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Статті в журналах з теми "200506 Neonatal and child health"

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Christian, Parul, Luke C. Mullany, Kristen M. Hurley, Joanne Katz, and Robert E. Black. "Nutrition and maternal, neonatal, and child health." Seminars in Perinatology 39, no. 5 (August 2015): 361–72. http://dx.doi.org/10.1053/j.semperi.2015.06.009.

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Chang, Mei-Hwei. "Towards Better Neonatal and Child Health Care." Pediatrics & Neonatology 49, no. 2 (April 2008): 1. http://dx.doi.org/10.1016/s1875-9572(08)60001-7.

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Mullan, Zoë. "Moving the needle on neonatal and child health." Lancet Global Health 2, no. 8 (August 2014): e431. http://dx.doi.org/10.1016/s2214-109x(14)70284-0.

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VERLOOVE-VANHORICK, S. PAULINE, R. A. VERWEY &, and R. BRAND. "Neonatal care and neonatal survival." Paediatric and Perinatal Epidemiology 2, no. 1 (January 1988): 105–6. http://dx.doi.org/10.1111/j.1365-3016.1988.tb00187.x.

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Akisu, Mete, Abdullah Kumral, and Fuat Emre Canpolat. "Turkish Neonatal Society Guideline on neonatal encephalopathy." Türk Pediatri Arşivi 53, sup1 (February 22, 2019): 32–44. http://dx.doi.org/10.5152/turkpediatriars.2018.01805.

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Wiwanitkit, Viroj. "Neonatal adrenal hemorrhage and neonatal jaundice." Journal of Indian Association of Pediatric Surgeons 15, no. 2 (2010): 76. http://dx.doi.org/10.4103/0971-9261.70650.

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Borra, Cristina, Libertad González, and Almudena Sevilla. "Birth Timing and Neonatal Health." American Economic Review 106, no. 5 (May 1, 2016): 329–32. http://dx.doi.org/10.1257/aer.p20161123.

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We take advantage of a new natural experiment to evaluate the health effects of scheduling birth early for non-medical reasons on infant health. In 2010, the cancellation of a generous child benefit in Spain led may families to schedule birth early in order to remain eligible for the subsidy. We document that the affected cohort of children did not suffer any increase in birth complications or medical conditions right at birth, but were significantly more likely to be admitted to hospital during their second and third weeks of life, suggesting potentially persistent negative health effects.
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Coca Pasapera, Rubén, Liz Arlet Elera Romero, Jesus Ramírez, Víctor Peralta Chávez, and Luz Cisneros Infantas. "Hidrocolpos neonatal." Pediatría 53, no. 3 (September 30, 2020): 111–14. http://dx.doi.org/10.14295/rp.v53i3.145.

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Antecedentes: El hidrocolpos neonatal es una patología infrecuente caracterizada por dilatación y acumulación de líquido en el canal vaginal como resultado de obstrucciones vaginales congénitas. La utilización de ecografía es un medio de diagnóstico importante para brindar un tratamiento oportuno y disminuir las complicaciones que conlleva. Reporte de caso: Recién nacida de 39 semanas presentó ano imperforado y abdomen distendido. Se realizó ecografía abdominal evidenciándose hidrocolpos e hidroureteronefrosis bilateral moderada. Dentro de los hallazgos de laboratorio se evidenciaron: falla renal, hiponatremia, y trastorno de coagulación que fue corregido oportunamente. Fue intervenida quirúrgicamente realizándose colpotomía y drenaje de hidrocolpos, evidenciando posteriormente en ecografía control desaparición de este. Se dio el alta a la paciente con 28 días de vida por presentar una evolución satisfactoria. Conclusión: Se debe tener alta sospecha de hidrocolpos ante una masa a nivel de pelvis en una recién nacida. El diagnóstico precoz mediante la ecografía es importante para la prevención de complicaciones obstructivas y renales que aumentan la morbimortalidad de las pacientes.
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Suchy, Frederick J. "Neonatal Cholestasis." Pediatrics in Review 25, no. 11 (November 2004): 388–96. http://dx.doi.org/10.1542/pir.25-11-388.

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Maisels, M. Jeffrey. "Neonatal Jaundice." Pediatrics in Review 27, no. 12 (December 2006): 443–54. http://dx.doi.org/10.1542/pir.27-12-443.

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Дисертації з теми "200506 Neonatal and child health"

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Raeside, L. "Neonatal pain assessment : the development of a pain assessment scale for neonatal transport." Thesis, University of Southampton, 2014. https://eprints.soton.ac.uk/372909/.

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The aim of this study is to develop a pain assessment scale for use during neonatal transport. Underpinned by the rights of the child to have appropriate assessment and management of pain and the important deleterious effects pain can have on the physiological stability of the neonate, this study utilises a qualitative consensus paradigm of enquiry to inform the content and structure a pain assessment scale specific to the transport setting. The study was conducted in three Phases, the first Phase consisted of a nominal group meeting with transport clinicians to ascertain their views on items to include in a pain assessment scale for transport. Phase Two utilised the Delphi technique to gain consensus from a large cohort of clinicians experienced in the field of neonatal transport on the content, structure and design of a transport pain assessment scale. Results of the first two Phases of the study were then applied to the adaptation of an existing pain assessment scale. Face validity of the newly developed Neonatal Transport Pain Assessment Scale (NTPAS) was then tested in Phase Three by semi-structured interviews with transport clinicians. Results of initial face validity testing suggested positive results in relation to feasibility and clinical utility of the scale, however further testing is strongly recommended. Currently there are no pain assessment scales developed for use in the transport setting, and little evidence on the effects of transport on pain and pain assessment. This study offers a unique approach in adding to the body of knowledge on neonatal pain assessment and facilitated the development of a scale adapted to transport. Further research is suggested to undertake psychometric testing of the scale and establish validity and reliability in the clinical setting.
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Dube, Queen. "Aetiology and outcome of neonatal sepsis and meningitis in Malawi." Thesis, University of Liverpool, 2014. http://livrepository.liverpool.ac.uk/2005539/.

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In Malawi there has been significant progress in reducing post-neonatal and under-5 deaths over the past decade but very little progress in reducing neonatal deaths. The major causes of neonatal deaths in Malawi are prematurity, infections and birth asphyxia. Neonatal sepsis has been shown to have long term complications ranging from motor deficits to cognitive impairment, epilepsy and behavioural disorders in preterm very low birth weight infants in the developed setting. Contrary to the epidemiology in the developed setting where neonatal sepsis is predominantly seen in preterm low birth weight infants, in the developing setting neonatal sepsis is also common among term babies. However, very little is known on the long term outcome of neonatal sepsis in the resource restrained setting. In this thesis the aetiology and outcome of neonatal sepsis and meningitis is investigated. METHODOLOGY This was study had 2 components; a cross sectional arm and a prospective cohort arm. The cross sectional study was looking at the aetiology, resistance pattern and in hospital outcome of severe neonatal infection cases presenting at QECH in Blantyre. The prospective cohort arm involved participants who were recruited in the cross sectional arm at QECH and were residing within Blantyre urban and infants that never had an episode of severe neonatal infection were recruited from Zingwangwa health Centre. The infants from Zingwangwa acted as controls. The participants in the prospective cohort arm were followed up to the age of 1 year where neurodevelopmental outcomes were assessed using the Bayley’s assessment tool. These participants also had detailed neurologic examination during the follow up visits at 6 and 12 months of age. A comparison between the cases and controls was made to ascertain the impact of neonatal infection outcome. RESULTS During the study a total of 412 cases were enrolled in the cross sectional arm. 75% of the cases had late onset disease. GBS was the commonest organism grown in blood culture 17/42(40%) and CSF culture 16/33(48%). 44% had abnormal serum sodium levels on admission and hypernatraemia was independently associated with an increased risk of dying in hospital (8.34[95% CI 1.95-35.7]). 51% of the gram negative organisms were multidrug resistant. In the long term outcome neonatal sepsis without overt meningitis was associated with an up to 6.6 –fold {95% CI (2.38-18.4) increased risk of developmental delay at 1 year of age. Meningitis was associated with a 17-fold {95% CI 4.89- 61.7} increased risk of developmental delay at 1 year of age. Positive blood or CSF culture and being HIV exposed were independent predictors of delay at I year of age. CONCLUSION GBS is a significant cause of neonatal infections in Malawi. The magnitude of developmental delay observed in infants who had neonatal sepsis without meningitis is worrying up to 35% of these infants were delayed. It is therefore important to employ measures that can prevent neonatal infections. Follow up is recommended in infants who had an episode of severe neonatal infection.
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Dare, Shadrach. "A multilevel mixed methods study of neonatal mortality in Ghana." Thesis, University of Glasgow, 2018. http://theses.gla.ac.uk/30943/.

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Background: Reducing neonatal mortality rates [NMR] (deaths/1,000 live births within 28 days of delivery) is a key global health goal. Using comparable data from Ghana (West Africa) and Scotland, I investigated NMR, specific causes of death and risk factors in the two countries. By identifying the main causes of excess mortality in Ghana and where they occur, it is hoped more effective strategies can be developed. Methods: This thesis used a multilevel mixed methods study design. Data on live births were obtained from three Health and Demographic Surveillance Systems (HDSS) in the north, middle and south of Ghana respectively: Navrongo (2004-12; 17,016 live births, 320 deaths); Kintampo (2005-10; 11,207 live births, 140 deaths); Dodowa (2006-14; 21,647 live births, 135 deaths). Comparable Scottish data were obtained from the Information Services Division (1992 to 2015; 1,278,846 live births, 2,783 deaths). Each dataset was analysed by neonatal death (dead/alive), using univariate and multivariable logistic regression. The multivariable analyses adjusted for maternal demographic and obstetric characteristics. Missing data were analysed using multiple imputation techniques. Data analyses were complemented by a researcher-developed questionnaire survey of 71 maternity care providers in the three regions of Ghana followed by face-to-face in-depth interviews with 48 maternity care providers who had experience of prematurity, birth asphyxia, neonatal infection and neonatal death. Results: The NMRs in the three HDSS were: Navrongo: 18.8; Kintampo: 12.5; and Dodowa 6.2 and in Scotland it was 2.2; the NMR in both countries is reducing. More than 99% of the neonatal deaths in Scotland occurred in the first week compared to 74% in Ghana. The leading causes of neonatal deaths (NMR) in Ghana were infection (4.3), asphyxia (3.7) and prematurity (2.2). In Scotland, they were congenital malformations (0.6), asphyxia (0.4) and prematurity (0.3). Only 88 deaths (0.07) of neonatal deaths in Scotland were due to infection. Ninety-eight percent of babies born in Scotland were born in a health facility compared to 60% of babies born in Ghana (hospital: 38.1%; clinic: 21.1%). In Ghana, babies born in hospitals had a higher risk of neonatal mortality compared to those born at home (NMR-hospital: 15.6; clinic: 7.1; home: 11.8). Most of the neonatal deaths in Ghana occurred at home (54%); there were more deaths among babies who were born in a hospital but died at home (hosp/home) compared to those born at home but died in a hospital (home/hosp). Asphyxia was the leading cause of death among hosp/hosp, and infection was the leading cause of death among hosp/home, home/home and home/hosp. Neonatal mortality in Ghana was largely influenced by where mothers sought maternity service, or the type of personnel who provided maternity care service. Mothers and babies who were cared for in hospitals by doctors and midwives received relatively better care and proper management of birth complications. Those who were cared for in clinics received basic delivery services and management of uncomplicated asphyxia. Mothers and babies who were cared for at home by traditional birth attendants (TBA) received poor care and poor management of neonatal illnesses based on traditional approaches which increased the risk of death. Women’s maternity choices were influenced by wider societal factors including prominent cultural values, family hierarchical structures and the cost of maternity services, and individual/ family factors including place of residence and availability of transport and beliefs about the cause of disease. Conclusion: There is considerable opportunity for reducing NMR in Ghana, especially deaths due to asphyxia and infections. Most uncomplicated deliveries should be performed by midwives in community clinics. The number of community maternity clinics should gradually be increased to enable home deliveries by TBAs to be phased out. Facilities should be improved for delivery and postnatal care in hospitals and the proportion of sick babies managed by health care workers trained in their care should be increased. Regular postnatal checks in the community by trained staff should be standard.
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Wood, David L. "An Overview of Neonatal Abstinence Syndrome." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5183.

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Booth, Nicola. "Becoming a parent to an infant requiring neonatal intensive care." Thesis, Liverpool John Moores University, 2011. http://researchonline.ljmu.ac.uk/6095/.

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The number of babies that require care in the Neonatal Intensive Care Unit continues to rise in the UK and parents who have a baby who is born sick or prematurely find themselves adapting to this stressful and often unexpected event whilst also trying to establish their role as a new parent. With no current large British studies, this study explores the experiences of both mothers and fathers in the NICU in relation to adaptation and parental role development and how their experience changes over time. In total 76 parents were interviewed using semi structured interviews 7-10 days following the birth to capture their early experiences of the NICU and then again beyond 28 days to explore any changes in their views and feelings over time. Interviews were tape recorded, transcribed verbatim into the written word and imported into WINMAX PRO. Data analysis revealed nine major sections. These are preparation prior to birth, labour and delivery, first sight of infant, support from the partner, family, friends and other parents, support from and communication with staff, adaptation to the NICU experience, development of the parental role, changes with time and the experiences of fathers. Findings show differences in what mothers and fathers find stressful about their NICU experience, how they adapt to the birth of a sick or premature infant and in their development of the parental role. With the passage of time the events surrounding the birth became less significant as parents start to look to the future. Their role as a parent continued to develop with feelings that their baby needed and recognised them, but many parents felt that they were unable to influence what happened to their baby in the NICU. Recommendations are made for further research and for changes to NICU practice.
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Sato, Chisaki. "Social and behavioral aspect of mother's health behaviors and neonatal health." Scholar Commons, 2004. http://scholarcommons.usf.edu/etd/2972.

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The results of this study indicate that two groups of mothers share a relatively similar socioeconomic status, knowledge of health and hygiene, and have similar health-seeking behaviors. The mothers' lack of knowledge and their local view of illnesses seemed to embody questionable newborn care related to breastfeeding practices and oil applications to newborns. Three psychosocial factors that appeared to contribute to the mother's health-seeking behaviors were attitudinal factors (this consisted of favorable or unfavorable perceptions toward services based on the mother's prior experiences or familiarity with service), social pressures (opinions from others and the mother's competing responsibilities), and self-efficacies accessibility, availability, and affordability). In addition, the external factor of poverty in the slum settlements was also a significant factor which determined the mother's health seeking behaviors. The implications of these findings are discussed in further detail, which are then followed by a set of recommendations for future health interventions designed to reduce the risk of sepsis neonatorum in urban communities. This study underscores the benefits of integrating the perspectives of anthropology and public health to further the understanding of the neonatal health problem. Finally, the need for future studies is addressed as it is necessary to further understand the existing local practices and beliefs in relation to the risks of sepsis neonatorum.
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Nelson, Candice Afonso. "Neonatal Mortality in the Cape Town Metro West Geographical Service Area 2014-2017." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/32948.

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Background Each neonatal death counts, as recognised by the Every Newborn Action Plan (ENAP). This is an important aspect in attaining the third Sustainable Development Goal by 2030. Accurate neonatal mortality data as well as an understanding of the causality and context is essential to plan interventions to reduce neonatal deaths and attain the third Sustainable Development Goals (SDG) of a neonatal mortality rate of less than 12 per 1000 livebirths by 2035. Objectives The objectives of this study were: (i) to determine neonatal mortality occurring in and out of health facilities in the Metro West GSA using the three audit programmes; Perinatal Problem Identification Programme (PPIP), Child Healthcare Problem Identification Programme (Child PIP) and Forensic Pathology Services (ii) to ascertain the cause of death specific neonatal mortality (iii) to describe the avoidable factors in each death as coded by the three audit programmes (iv) to make recommendations for the alignment of existing audit databases to obtain accurate neonatal statistics for the Metro West GSA. Methods This was a retrospective descriptive study of neonatal deaths undertaken in the public healthcare setting in the Cape Town Metro West GSA from January 2014 till December 2017. Existing data from PPIP, Child PIP and the CDR/FPS was used. Neonatal deaths were defined as in the first 28 days of life where there had been signs of life at delivery and a birthweight greater than 500g. Neonatal deaths were excluded where birth had occurred outside of the GSA or in the private health care setting. The audit data with regards to cause of death and avoidable or modifiable factors was obtained for each death. Results From a total of 134843 live deliveries, 1243 neonatal deaths were identified: 976(78%) from PPIP, 58(5%) from Child PIP and 209 (17%) from CDR/FPS. Sixteen per cent of the deaths occurred outside of healthcare facilities. The neonatal mortality rate (NMR) for PPIP was 7.2, Child PIP 0.43 and CDR 1,6 per 1000 livebirths. When the audit systems were combined, the annual NMR over the study period varied from 8.05 to 10.1 with a mean of 9.2 per 1000 livebirths over the entire period. Seventy-eight per cent of the deaths occurred in the early neonatal period with a mean early neonatal mortality rate of 7.2 per 1000 livebirths. The mean late NMR was 2 per 1000 livebirths. Where all neonatal deaths were considered for those more than 500g, the main cause of death was immaturity related, then infection related followed by congenital disorders and then hypoxia related. Seventy-four per cent of deaths occurred in those less than 2500g at birth and 41% were less than 1000g and defined as extremely low birthweight. In the group of neonates greater than 1000g, the main cause of death was infection related deaths, closely followed by congenital disorders and then hypoxia, followed by immaturity. Most of infection related deaths were collected by the CDR and Child PIP. A third of Child PIP and PPIP deaths and half of the CDR deaths were coded as avoidable. The prevalence of deaths due to abandonment either by passive or active neonaticide contributed towards the higher proportion of preventable deaths in the CDR group. Conclusions The burden of deaths due to immaturity is high and may be attributed to the finding that 41% of neonatal deaths were in the ELBW group. Current viability criteria that aim at optimum use of resources may improve survival amongst this group. Infection related deaths were shown by this study to have a greater burden than recorded from PPIP data; most of these deaths were derived from Child PIP and CDR data. Also, where 10% of neonatal deaths were sudden unexpected deaths (SUDIs), a better understanding and definition of this group is urgently required as many of these deaths were subsequently found to be secondary to lower respiratory infections. It is further relevant that where 20% of CDR deaths or 3% of all the study deaths were due to active and passive neonaticide, this entity should be monitored and investigated. The study showed that the GSA has achieved the SDG for NMR of less than 12 per 1000 livebirth. However, a mean NMR of 9.2 per 1000 livebirths is not comparable to other upper middle-income countries. As 38% of the deaths were coded as avoidable, appropriate programmes to address these factors could reduce the NMR to 5.7 per 1000 livebirths. A strong recommendation from this study would be to use all three audit systems to calculate the NMR, understand the causes of neonatal deaths and plan programmes to improve neonatal survival in this GSA.
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Karl, Bethany C. "The Importance of Child Life Within the Neonatal Intensive Care Unit (NICU)." Ohio University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1428577797.

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Shakya, Sujeeta Buppa Sirirassamee. "Factors influencing utilization of Maternal Neonatal Child Health (MNCH) services among ethnic groups in Nepal /." Abstract, 2006. http://mulinet3.li.mahidol.ac.th/thesis/2549/cd393/4838763.pdf.

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Dietrich, Liesl Bertha Kay. "A descriptive retrospective audit of the obstetric conditions which occur in mothers of babies with neonatal encephalopathy at Mowbray Maternity Hospital in 2016." Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/31169.

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Introduction: Neonatal encephalopathy (NE) is an important condition which may result in mortality or severe and permanent morbidity placing much strain on busy under-resourced health care services, parents and families, and the greater community. There is much debate on its aetiology; whether it is caused by antepartum conditions or intrapartum obstetric complications (known as sentinel events); and the relative contribution of intrapartum hypoxia. Unlike perinatal mortality, NE rates are not routinely audited by maternity facilities. At Mowbray Maternity Hospital, a formal audit was conducted in 2008, which measured the NE rate, focussed on obstetric factors associated with NE and identified avoidable factors in the care provided. It was thought to be of clinical value to repeat this audit to identify whether there were any trends in rates and the pattern of obstetric factors. Aims and objectives: The aim was to describe the obstetric factors occurring in patients who delivered neonates at MMH, diagnosed with NE. Specifically, it was planned to determine the NE rate, to describe obstetric factors occurring in these patients and to assess the avoidable factors related to the patients, health system and clinical management. Methodology: This was a retrospective descriptive study which included patients whose neonates were diagnosed with NE and were born at MMH in 2016. The diagnosis of NE was made according to the MMH NE protocol where NE is defined as a voltage suppression in amplitude-integrated electroencephalography (aEEG) or seizures; or clinical seizures or dystonic movements; or moderate to severe clinical signs of NE as defined by Shankaran and a level of consciousness which is decreased with abnormal tone. The neonates’ names were retrieved from a NE register in the neonatal unit and the corresponding mothers’ folders retrieved. Data on relevant obstetric and clinical management factors were collected from the folders using a data collection tool developed in the Western Cape and all cardiotocographic tracings were assessed by the researcher. Ethics approval was granted by the University of Cape Town Human Research Ethics Committee (UCT HREC) prior to the commencement of the study. STATA 14 was used for the analysis. Results: In 2016, 53 neonates with NE were identified out of 9,702 live births (LB) at MMH. The NE rate was 5.5 per 1000 LB. Of the 53 neonates, 48 maternal patient files were retrieved and analysed. There were 58% who had been referred to MMH from the midwife obstetric units (MOUs), and 42% fully managed at MMH. All patients were booked for 14 antenatal care, the mean age was 27.5 years and 50% were nulliparous. The mean gestational age at delivery was 39 weeks. The majority (87.5%) experienced labour, spontaneous in 72.9% and induced in 14.6%. Antenatal complications occurred in 77.1%, the most frequent being prolonged pregnancy (25%) hypertensive disorders (18.8%), antepartum haemorrhage (8.3%) and prelabour rupture of membranes (8.3%). Obstetric problems in labour included prolonged second stage of labour (25% of patients who had a second stage of labour); multiple vaginal examinations (28.6%) and prolonged first stage of labour (17.9%). Fetal monitoring at the MOUs was done according to protocol in 70% of patients in the latent phase but only 12.5% of those in the active phase of labour. At MMH, all patients in labour had Cardiotocograph (CTG) monitoring with 90.6% of CTGs being pathological and 6.3% suspicious, as assessed by the researcher. Meconium stained liquor occurred in 40.5% of patients. The mode of delivery was normal vertex, (27.1%), Caesarean sections (58.3%) and assisted vaginal delivery (14.6%). Most CS (71.4%) were done for pathological CTGs. Sentinel events occurred in 15 (31.3%) patients; approximately two-thirds occurring intrapartum and one- third antenatal. Sentinel events included shoulder dystocia (10.4%), prolonged second stage of labour (10.4%), abruptio placenta (6.3%), cord prolapse (2.1%) and eclampsia (2.1%). Of the 37 (68.7%) without a sentinel event, 75.8% had a pathological CTG. Considering avoidable factors, there was an ambulance delay in 42.9%, and a delay in accessing theatre for 53.6% of patients requiring a CS. Poor quality CTG tracing and monitoring occurred in 20.8% of patients; and for 34.4%, the researcher identified an abnormal CTG but it was not detected by the attendant health care workers. Discussion and conclusion: The NE rate for MMH is 5.5 per 1000 LBs, this is higher than the 3.7 found in the previous 2008 MMH study, despite a higher CS rate. Possible reasons for the increase include changes in case ascertainment, increased workload with same staff component, or a shift from perinatal hypoxic mortality to morbidity, notably NE. This NE rate compares with other lower resource settings and the previous MMH audit, as does the high proportion of intrapartum obstetric sentinel events. This is in contrast to findings from high resource settings. Areas for service improvement include regular and ongoing intrapartum care training, including fetal heart monitoring, for medical and nursing staff; and addressing the health system issues identified.
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Книги з теми "200506 Neonatal and child health"

1

Holden, Chris. Nutrition and child health. Edinburgh: Baillière Tindall, published in association with the RCN, 2000.

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2

Carole, Kenner, and Hollingsworth Andrea O, eds. Maternal, neonatal, and women's health nursing. Springhouse, Pa: Springhouse Corp., 1991.

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3

LaScala, Susan. Small wonder: The story of a child born too soon. Athol, Mass: Haley's, 2008.

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4

Talukder, Md Noorunnabi. Health systems and maternal mortality, neonatal mortality and child health: Review of selected service delivery models. Dhaka, Bangladesh: Population Council, 2007.

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5

Ahmed, Shameem. Neonatal morbidity and care-seeking behaviour in rural areas of Bangladesh. Dhaka: International Centre for Diarrhoeal Disease Research, Bangladesh, 1998.

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6

AIDS & TB Programme (Zimbabwe). The integration of antiretroviral therapy in maternal, neonatal, and child health settings in Zimbabwe. Harare: Ministry of Health and Child Welfare, AIDS and TB Programme, 2011.

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7

BRAC (Organization). Research and Evaluation Division. Maternal, neonatal and child health in Northern districts of rural Bangladesh: Profiling the changes during 2008-2010. Dhaka: BRAC Centre, 2012.

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Gill, Campbell, and Sadik Ruth, eds. Client profiles in nursing: Child health. London: Greenwich Medical Media, 2001.

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Organization, Pan American Health. Esquemas de proteccio n social para la poblacio n materna, neonatal e infantil: Lecciones aprendidas de la regio n de Ame rica Latina. Washington, D.C: Organizacio n Panamericana de la Salud, 2008.

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Sāthālanasuk, Laos Kasūang. Strategy and planning framework for the integrated package of maternal neonatal and child health services 2009-2015: Taking urgent and concrete action for maternal neonatal and child mortality reduction in Lao PDR. Vientiane]: Ministry of Health, 2009.

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Частини книг з теми "200506 Neonatal and child health"

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Morewitz, Stephen J. "Maternal, Fetal, and Neonatal Outcomes." In Domestic Violence and Maternal and Child Health, 97–106. Boston, MA: Springer US, 2004. http://dx.doi.org/10.1007/978-0-306-48530-5_7.

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Yeung, Chap-Yung. "Erythrocyte glucose-6-phosphate dehydrogenase (G6PD) deficiency and neonatal hyperbilirubinaemia." In Child Health in the Tropics, 281–85. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-5012-2_27.

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Daga, S. R., and A. S. Daga. "Neonatal intensive care in the developing countries: conservative or aggressive approach." In Child Health in the Tropics, 233–45. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-5012-2_23.

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Hurtado, Elena, Lilian Ramírez, and Pablo Moreira. "Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in Guatemala." In Improving Health Care in Low- and Middle-Income Countries, 27–42. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-43112-9_3.

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Parris, Kerry M., and Shamanthi M. Jayasooriya. "Prenatal Risk Assessment for Preterm Birth in Low-Resource Settings: Infection." In Evidence Based Global Health Manual for Preterm Birth Risk Assessment, 31–39. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-04462-5_5.

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AbstractMaternal infections are a risk factor for preterm birth (PTB); 40% to 50% of PTBs are estimated to result from infection or inflammation. Higher infection rates are reported in low- and middle-income countries (LMIC), and over 80% of PTBs occur in these settings. Global literature was synthesised to identify infections whose prevention or treatment could improve maternal and neonatal health outcomes and/or prevent mother-to-child transmission of infections.Best evidenced risk factors for PTB were maternal infection with human immunodeficiency virus (HIV) (OR2.27; 95%CI: 1.2–4.3), syphilis (OR2.09; 95%CI:1.09–4.00), or malaria (aOR3.08; 95%CI:1.2–4.3). Lower certainty evidence identified increased PTB risk with urinary tract infections (OR1.8; 95%CI: 1.4–2.1), sexually transmitted infections (OR1.3; 95%CI: 1.1–1.4), bacterial vaginosis (aOR16.4; 95%CI: 4.3–62.7), and systemic viral pathogens.Routine blood testing and treatment are recommended for HIV, hepatitis B virus, and syphilis, as well as for malaria in areas with moderate to high transmission. In high-risk populations and asymptomatic or symptomatic disease, screening for lower genital tract infections associated with PTB should be offered at the antenatal booking appointment. This should inform early treatment and management. Heath education promoting pre-pregnancy and antenatal awareness of infections associated with PTB and other adverse pregnancy outcomes is recommended.
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Basavanthappa, BT. "Neonatal Nursing (Normal)." In Child Health Nursing, 251. Jaypee Brothers Medical Publishers (P) Ltd., 2015. http://dx.doi.org/10.5005/jp/books/12612_9.

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Poole-Di Salvo, Elizabeth. "Intrauterine and Postnatal Exposure to Tobacco and Secondhand Smoke and Child Cognitive and Behavioral Development." In Cognitive and Behavioral Abnormalities of Pediatric Diseases. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780195342680.003.0070.

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Children’s involuntary exposure to tobacco smoke is a common and substantial health problem that has been receiving increasing attention from the pediatric, public health and research communities. According to the 2006 Surgeon General’s Report, there is no safe level of tobacco smoke exposure, yet at least 30% of children in the United States live in households with at least one adult smoker, and nearly 60% have evidence of recent exposure (Machlin, Hill, and Liang 2006). Tobacco smoke exposure has been causally linked to numerous adverse health outcomes and is currently a leading preventable cause of both low birth weight and sudden infant death syndrome, and a major contributor to lower respiratory infections, otitis media, and increased asthma severity (American Academy of Pediatrics, Committee on Environmental Health 1997; Cook and Strachan 1999; DiFranza et al. 2004). Recently, associations between tobacco smoke exposure and other childhood health problems, such as increased rates of dental caries (Aligne et al. 2003; Iida et al. 2007), food insecurity (Cutler et al. in press), and the metabolic syndrome (Weitzman et al. 2005) have been identified. As discussed in this chapter, a growing human and animal literature, which expands upon a more than 25-year-old body of work, also indicates that involuntary exposure to tobacco smoke during the pre- and/or postnatal periods is associated with adverse cognitive and behavioral outcomes in children. Tobacco smoke exposure has been associated with decrements in IQ, problems with learning and memory, difficulty with auditory processing, neonatal hyperactivity, attention-deficit hyperactivity disorder (ADHD), internalizing and externalizing behavioral problems, and conduct disorder. Animal models have provided evidence that tobacco is toxic to the developing brain, and there are plausible biologic pathways that appear to mediate these effects. Exciting new studies have begun to identify specific genes that play a role in the relationship between tobacco smoke exposure and adverse cognitive and behavioral outcomes in children. The term “secondhand smoke” (SHS), also referred to as “environmental tobacco smoke” (ETS), refers to the smoke that is exhaled from a smoker’s lungs, as well as the smoke from the smoldering end of a cigarette.
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Basavanthappa, BT. "Neonatal Nursing (High-risk)." In Child Health Nursing, 290. Jaypee Brothers Medical Publishers (P) Ltd., 2015. http://dx.doi.org/10.5005/jp/books/12612_10.

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Simon, Chantal, Hazel Everitt, Françoise van Dorp, and Matt Burkes. "Child health." In Oxford Handbook of General Practice, 845–928. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199671038.003.0024.

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Child health promotion The neonatal check Neonatal bloodspot screening Summary of developmental milestones Screening for hip dysplasia Vision and hearing screening tests Birth trauma Genetic problems Minor problems of neonates and small babies Problems of prematurity Neonatal jaundice Feeding babies Weaning, feeding problems, and failure to thrive...
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Walley, John, and Nancy Gerein. "Maternal, neonatal, and child health." In Public Health, 181–212. Oxford University Press, 2010. http://dx.doi.org/10.1093/acprof:oso/9780199238934.003.011.

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Тези доповідей конференцій з теми "200506 Neonatal and child health"

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Ahmed, Hiba, Manal Haroon, and Keri Jones. "1245 Perception, attitude, and practice regarding neonatal pain among neonatal team in a level 3 neonatal unit." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference, Liverpool, 28–30 June 2022. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2022. http://dx.doi.org/10.1136/archdischild-2022-rcpch.303.

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Duncanson, Antoniece, Caroline Cleaver, and Prakash Kannan Loganathan. "119 Trainees perspective on neonatal intubations at a tertiary neonatal unit." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference, Liverpool, 28–30 June 2022. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2022. http://dx.doi.org/10.1136/archdischild-2022-rcpch.217.

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Rodger, David, Sandy Kirolos, Gillian Campbell, and Jennifer Mitchell. "1391 Unscheduled neonatal attendances." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference, Liverpool, 28–30 June 2022. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2022. http://dx.doi.org/10.1136/archdischild-2022-rcpch.51.

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Patel, Rajal, Olatokunbo Sanwo, and Orode Mode. "1327 Neonatal simulation fortnight: using simulation to improve neonatal resuscitation skills." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 15 June 2021–17 June 2021. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2021. http://dx.doi.org/10.1136/archdischild-2021-rcpch.560.

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Ibrahim, Kirollos, and Shaveta Mulla. "85 Neonatal super 60 project." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference, Liverpool, 28–30 June 2022. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2022. http://dx.doi.org/10.1136/archdischild-2022-rcpch.213.

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Charles, E., K. Hunt, A. Milner, and A. Greenough. "G203(P) Uk neonatal resuscitation survey." In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 13–15 March 2018, SEC, Glasgow, Children First – Ethics, Morality and Advocacy in Childhood, The Journal of the Royal College of Paediatrics and Child Health. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/archdischild-2018-rcpch.198.

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Burman, A., S. Khan, A. Khushu, and W. Kelsall. "G577(P) Targeted neonatal echocardiography." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 25 September 2020–13 November 2020. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-rcpch.494.

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Sachane, K., R. Ironton, and E. Pelosi. "G480(P) Neonatal hsv – experience over a decade in a tertiary neonatal unit in uk." In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 24–26 May 2017, ICC, Birmingham. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2017. http://dx.doi.org/10.1136/archdischild-2017-313087.472.

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Adam, R., M. Temmerman, R. Ochieng, M. Carvahlo, P. Okiro, MC Quek, E. Gulavi, and D. Atandi. "G555 The maternal and neonatal microbiota correlates of preterm birth and adverse neonatal outcomes." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 25 September 2020–13 November 2020. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-rcpch.473.

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Selvarajan, L., A. Wiskin, E. Volonaki, C. Spray, B. Sandhu, and D. Basude. "G201(P) Neonatal polyuria; be suspicious." In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 24–26 May 2017, ICC, Birmingham. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2017. http://dx.doi.org/10.1136/archdischild-2017-313087.198.

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Звіти організацій з теми "200506 Neonatal and child health"

1

Hyrink, Tabitha, Violet Barasa, and Syed Abbas. Sexual and Reproductive Health and Rights (SRHR) and Maternal, Neonatal and Child Health (MNCH) in Bangladesh: Impacts of the Covid-19 Pandemic. Institute of Development Studies, May 2022. http://dx.doi.org/10.19088/ids.2022.028.

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The Covid-19 pandemic has exacerbated and drawn fresh attention to long-standing systemic weaknesses in health and economic systems. The virus – and the public health response – has wrought significant disruption on sexual and reproductive health and rights (SRHR) and maternal, neonatal and child health (MNCH) in Bangladesh. Known negative health outcomes include increased domestic and gender-based violence, child marriage, negative mental health, and adverse child health outcomes. This scoping paper for the Covid-19 Learning, Evidence and Research Programme for Bangladesh (CLEAR) aims to inform future research and policy engagement to support response, recovery, progress, and future health system resilience for SRHR and MNCH in Bangladesh, following the Covid-19 crisis. We present what is known on disruptions and impacts, as well as evidence gaps and priority areas for future research and engagement.
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Viswanathan, Meera, Jennifer Cook Middleton, Alison Stuebe, Nancy Berkman, Alison N. Goulding, Skyler McLaurin-Jiang, Andrea B. Dotson, et al. Maternal, Fetal, and Child Outcomes of Mental Health Treatments in Women: A Systematic Review of Perinatal Pharmacologic Interventions. Agency for Healthcare Research and Quality (AHRQ), April 2021. http://dx.doi.org/10.23970/ahrqepccer236.

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Background. Untreated maternal mental health disorders can have devastating sequelae for the mother and child. For women who are currently or planning to become pregnant or are breastfeeding, a critical question is whether the benefits of treating psychiatric illness with pharmacologic interventions outweigh the harms for mother and child. Methods. We conducted a systematic review to assess the benefits and harms of pharmacologic interventions compared with placebo, no treatment, or other pharmacologic interventions for pregnant and postpartum women with mental health disorders. We searched four databases and other sources for evidence available from inception through June 5, 2020 and surveilled the literature through March 2, 2021; dually screened the results; and analyzed eligible studies. We included studies of pregnant, postpartum, or reproductive-age women with a new or preexisting diagnosis of a mental health disorder treated with pharmacotherapy; we excluded psychotherapy. Eligible comparators included women with the disorder but no pharmacotherapy or women who discontinued the pharmacotherapy before pregnancy. Results. A total of 164 studies (168 articles) met eligibility criteria. Brexanolone for depression onset in the third trimester or in the postpartum period probably improves depressive symptoms at 30 days (least square mean difference in the Hamilton Rating Scale for Depression, -2.6; p=0.02; N=209) when compared with placebo. Sertraline for postpartum depression may improve response (calculated relative risk [RR], 2.24; 95% confidence interval [CI], 0.95 to 5.24; N=36), remission (calculated RR, 2.51; 95% CI, 0.94 to 6.70; N=36), and depressive symptoms (p-values ranging from 0.01 to 0.05) when compared with placebo. Discontinuing use of mood stabilizers during pregnancy may increase recurrence (adjusted hazard ratio [AHR], 2.2; 95% CI, 1.2 to 4.2; N=89) and reduce time to recurrence of mood disorders (2 vs. 28 weeks, AHR, 12.1; 95% CI, 1.6 to 91; N=26) for bipolar disorder when compared with continued use. Brexanolone for depression onset in the third trimester or in the postpartum period may increase the risk of sedation or somnolence, leading to dose interruption or reduction when compared with placebo (5% vs. 0%). More than 95 percent of studies reporting on harms were observational in design and unable to fully account for confounding. These studies suggested some associations between benzodiazepine exposure before conception and ectopic pregnancy; between specific antidepressants during pregnancy and adverse maternal outcomes such as postpartum hemorrhage, preeclampsia, and spontaneous abortion, and child outcomes such as respiratory issues, low Apgar scores, persistent pulmonary hypertension of the newborn, depression in children, and autism spectrum disorder; between quetiapine or olanzapine and gestational diabetes; and between benzodiazepine and neonatal intensive care admissions. Causality cannot be inferred from these studies. We found insufficient evidence on benefits and harms from comparative effectiveness studies, with one exception: one study suggested a higher risk of overall congenital anomalies (adjusted RR [ARR], 1.85; 95% CI, 1.23 to 2.78; N=2,608) and cardiac anomalies (ARR, 2.25; 95% CI, 1.17 to 4.34; N=2,608) for lithium compared with lamotrigine during first- trimester exposure. Conclusions. Few studies have been conducted in pregnant and postpartum women on the benefits of pharmacotherapy; many studies report on harms but are of low quality. The limited evidence available is consistent with some benefit, and some studies suggested increased adverse events. However, because these studies could not rule out underlying disease severity as the cause of the association, the causal link between the exposure and adverse events is unclear. Patients and clinicians need to make an informed, collaborative decision on treatment choices.
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Huq, Aurin. Impacts of Covid-19 on SRHR and MNCH in Bangladesh. Institute of Development Studies, April 2022. http://dx.doi.org/10.19088/clear.2022.007.

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Анотація:
This research briefing summarises priority areas for future research as identified in the scoping paper "SRHR and MNCH in Bangladesh: A Scoping Review on the Impacts of the Covid-19 Pandemic" by Tabitha Hrynick, Violet Barasa and Syed Abbas from the Institute of Development Studies (IDS). The scoping paper and this briefing were commissioned for the Covid-19 Learning, Evidence and Research Programme in Bangladesh (CLEAR). CLEAR aims to build a consortium of research partners to deliver policy-relevant research and evidence for Bangladesh to support the Covid-19 response and inform preparation for future shocks. SRHR = sexual and reproductive health and rights; MNCH = maternal, neonatal and child health.
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Enlow, Michelle Bosquet, Richard J. Chung, Melissa A. Parisi, Sharon K. Sagiv, Margaret A. Sheridan, Annemarie Stroustrup, Rosalind J. Wright, et al. Standard Measurement Protocols for Pediatric Development Research in the PhenX Toolkit. RTI Press, September 2022. http://dx.doi.org/10.3768/rtipress.2022.mr.0049.2209.

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A challenge in conducting pediatric research is selecting reliable, valid measurement protocols, across a range of domains, that are appropriate for the developmental level of the study population. The purpose of this report is to introduce the research community to the Pediatric Development Research Domain of the National Institutes of Health (NIH)–supported PhenX Toolkit (consensus measures for Phenotypes and eXposures). The PhenX Toolkit provides a catalog of recommended measurement protocols to address a wide range of research topics that are suitable for inclusion in a variety of study designs. In 2018, the Pediatric Development Working Group of experts identified 18 well-established protocols of pediatric development for inclusion in the Toolkit to complement existing protocols. Collectively, the protocols assess parenting, child care attendance and quality, peer relationships, home environment, neonatal abstinence, emotional and behavioral functioning, and other factors that influence child development. The Toolkit provides detailed data collection protocols, data dictionaries, and worksheets to help investigators incorporate these protocols into their study designs. Using standard protocols in studies with pediatric participants will support consistent data collection, improve data quality, and facilitate cross-study analyses to ultimately improve child health.
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Integrating RTI service with primary health care. Population Council, 1998. http://dx.doi.org/10.31899/rh1998.1002.

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The reproductive health (RH) movement worldwide has brought reproductive tract infections (RTIs) under sharp focus as an urgent health need of women. While RTIs are preventable or treatable, they are often the cause of infertility, ectopic pregnancy, cervical cancer, fetal loss, low birth-weight infants, infant blindness, and neonatal pneumonia. The adverse health effects of RTIs, particularly STIs, is much higher for women than men. Recent research has demonstrated that RTIs are closely linked to other areas of health care like family planning (FP), safe motherhood, child survival, and HIV prevention. Hence, each could significantly contribute to the reduction and control of RTIs. The challenge is how to integrate RTI/STI control and prevention into existing health initiatives. The State Innovations in Family Planning Services Project Agency and the district health authorities conducted operations research to strengthen the public health sector by improving access to and quality of RH services, as detailed in this update on the OR Project in Uttar Pradesh, India.
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Lactational amenhorrhoea method for birth spacing in Uttar Pradesh, India: Supporting technical data. Population Council, 1996. http://dx.doi.org/10.31899/rh1996.1014.

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Following the International Population and Development Conference in Cairo, there has been widespread consensus in the international community that family planning (FP) programs must be people-centered and focus not just on contraception, but on the reproductive health (RH) of men and women throughout their lives. This policy brief reviews the research and policy implications of promoting the Lactational Amenorrhea Method (LAM) as a component of FP counseling in India. The Government of India and the Population Council are using a pregnancy-based approach in Uttar Pradesh to improve the delivery of FP services through the rural primary health care system. Introducing pregnant women and their families to LAM offers a number of health benefits for mother and child. It promotes breastfeeding, which benefits the mother by reducing risk of postpartum hemorrhage and lowering risk of breast and ovarian cancers. The benefits to the fully breastfed infant include protection from hypothermia, neonatal hypoglycemia, and infections, in addition to nutritional advantages. Breastfeeding reduces postpartum fertility, thus delaying the need to use other contraceptive methods. LAM introduces couples to the concept of nonpermanent contraception and child spacing in a culturally acceptable way.
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