10.1136/archdischild-2023-rcpch.244.

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Yakupova, Vera A. "Validation Of Edinburgh Postnatal Depression Scale In A Sample Of Russian Mothers". In ECCE 2018 VII International Conference Early Childhood Care and Education. Cognitive-Crcs, 2018. http://dx.doi.org/10.15405/epsbs.2018.07.89.

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Moffat, Malcolm, Robyn Jackowich, Christine Moller-Christensen e Judith Rankin. "P126 The PoCo Study: Postnatal contraception care in the North East and North Cumbria". In Society for Social Medicine Annual Scientific Meeting Abstracts. BMJ Publishing Group Ltd, 2023. http://dx.doi.org/10.1136/jech-2023-ssmabstracts.227.

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SHishelova, A. YU, e O. V. Aleksanyan. "The formation of WAG / Rij rat behavior depends on maternal care in early postnatal ontogenesis". In Global science. Development and novelty. НИЦ «Л-Журнал», 2019. http://dx.doi.org/10.18411/gdsn-25-12-2019-23.

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Safitri, Faradilla, Nuzulul Rahmi, Fauziah Andika, Asmaul Husna e Karisma Melati. "Mother behavior towards tradition of postnatal care in Jeulingke community health centre of Banda Aceh district". In ADVANCES IN MATERIAL SCIENCE AND MANUFACTURING ENGINEERING. AIP Publishing, 2023. http://dx.doi.org/10.1063/5.0123940.

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Balestra, Amanda Fernandes de Sousa Oliveira, Flávia Pascoal Teles e Karine Felipe Martins. "Fetal surgery in the context of myelomeningocele: repercussions and prognosis". In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.055.

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Background: Myelomeningocele (MMC) is a congenital malformation of neural tube closure. The clinical picture comprises sensory and motor deficits at the point of spinal cord injury and below, in addition to ventriculomegaly, which requires ventriculo-peritoneal drains (DVP). Exposure of nervous tissue to amniotic fluid and trauma to the uterine wall, generates secondary damage. Intrauterine correction is the gold standard for MMC and aims to reduce organic and functional sequelae, improving the patient’s neurological prognosis. Objectives: The objective of this work is to identify the impact of fetal surgery against MMC. Methods: An integrative literature review was carried out based on articles selected from the Google Scholar and Scientific Eletronic Library Online databases. Results: The benefits of intrauterine neurosurgery outweigh the harm, based on maternal complications. Such maternal risks are: oligohydramnios, spontaneous rupture of the membrane, uterine dehiscence, premature birth, infections, blood transfusion, acute lung edema and contraindication for vaginal delivery due to uterine scarring. For the child, all the studies analyzed showed the same gains, extremely significant when compared to postnatal surgery: better cognitive development, greater probability of walking without using orthoses, less need for DVP. The gains from the fetal surgery technique go beyond the postnatal intervention. Conclusions: Therefore, the importance of early intrauterine treatment, in a properly equipped place and by qualified professionals, is reiterated, offering comprehensive care to pregnant women, preventing potential impasses and aiming at a better prognosis and quality of life for the child.

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Harlass, S., C. Simanga Mulondi, KJ Alla, A. Burton, MI Oudou, M. Obermeyer e E. Anastasi. "Saving newborn lives and improving maternal health among refugees in West Africa". In MSF Paediatric Days 2022. NYC: MSF-USA, 2022. http://dx.doi.org/10.57740/8983-6d91.

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BACKGROUND AND AIMS West Africa has among the highest levels of maternal and neonatal mortality and morbidity globally, including amongst conflict-affected populations. Many lives could be saved and much human suffering averted with effective implementation of low-cost, high impact interventions. METHODS UNHCR implemented a three-year Bill and Melinda Gates Foundation-funded project to reduce neonatal and maternal mortality and morbidity among 772,000 refugees in Cameroon, Chad and Niger. A mixed-method assessment identified needs and priorities. Action plans and a monitoring/supportive supervision tool were developed to track progress. Clinical training on leading causes of neonatal and maternal mortality were adapted using a low-dose, high-frequency approach. Health facilities were rehabilitated, equipped and supported with medicines and commodities, and job aids developed to enhance quality of care. Clinical activities linked with strong community outreach included home visits by community health workers during pregnancy and the first postnatal week. RESULTS A 25% reduction in neonatal mortality rate was achieved with 33,530 births (from 19.0 in Q4 2018 to 11.9/1,000 live births in 2021, p=0.02). Uptake of kangaroo mother care reached nearly 100% among newborns < 2,000g. This, and improved clinical skills and availability of essential supplies, contributed to a decrease in neonatal mortality rates among low birth weight (LBW) newborns. Weighted case fatality rate for newborns with complications, and LBW newborns below 2000g decreased from 11.8% to 6.3%, and 31.5% to 12.3% respectively, from 2019 to 2021. CONCLUSIONS The combination of low-dose high-frequency trainings, health facility strengthening and community outreach activities improved neonatal outcomes and contributed towards sustainability. Future interventions among refugee populations should address persisting socio-cultural issues, including gender-related factors, affecting health access.

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Greškovičová, Katarína, Barbora Zdechovanová e Rebeka Farkašová. "PSYCHOMETRIC ANALYSIS OF THE SLOVAK VERSION OF THE POSTPARTUM BONDING QUESTIONNAIRE FOR NON-CLINICAL SAMPLE". In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact058.

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"Bonding represents an emotional tie that one experiences towards one´s own child. There are several instruments to measure the level and quality of bonding. Among them we chose and translated the Postpartum Bonding Questionnaire by Brockington et al. (2001) into Slovak language. The aim of this study was to analyse its psychometric qualities. Our non-clinical sample consisted of women (N= 372) 18 and 44 years (M= 29.74; SD= 5.25) who recently gave birth in Slovakian hospitals. Data collection was carried out from September 2015 until March 2018. Participants filled the Postpartum bonding questionnaire by Brockington et al. (2001) and some of them other three tools: Edinburgh Postnatal Depression Scale by Cox, Holgen and Sagovsky (1987), Depression Anxiety Stress scale-42 (Lovibond & Lovibond, 1995) and Parental Stress Scale (Berry & Jones, 1995). The distributions of the items of the bonding were mostly skewed and leptokurtic. Internal consistency is high for the overall Lack of Bonding (?= .897) and varies in factors- ?= .820 for Impaired Bonding, ?= .779 for Rejection and Anger, ?= .506 for Anxiety about Care and ?= .321 for Risk of Abuse. In order to prove convergent validity, we correlated overall Lack of Bonding with depression (Edinburgh Postnatal Depression Scale, rs= .251, Depression Anxiety Stress scale-42 depression rs=.404; n=79), stress and anxiety (Depression Anxiety Stress scale-42, stress rs=.392; anxiety rs=.496; n=79) and parental stress (Parental Stress Scale score; rs= .674, n=99). We did not confirm original factor structure via confirmatory factor analysis using principal axis factoring with oblimine rotation. Then, we used principal component analysis with varimax rotation method to reduce the items. 6 components were extracted. Component 1 was comprised of 15 items that explained 35,6 % of the variance with loadings from .306 to .733. Hence, we proposed new item-structure for the Slovak PBQ. We concluded that the Slovak version of the PBQ proved to have good overall reliability. We found evidences for the convergent validity with parental stress, anxiety, stress, and partly depression, because there were two different results. We also suggest creating a shorter version based on the analysis. Among limits we can see tools used for validity evidence and sample without participants for clinical population. We advise to use the Slovak version of the Postpartum Bonding Questionnaire as a tool to measure bonding in a research context and to use overall summary index (Lack of Bonding) instead of factors."

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Sumiati, Sumiati, e Evi Nurhidayati. "Relationship Between Family Support and Self- Efficacy among Pregnant Women in Yogyakarta". In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.30.

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Background: Maternal mental health problems, most often depression and anxiety, remain a major public health concern during the antenatal and postnatal periods. Some studies reported that high level of self-efficacy in pregnant women might improve maternal prenatal care. This study aimed to investigate the relationship between family support and self- efficacy among pregnant women in Yogyakarta. Subjects and Method: This was a cross-sectional study conducted at Kotagede I Community Health Centre, Yogyakarta from October 2017 to July 2018. A total of 30 primigravida dan multigravida women with the third trimester of gestational age was selected for this study. The dependent variable was self-efficacy of pregnant women. The independent variable was family support. The study subjects were selected by accidental sampling. The primary data were collected using family support and maternal confidence questionnaires. The data were analyzed by chi-square. Results: A total of 93.3% of pregnant women had strong family support. The majority of pregnant women possessed high levels of self-efficacy (90%). Good family support increased the self-efficacy of pregnant women (OR= 113.40; 95% CI= 6.26 to 2054.00; p <0.001). Conclusion: Good family support increases the self-efficacy of pregnant women. Keywords: pregnant women, self-efficacy, family support Correspondence: Sumiati. Universitas ‘Aisyiyah Yogyakarta. Jl. Siliwangi (Ringroad Barat) No. 63, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: sariatidum@gmail.com. Mobile: +6282134952376. DOI: https://doi.org/10.26911/the7thicph.02.30

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K, Danno, Worku DT, Adjaho I, Ale F, Katuala Y, Mbuyi Y e Evboumwam PE. "Incidence and contextual analysis of neonatal hypothermia at Garan Gamawa Maternal and Child Health Clinic in Kano State, Nigeria, 2022". In MSF Paediatric Days 2024. NYC: MSF-USA, 2024. http://dx.doi.org/10.57740/omknx6.

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BACKGROUND AND OBJECTIVES Hypothermia is a major risk factor for high neonatal mortality. In January, night-time temperatures in Kano State can drop below 20°C. We conducted a study to elucidate the incidence of neonatal hypothermia at Garan Gamawa maternal and child health (MCH) clinic in Kano City, with an aim to improve midwifery care and reduce hypothermia-related neonatal mortality. METHODS The data of neonates born in January 2022 were collected retrospectively in February 2022. Hypothermia was defined as “axillary temperature below 35.5°C” in accordance with MSF Essential Obstetric and Newborn Care guidelines, 2019. Statistical analysis was done using a one-sided test for binomial proportions. Qualitative data was garnered by non-participatory observation (NPO) in the delivery room and postnatal care (PNC) ward to observe the warm chain and the interactions between staff and mothers. Individual semi-structured in-depth interviews were also conducted with eight MCH staff. RESULTS Amongst the 206 newborns included, 55 (26.69%, Wilson confidence interval 21.13- 33.13%, p value < 0.00001) developed hypothermia. From the NPO, contributing factors to hypothermia included: absence of skin-to-skin at birth; a delay of 40 minutes between birth and baby being put to the breast for their first feed; constant draught of outside air into delivery room; absence of heating system in delivery room and PNC ward; and the need to go outside during transfer between the delivery room and PNC ward. In-depth interviews illustrated that midwives prioritised dressing the babies rather than encouraging Kangaroo Mother Care (KMC), and that the warm chain was prone to interruption during a complicated delivery and when there were multiple labouring mothers. Additionally, some midwives were not aware of the definition of neonatal hypothermia. CONCLUSIONS The proportion of hypothermic neonates was significant, and several contributing factors were identified. Recommendations include the installation of a door into the delivery room and appropriate heating systems in both the delivery room and PNC ward. Training of MCH staff is required to build knowledge and skills regarding the maintenance of the warm chain, and highlighting the importance of immediate skin-to-skin at birth and KMC, which have an important role in preventing hypothermia and must be encouraged.

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Rapporti di organizzazioni sul tema "Postnatal care"

Ndwiga, Charity, Harriet Birungi, Chi-Chi Undie, Shiphrah Kuria, Joseph Sitienei e Sam Ochola. Integrating tuberculosis case finding and treatment into postnatal care. Population Council, 2011. http://dx.doi.org/10.31899/rh3.1033.

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Warren, Charlotte, Rachel Shongwe, Allen Waligo, Mohammed Mahdi, Goldy Mazia e Indira Narayanan. Repositioning postnatal care in a high HIV environment: Swaziland. Population Council, 2008. http://dx.doi.org/10.31899/hiv2.1012.

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Jacobs, Erika, Carlos Brambila e Ricardo Vernon. Reproductive health care in the postnatal period in Guatemala. Population Council, 2002. http://dx.doi.org/10.31899/rh4.1154.

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Mwangi, Annie, Charlotte Warren, Nancy Koskei e Holly Blanchard. Strengthening postnatal care services including postpartum family planning in Kenya. Population Council, 2008. http://dx.doi.org/10.31899/rh4.1181.

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Initiative, Integra. The effect of integrating HIV services on quality of postnatal care. Population Council, 2015. http://dx.doi.org/10.31899/rh9.1010.

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Bancalari, Antonella, Pedro Bernal, María Fernanda García, Pablo Ibarrarán, Emmanuelle Sánchez-Monin e Paola Zúñiga Brenes. Enhancing Maternal and Infant Healthcare in Remote Villages: Experimental Evidence on the Efficacy of Demandand Supply-Side Subsidies. Inter-American Development Bank, maggio 2024. http://dx.doi.org/10.18235/0012955.

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This paper investigates the effects of releasing remoteness constraints on the accessibility and quality of maternal and infant healthcare. Through a field experiment, we provided complementary demand- and supply-side subsidies to improve healthcare for impoverished pregnant women residing in remote Nicaraguan communities. The subsidies increased the utilization of antenatal care by skilled providers, the quality of care received, institutional delivery, and postnatal care utilization, along with the quality of postnatal care received by mothers. Neonatal and infant mortality and fertility decreased in treated communities five years after the intervention was started.

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Ciapponi, Agustín. Does midwife-led continuity of care improve the delivery of care to women during and after pregnancy? SUPPORT, 2016. http://dx.doi.org/10.30846/161016.

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Midwives are the primary providers of care for childbearing women around the world. In midwife-led continuity of care, midwives are the lead professionals in the planning, organisation and delivery of care given to women from the initial booking to the postnatal period. Non-midwife models of care includes obstetrician; family physician and shared models of care, in which responsibility for the organisation and delivery of care is shared between different health professionals.

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Unumeri, Godwin, e Salisu Ishaku. Delivering contraceptive vaginal rings: Review of postpartum and postnatal care programs in Nigeria. Population Council, 2015. http://dx.doi.org/10.31899/rh9.1016.

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Ditlopo, Prudence, Mantshi Menziwa, Saiqa Mullick, Saumya RamaRao, Janet Dalton, Dolly Nyasulu, Mags Beksinska e Busi Kunene. Developing comprehensive and evidence-based policy and guidelines for antenatal and postnatal care in KwaZulu-Natal. Population Council, 2008. http://dx.doi.org/10.31899/rh4.1213.

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García Martí, Sebastián, e Agustín Ciapponi. What are the effects of early postnatal discharge from hospital on healthy mothers and term infants? SUPPORT, 2016. http://dx.doi.org/10.30846/160802.

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The duration of postnatal hospital stays has declined dramatically over the last thirty years and whether spending less time in hospital is harmful or beneficial remains a controversial concern. In practice, what constitutes an ‘early discharge from hospital’ varies across different countries and according to standard patterns of care.

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