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Missed Opportunities In Social Media To Reduce Maternal Health Disparities For Black Women, Nerissa George
Missed Opportunities In Social Media To Reduce Maternal Health Disparities For Black Women, Nerissa George
Legacy Theses & Dissertations (2009 - 2024)
Pregnancy-related maternal morbidity and mortality disproportionately affect Black women more than their White counterparts. Black pregnant women are more likely to omit or engage in prenatal care late than White women. Social media is an essential source of pregnancy-related information and shows it effectively improves pregnancy knowledge. Greater than 80% of Black women own a mobile device, and some data demonstrate that Black women use social media for pregnancy-related information. However, little is known about social media use during pregnancy for this population. Several gaps exist about what maternal health content is available on social media, how Black women use …
Maternal Antifungal Use During Pregnancy : A Study Of Prevalence Of Use And The Risk Of Birth Defects, Eleni A. Papadopoulos
Maternal Antifungal Use During Pregnancy : A Study Of Prevalence Of Use And The Risk Of Birth Defects, Eleni A. Papadopoulos
Legacy Theses & Dissertations (2009 - 2024)
Fungal infections, especially vulvovaginal candidiasis (VVC), are common among pregnant women. Therefore, it is important to study the effect that antifungal medications may have on the developing fetus. Recent studies have suggested there are positive associations between birth defects and specific oral antifungals. In this dissertation, maternal antifungal use during pregnancy was examined using data from the National Birth Defects Prevention Study (NBDPS). The NBDPS was multi-site, population-based, case-control study and included women with estimated delivery dates during October 1997 through December 2011. It was designed to investigate risk factors associated with more than 30 categories of major birth defects. …
Examining The Impact Of The Covid-19 Pandemic On Birth Outcomes In Onondaga County, New York / Narrative Competence And Cognitive Mapping As A Culturally Sustaining Pedagogy In The Education Of Emergent Bilinguals, Simone A. Seward
Legacy Theses & Dissertations (2009 - 2024)
Background: Preterm birth (PTB), defined as births that occur prior to 37 completed weeks of gestation, and low birth weight (LBW), defined as an infant born with a birthweight of < 5.5 lbs or 2,500 grams, have been identified as significant contributors to the high infant morbidity and mortality rate in the United States (U.S.). The etiology of PTB and LBW is complex, and multifaceted. Linkages have been made to several categorical risk factors related to socio-demographics, medical, behavioral, psychosocial, and environmental pathways. Given the known risk factors, the current COVID-19 pandemic has raised concerns from public health officials and clinicians about the short-and long-term impact on the health and well-being of pregnant women and their birth outcomes. Study Purpose: The purpose of the study was to: 1) examine the impact of the COVID-19 pandemic on preterm birth (PTB) and low birthweight (LBW) in Onondaga County, NY; and 2) determine the potential impact of psychosocial factors, particularly maternal depression and social support, on PTB and LBW. Guided by the Integrated Socio-Environmental Model of Health and Well-being (ISEM), The Life Course Perspective (LCP), concepts of allostatic load and the weathering hypothesis, the study recognizes the numerous factors, over the life course, that co-occur and can synergistically contribute to or moderate the impact of the COVID-19 pandemic on birth outcomes. Methodology: The study utilized a mixed methods approach to answer the four research questions. For the quantitative component, the study utilized relevant data elements obtained from the Statewide Perinatal Data System (SPDS) during February 1, 2019 through March 31, 2021 for secondary data analysis. For the qualitative component, 20 key informant interviews were conducted to investigate and describe the health care and social support experiences of individuals who delivered in Onondaga County, NY before and during the COVID-19 pandemic. Results: Results from the bivariate analysis indicated a statistically significant association between lack of prenatal care, lack of social support, maternal depression and both PTB and LBW (all p <.0001). Exposure to the COVID-19 pandemic was not significantly associated with either LBW or PTB (p=0.2289 and p=0.2932, respectively). The analysis yielded no statistically significant difference in the rates of LBW (p= 0.2289) or PTB (p=0.2932) between the two cohorts. The major themes that emerged from the interviews related to prenatal care experience were: Preparing for Pregnancy, Feeling Supported by their Health Care Provider, Restrictive COVID-19 Policies, Dealing with the Unknown, and Self-Advocacy. The major themes related to social support experience were: Personal Relationships during Pregnancy, Forms of Social Support during pregnancy, and Pandemic Impact on Social Support. Overlapping themes were identified between the two cohorts. Study Significance: The findings from this study have implications for public health and clinical practice, public health policy, and future research. The findings from this study emphasize the need for a range of accessible, affordable options for pregnancy-related care and social support, especially during stressful life events, like a pandemic. This study contributes to the growing literature on the COVID-19 pandemic by providing an analysis of the factors (risk and protective) which could moderate or mediate the effects of a public health crisis on birth outcomes. The strength of the study lies in the triangulation of data to research a persistent public health issue and health disparity during a widespread public health crisis.
Epidemiology Of Self-Reported Maternal Depression During Pregnancy And Association With Adverse Birth Outcomes In New York State, 2012-2017, Solita Julianna Jones
Epidemiology Of Self-Reported Maternal Depression During Pregnancy And Association With Adverse Birth Outcomes In New York State, 2012-2017, Solita Julianna Jones
Legacy Theses & Dissertations (2009 - 2024)
Background
Risk Factors For Gestational Diabetes In Upstate New York Women & Implications For Practice, Margaret Versteegen
Risk Factors For Gestational Diabetes In Upstate New York Women & Implications For Practice, Margaret Versteegen
Legacy Theses & Dissertations (2009 - 2024)
Gestational diabetes mellitus (GDM) is a form of diabetes, or abnormal blood glucose (sugar) metabolism, diagnosed during pregnancy. Pregnant, non-diabetic women who are initially noted to experience high blood glucose levels during their pregnancy are considered to have GDM (ADA, 2016b). GDM has significant implications for infant and maternal morbidity and mortality, with adverse pregnancy outcomes such as infant macrosomia, difficult birth requiring cesarean section, and postpartum hemorrhage (Kamana, Shakya, & Zhang, 2015). In the majority of cases, GDM goes away once the baby is born, but around 5-10% of women with GDM go on to have type 2 diabetes …
The Independent And Joint Effects Of Prenatal Depression And Mercury Exposure On Infant Birth Size Outcomes : A Preliminary Analysis, Meredith Spivak
The Independent And Joint Effects Of Prenatal Depression And Mercury Exposure On Infant Birth Size Outcomes : A Preliminary Analysis, Meredith Spivak
Legacy Theses & Dissertations (2009 - 2024)
Prenatal exposure to depression and mercury have been independently linked to adverse infant outcomes. Though results specific to birth size remain inconsistent, they are generally associated with smaller infant anthropometrics. Increasingly, research has shifted towards examining co-occurring, cross-disciplinary exposures, and thus more studies are examining if and how psychosocial and environmental exposures jointly contribute to health. This study examines the independent effects of prenatal depression and mercury exposures on infant birth size, and also whether these exposures jointly contribute to adverse infant birth size outcomes. This study uses data from the Albany Infant and Mother Study (AIMS), an ongoing birth …
Pregnant Women With Congenital Heart Disease : Pregnancy Outcomes And Proximity To Care, Lauren Schlichting
Pregnant Women With Congenital Heart Disease : Pregnancy Outcomes And Proximity To Care, Lauren Schlichting
Legacy Theses & Dissertations (2009 - 2024)
The number of adults living with congenital heart disease (CHD) now surpasses the number of children with the condition due to medical advances and the resulting increased survival rates in infants. However, much of the research focusing on proximity to specialty care for individuals with this complex condition has been with children. Pregnant women with these serious malformations are of particular concern, due to the stress of pregnancy on the circulatory system and the increase in risk for delivery complications. Few studies to date have described the healthcare utilization patterns at delivery and travel burden to specialty care for this …
Maternal Surgery Or Anesthesia Use During Pregnancy And The Risk Of Adverse Birth Outcomes In The National Birth Defects Prevention Study, 1997-2009, Youjung Byun
Legacy Theses & Dissertations (2009 - 2024)
Background: 50,000 to 75,000 pregnant women are estimated to undergo surgery during pregnancy. This number comprises of 1.5 to 2 percent of the total confirmed pregnancies. Considering most pregnancies are unintended (49%), the number of women undergoing surgery unaware of the pregnancy is expected to be higher than the historical estimate. This study objective is to identify the characteristics of mothers who undergo surgery and assess the association between surgery or anesthesia exposure and the risk of adverse birth outcomes.
Low-Level Arsenic Exposure Via Drinking Water And Female Fecundity, Michele L. Susko
Low-Level Arsenic Exposure Via Drinking Water And Female Fecundity, Michele L. Susko
Legacy Theses & Dissertations (2009 - 2024)
Abstract
Maternal Characteristics And Factors Associated With Hepatitis C (Hcv) Infection Among Hiv-Positive Pregnant Women In Ukraine, 2010-2011, Liudmyla Slobodianyk
Maternal Characteristics And Factors Associated With Hepatitis C (Hcv) Infection Among Hiv-Positive Pregnant Women In Ukraine, 2010-2011, Liudmyla Slobodianyk
Legacy Theses & Dissertations (2009 - 2024)
Objective: Determine the association between risk factors for Hepatitis C and hepatitis C (HCV) infection among HIV-positive pregnant women in Ukraine.