Prenatal Care Providers’ Perspectives And Practices: Informed Consent For Hiv Screening Among Latinas With Limited English Proficiency In South Carolina, 2017 University of South Carolina - Columbia
Prenatal Care Providers’ Perspectives And Practices: Informed Consent For Hiv Screening Among Latinas With Limited English Proficiency In South Carolina, Edena G. Meetze
Journal of Health Disparities Research and Practice
The rapid increase in Latinos in South Carolina that has occurred within the past 15 years is associated with both in-migrationand high birth rates. Limited ethnic-specific data and communication barriers betweenLatinas with limited English proficiency have contributed to difficulties in assessing theprovision of recommended routine prenatal HIV screening among this vulnerablepopulation. This qualitative descriptive study examined providers' perceptions andpractices related to obtaining informed consent for routine HIV screening for pregnantLatinas with limited English proficiency. Findings indicate the need for focused educational interventionswith providers and patients and implementation of culturally and linguistically tailoredpractice guidelines to improve patient understanding and acceptance ...
Exploring The Life Course Perspective In Maternal And Child Health Through Community-Based Participatory Focus Groups: Social Risks Assessment, Abraham Salinas-Miranda, Lindsey M. King, Hamisu M. Salihu, Estrellita "Lo" Berry, Deborah Austin, Susan Nash, Kenneth Scarborough, Evangeline Best, Lillian Cox, Georgette King, Carrie Hepburn, Conchita Burpee, Eugene Richardson, Marlo Ducket, Richard Briscoe, Julie Baldwin
Journal of Health Disparities Research and Practice
Little is known about the patterns of risk factors experienced by communities of color and how diverse community contexts shape the health trajectory of women from the early childhood period to the time of their pregnancies. Thus, we conducted a focus group study to identify social risks over the life course that contribute to maternal and child health from the perspective of community members residing in low income urban areas.
Ten community-based participatory focus groups were conducted with residents from selected communities in Tampa, Florida, from September to November 2013. We used the life course perspective to illuminate and explain ...
Improving Health Outcomes In Trafficking Survivors Through Core Skills Development In The Workplace: Experience From The Philippines, Melinda A. Gill
Dignity: A Journal on Sexual Exploitation and Violence
Whilst an emerging body of research documents the adverse physical and mental health outcomes of victims of trafficking following rescue, there is little research or guidance regarding interventions which improve these outcomes. In this article, I describe my experience as physician involved in a computer-based social enterprise for survivors of trafficking and slavery in the Philippines, and outline my evolving understanding of the requirements for health behavior change and improved outcomes. I conclude that while meaningful vocational skills, economic security, and adequate health-related knowledge are foundational, it is necessary to develop core skills to achieve improved health outcomes and that ...
Disparities In Infant Mortality: Are Sociocultural Risk Factors Shaped By Institutionalized Racism?, 2017 University of Northern Iowa
Disparities In Infant Mortality: Are Sociocultural Risk Factors Shaped By Institutionalized Racism?, Maddie Grimm
Research in the Capitol
The United States has one of the highest infant mortality rates among countries with similar economies. In addition, significant disparities are present between races within this health indicator. According to the CDC, the infant mortality rate in 2013 among non-Hispanic whites was 5.06 infant deaths per 1,000 live births; the infant mortality rate for Black Americans was 11.11 - more than double. The purpose of this research is to explore a) sociocultural risk factors for disparities in infant mortality rates and b) whether institutionalized racism contributes to those risk factors. The social ecological model will be used as ...
A Call For Comprehensive Perinatal Psychotherapy Training, 2017 Baystate Health
A Call For Comprehensive Perinatal Psychotherapy Training, Carolyn Broudy
Journal of Parent and Family Mental Health
Research has provided us with a tremendously rich understanding of the perinatal period and the kind of psychotherapeutic techniques that can effectively address issues that arise during this time. It is now time to more fully integrate and disseminate this knowledge to providers who are working with the perinatal population so it can be widely used in thoughtful and nuanced ways.
Maternal Characteristics And Obstetrical Complications Impact Neonatal Outcomes In Indonesia: A Prospective Study., 2017 George Washington University
Maternal Characteristics And Obstetrical Complications Impact Neonatal Outcomes In Indonesia: A Prospective Study., Trisari Anggondowati, Ayman A E El-Mohandes, S Nurul Qomariyah, Michele Kiely, Judith J Ryon, Reginald F Gipson, Benjamin Zinner, Anhari Achadi, Linda L Wright
Medicine Faculty Publications
BACKGROUND: We investigated associations between maternal characteristics, access to care, and obstetrical complications including near miss status on admission or during hospitalization on perinatal outcomes among Indonesian singletons.
METHODS: We prospectively collected data on inborn singletons at two hospitals in East Java. Data included socio-demographics, reproductive, obstetric and neonatal variables. Reduced multivariable models were constructed. Outcomes of interest included low and very low birthweight (LBW/VLBW), asphyxia and death.
RESULTS: Referral from a care facility was associated with a reduced risk of LBW and VLBW [AOR = 0.28, 95% CI = 0.11-0.69, AOR = 0.18, 95% CI = 0.04-0 ...
P01. Examining The Community Food Environments For Elementary School-Aged Children In The City Of London And Middlesex County, Ontario, Catherine Dubreck
Western Research Forum
Background: Childhood obesity is a growing public health issue. In Canada, one in four children/youth are overweight or obese. Research suggests diet plays a crucial role in childhood obesity, and that prevalence rates of overweight or obesity among children in a neighborhood may relate to area socioeconomic characteristics and other environmental factors. The community nutrition environment (e.g., the type, location, and accessibility of food outlets) can influence dietary habits.
Methods: Using ArcGIS, public and private elementary school addresses were geocoded, food outlets were mapped, and both junk food outlet density and the modified retail food environment index were ...
Postpartum Physical Activity And Sleep Levels In Overweight And Normal Weight Mothers, 2017 University of Nebraska at Omaha
Postpartum Physical Activity And Sleep Levels In Overweight And Normal Weight Mothers, Shane Warehime
Student Research and Creative Activity Fair
Objective: Objectively examine postpartum mothers’ physical activity (PA) and sleep. Compare PA and sleep of overweight/obese and normal weight postpartum mothers. Setting: A mid-sized city in the Midwestern United States. Participants: Twenty-one mothers who had an infant at least three months old. Participants were classified as normal weight (n = 8) or overweight (n = 13). Methods: PA and sleep levels were gathered for four days at three time intervals in the six months following childbirth. Wrist-worn Actigraph accelerometers were used to collect data. Results: All participants increased PA over time, especially from visit two to visit three. When separated by ...
Waiting 2 Minutes After Sucrose Administration—Unnecessary?, 2017 George Washington University
Waiting 2 Minutes After Sucrose Administration—Unnecessary?, Naomi Meesters, Sinno Simons, Joost Van Rosmalen, Irwin Reiss, John Van Den Anker, Monique Van Dijk
Pediatrics Faculty Publications
Background Worldwide, oral sucrose is standard of care in many neonatal intensive care units to relieve procedural pain in neonates. This study aims to determine if time interval between sucrose administration and heelstick correlates with pain scores.
Methods Neonates were prospectively studied with variable time intervals and assessed with the Premature Infant Pain Profile-Revised (PIPP-R).
Results 150 neonates were included with a median gestational age of 30+6 (IQR 27+6–33+2) weeks and a median time interval of 72 (IQR 39–115) seconds between sucrose administration and heelstick. In multiple regression analysis, this time interval was not significantly ...
Implementing A Community-Based Intervention For African American Mothers And Daughters, 2017 University of Massachusetts Boston
Implementing A Community-Based Intervention For African American Mothers And Daughters, Teri Aronowitz, Nandini Sengupta
Adolescents represent one of the fastest growing risk groups for HIV. Inner-city, minority youth are at highest risk because of concentration of HIV in inner-city areas, higher rates of STDs, and early sexual initiation. Mothers are the primary sex educator of daughters, and girls state their relationship with their mother was an important influence on their delaying sexual activity. With 70% of adolescent HIV seroconversions occurring among African American (AA) females, studies are urgently needed to enhance mother-daughter sexual communication. The purpose of this poster is to offer insights on the logistics of carrying out a manualized program.
A Pilot Study To Assess The Feasibility, Safety And Acceptability Of Soy-Based Diet For Pregnant Women At High Risk For Gestational Diabetes Mellitus, 2017 University of Massachusetts Boston
A Pilot Study To Assess The Feasibility, Safety And Acceptability Of Soy-Based Diet For Pregnant Women At High Risk For Gestational Diabetes Mellitus, Ling Shi, Vidya Iyer, Emily Jones, Tiffany A. Moore Simas, Alice H. Lichtenstein, Laura L. Hayman
Laura L. Hayman
Background: Diet plays an important role in the prevention and management of gestational diabetes mellitus (GDM). Previous studies suggest that soy protein and isoflavones may have beneficial effects on lipid and glucose metabolism. Little is known regarding the cardiometabolic effects of soy intake during pregnancy. This pilot study assessed the feasibility, safety and acceptability of daily consumption of soy foods during pregnancy in women at high risk for GDM, and participant adherence to their assigned treatment.
Methods: A randomized controlled trial (RCT) was conducted among pregnant women at high risk for GDM. The Soy group were counseled to consume a ...
Longitudinal Changes In Neurodevelopmental Outcomes Between 18 And 36 Months In Children With Prenatal Triptan Exposure: Findings From The Norwegian Mother And Child Cohort Study, 2017 University of Massachusetts Medical School
Longitudinal Changes In Neurodevelopmental Outcomes Between 18 And 36 Months In Children With Prenatal Triptan Exposure: Findings From The Norwegian Mother And Child Cohort Study, Mollie E. Wood, Jean A. Frazier, Hedvig M.E. Nordeng, Kate L. Lapane
Jean A. Frazier
OBJECTIVE: This study sought to determine whether changes in neurodevelopmental outcomes between 18 and 36 months of age were associated with prenatal exposure to triptan medications, a class of 5-HT receptor agonists used in the treatment of migraine. METHOD: Using data from the Norwegian Mother and Child Cohort Study, a prospective birth cohort that includes nearly 40% of all pregnancies in Norway from 1999 to 2008, we identified 50 469 mother-child dyads who met inclusion criteria and were present for at least one follow-up assessment at 18 or 36 months postpartum. Neurodevelopment was assessed using the Child Behaviour Checklist, the ...
Bridging The Divide White Paper: Pregnant Women And Substance Use: Overview Of Research & Policy In The United States, 2017 George Washington University
Bridging The Divide White Paper: Pregnant Women And Substance Use: Overview Of Research & Policy In The United States, Darla Bishop, Liz Borkowski, Megan Couillard, Amy Allina, Susanna Baruch, Susan Wood
Jacobs Institute of Women's Health
This paper examines the current literature and policy implications of substance use and substance use disorders among pregnant and parenting women. While this is not meant to serve as an exhaustive literature review on this topic, it seeks to describe: current research on health effects of substance use and substance use disorders on pregnant women1 and their children; policies and programs that help ensure that pregnant women who use substances have access to the highest quality healthcare, including prenatal care; the current barriers to accessing treatment for substance use disorders for pregnant women, including those who are incarcerated; and the ...
Report On The Community Conversation On Breastfeeding In Brookings Businesses, 2017 Wabash College
Report On The Community Conversation On Breastfeeding In Brookings Businesses, Sara A. Mehltretter Drury, Rebecca A. Kuehl, Jenn Anderson
The Brookings Supports Breastfeeding (BSB) team hosted a Community Conversation on Breast feeding in Brookings Businesses, a public deliberation event on November 1, 2014. The deliberation focused on the question, “How can our community support the breastfeeding experience in Brookings businesses?” The event was held from 10am-2pm at the McCrory Gardens Education &Visitor Center in Brookings, SD. Background The BSB project is a community effort to promote dialogue and deliberation about supporting breastfeeding in Brookings businesses. It is funded through a Community Innovation grant from the Bush Foundation, and is a partnership between South Dakota State University (SDSU), the Brookings Area Chamber of Commerce, Brookings Health System, community breastfeeding advocates, and a public deliberation expert from Wabash College (IN). Focus Groups To prepare for the event, the BSB team conducted 6focusgroups:3with breastfeeding mothers and 3 with business representatives. From the focus groups, the team learned that: 1) support for breastfeeding in Brookings is growing, 2) some businesses already provide breast feeding support, and 3) breastfeeding support in Brookings can be improved. Based on these findings, the BSB team created a deliberation guide for the Community Conversation event. The guide and event focused on 3different approaches to improving breastfeeding support in Brookings businesses. Event On November 1, 2014, more than 70 community members attended the Community Conversation. At 10 tables, community members participated in directed discussions led by trained facilitators (community members and SDSU students). At each table, facilitators and note takers recorded key aspects of the conversation; the conversations were also audio recorded. Each participant had a copy of the Community Conversation guide and was encouraged to complete pre-and post-event surveys. Report This report presents a summary of the conversations and the preferred actions generated by participants at the event; it is not a portrayal ...
Community Conversation Guide: How Can Our Community Support The Breastfeeding Experience In Brookings Businesses, 2017 South Dakota State University
Community Conversation Guide: How Can Our Community Support The Breastfeeding Experience In Brookings Businesses, Becky Kuehl, Jenn Anderson, Sara A. Mehltretter Drury, Charlotte Bachman, Marilyn Hildreth, Jamison Lamp, Mary Schwaegerl, Lois Tschetter, Julia Yoder
This forum is an opportunity for our community to come together and consider breastfeeding and support for our mothers and children with fresh eyes, fresh ideas, and a fresh conversation. Our conversation today will consider different approaches for increasing breastfeeding support in local businesses.
This guide introduces the issue, explains concerns with the breastfeeding experience in Brookings businesses, and presents three approaches to improving support. These approaches are not the only possible responses to the issue. Instead, they represent different ways that our community can take action based on our priorities.
Self-Reported Tobacco Use And Correlation With Umbilical Cord Blood Cotinine Levels At Delivery Among Appalachian Gravidas, Jesse Cottrell, Brenda L. Mitchell, Pooja N. Sangani, D'Andrea S. Thomas, Monica A. Valentovic
Marshall Journal of Medicine
The detrimental effects of cigarette use during pregnancy are well documented. Studies have shown that cigarette smoking while pregnant is associated with multiple adverse outcomes including: pre-term birth, placental abruption, placenta previa, fetal growth restriction, stillbirth, increased rate of birth defects, and increased risk of sudden infant death syndrome. Cotinine is the primary metabolite of nicotine and allows for measurement of active as well as passive exposure. Cotinine freely cross the placental barrier and maternal concentrations are closely correlated with newborn plasma levels. The aim of this study was to compare maternally reported rates of tobacco use to fetal umbilical ...
Race, Age, And Neighborhood Socioeconomic Status In Low Birth Weight Disparities Among Adolescent Mothers: An Intersectional Inquiry, 2017 University of Wisconsin Madison
Race, Age, And Neighborhood Socioeconomic Status In Low Birth Weight Disparities Among Adolescent Mothers: An Intersectional Inquiry, Sheryl L. Coley, Tracy R. Nichols
Journal of Health Disparities Research and Practice
Introduction: Few studies examined socioeconomic contributors to racial disparities in low birth weight outcomes between African-American and Caucasian adolescent mothers. This cross-sectional study examined the intersections of maternal racial status, age, and neighborhood socioeconomic status in explaining these disparities in low birth weight outcomes across a statewide sample of adolescent mothers.
Methods: Using data from the North Carolina State Center of Health Statistics for 2010-2011, birth cases for 16,472 adolescents were geocoded by street address and linked to census-tract information from the 2010 United States Census. Multilevel models with interaction terms were used to identify significant associations between maternal ...
Evaluation Of The Volunteer Doula Program At Brookings Health System, 2017 South Dakota State University
Evaluation Of The Volunteer Doula Program At Brookings Health System, Jenn Anderson, Rebecca A. Kuehl
Communication Studies and Theatre Faculty Publications
The 12-month research project included interviews and focus groups with key stakeholders, as well as an evaluation of promotional materials. An interdisciplinary team of researchers from South Dakota State University (SDSU) partnered with OB and PR/Marketing staff at Brookings Health System (BHS) to evaluate the volunteer doula program. The team collaboratively recruited participants and developed interview questions for key stakeholders, including: OB nurses and doctors, volunteer doulas, expectant parents, and mothers. Promotional materials were also evaluated by a persuasion expert. Our findings are drawn from interviews with 15 BHS staff, 9 doulas,
Engaging Parents To Promote Children’S Nutrition And Health: Providers’ Barriers And Strategies In Head Start And Child Care Centers, 2017 University of Nebraska-Lincoln
Engaging Parents To Promote Children’S Nutrition And Health: Providers’ Barriers And Strategies In Head Start And Child Care Centers, Dipti Dev, Courtney Byrd-Williams, Samantha Ramsay, Brent A. Mcbride, Deepa Srivastava, Ashleigh L. Murriel, Chrisa Arcan, Anna M. Adachi-Mejia
Faculty Publications, Department of Child, Youth, and Family Studies
Purpose: Using the Academy of Nutrition and Dietetics benchmarks as a framework, this study examined childcare providers’ (Head Start [HS], Child and Adult Care Food Program [CACFP] funded, and non-CACFP) perspectives regarding communicating with parents about nutrition to promote children’s health.
Setting: State-licensed center-based childcare programs.
Participants: Full-time childcare providers (n ¼ 18) caring for children 2 to 5 years old from varying childcare contexts (HS, CACFP funded, and non-CACFP), race, education, and years of experience.
Methods: In-person interviews using semi-structured interview protocol until saturation were achieved. Thematic analysis was conducted.
Results: Two overarching themes were barriers ...
Implementation Of Warning Tool To Improve Maternal Newborn Health Outcomes In A Developing Country, 2017 Aga Khan University
Implementation Of Warning Tool To Improve Maternal Newborn Health Outcomes In A Developing Country, Sana Sheikh, Rahat Qureshi, Sidrah Nausheen, Rozina Sikandar Sultanali
Department of Obstetrics & Gynaecology
Objective: To improve health outcomes through the implementation of national early warning sign tool for babies delivered through emergency caesarean section in off-work hours.
Methods: This comparative clinical study was conducted at the Aga Khan Hospital for Women and Children, Karachi, from April to August 2014, and comprised women who had an emergency caesarean section. Maternal and perinatal outcomes were compared of patients in Group A and Group B which represented individuals before and after the implementation of the national early warning score respectively.
Results: Of the 200 participants, there were 100(50%) in each group. The overall mean age ...