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Medicine and Health Sciences

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University of Massachusetts Amherst

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Pregnancy

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Improving Intimate Partner Violence Screening Practices Among Postpartum Nurses, Robin Mills-Humphreys Jan 2020

Improving Intimate Partner Violence Screening Practices Among Postpartum Nurses, Robin Mills-Humphreys

Doctor of Nursing Practice (DNP) Projects

Abstract

Background and Review of the Literature: Intimate partner violence (IPV) during pregnancy is a global public health issue that has negative outcomes on both an individual and a societal level. Health care providers play a pivotal role in providing services to women experiencing violence during pregnancy. Regardless of the setting, barriers to IPV screening exist among healthcare providers. Review of the literature examined the existing IPV screening practices and screening barriers among healthcare providers to better understand the relationship between barriers and frequency of screening for IPV. Purpose: The purpose of this DNP project was to enhance …


Improving Pertussis Education For Postpartum Women And Their Family Members, Marlene Unisa Jan 2017

Improving Pertussis Education For Postpartum Women And Their Family Members, Marlene Unisa

Doctor of Nursing Practice (DNP) Projects

Abstract

Background:The purpose of this DNP project was to synthesize evidenced based-research related to Tdap vaccination against pertussis for family members of pregnant and postpartum women in order to provide protection from pertussis for newborn infants through cocooning. Cocooning refers to the vaccination of family members and caregivers in close contact with the infant to protect the infant by lowering risk of acquiring pertussis from close contact through an infected family member.

Methods: This project utilized the Health Belief Model to understand perceptions and predict behaviors related to the pertussis vaccination of family members who may come in contact …


Weight Gain In Pregnancy And Risk Of Maternal Hyperglycemia, Sharon J. Herring, Emily Oken, Sheryl L. Rifas-Shiman, Janet W. Rich-Edwards, Alison M. Stuebe, Ken P. Kleinman, Matthew W. Gillman Jan 2009

Weight Gain In Pregnancy And Risk Of Maternal Hyperglycemia, Sharon J. Herring, Emily Oken, Sheryl L. Rifas-Shiman, Janet W. Rich-Edwards, Alison M. Stuebe, Ken P. Kleinman, Matthew W. Gillman

Public Health Department Faculty Publication Series

OBJECTIVE:

The purpose of this study was to examine associations of weight gain from prepregnancy to glycemic screening with glucose tolerance status.

STUDY DESIGN:

Main outcomes were failed glycemic screening (1-hour glucose result >or= 140 mg/dL) with either 1 high value on 3-hour oral glucose tolerance testing (impaired glucose tolerance in pregnancy) or >or= 2 high values on 3-hour oral glucose tolerance testing (gestational diabetes mellitus). We performed multinomial logistic regression to determine the odds of these glucose intolerance outcomes by quartile of gestational weight gain among 1960 women in Project Viva.

RESULTS:

Mean gestational weight gain was 10.2 +/- …


Gestational Weight Gain And Child Adiposity At Age 3 Years, Emily Oken, Elsie M. Taveras, Ken P. Kleinman, Janet W. Rich-Edwards, Matthew W. Gillman Jan 2007

Gestational Weight Gain And Child Adiposity At Age 3 Years, Emily Oken, Elsie M. Taveras, Ken P. Kleinman, Janet W. Rich-Edwards, Matthew W. Gillman

Public Health Department Faculty Publication Series

OBJECTIVE

The purpose of this study was to examine the associations of gestational weight gain with child adiposity.

STUDY DESIGN

Using multivariable regression, we studied associations of total gestational weight gain and weight gain according to 1990 Institute of Medicine guidelines with child outcomes among 1044 mother-child pairs in Project Viva.

RESULTS

Greater weight gain was associated with higher child body mass index z-score (0.13 units per 5 kg [95% CI, 0.08, 0.19]), sum of subscapular and triceps skinfold thicknesses (0.26 mm [95% CI, 0.02, 0.51]), and systolic blood pressure (0.60 mm Hg [95% CI, 0.06, 1.13]). Compared with inadequate …