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Articles 1 - 9 of 9
Full-Text Articles in Medicine and Health Sciences
Non-Pharmacologic Measures To Prevent And Treat Gestational Diabetes, Dikshya Aryal
Non-Pharmacologic Measures To Prevent And Treat Gestational Diabetes, Dikshya Aryal
All Electronic Theses and Dissertations
Background: Gestational Diabetes (GDM) can have adverse effects on the health of both mother and baby during pregnancy and for a lifetime thereafter. While insulin is the mainstay of treatment, metformin and glyburide may be considered as alternatives (Carroll & Kelley, 2014). Pregnant mothers, however, may be hesitant to use pharmaceutical therapies, preferring natural alternatives (Zaki & Albarraq, 2014). Purpose: The purpose of this paper is to identify and examine effective non-pharmacological interventions for the prevention and the management of GDM. Results: Twenty-one articles were included in this review and thirteen studies support the use of certain diets (Mediterranean or …
Midwife Provider Education And Screening Can Prevent And Decrease The Prevalence Of Perinatal And Postpartum Depression: A Critical Review Of The Literature, Suzanne M. Chatters
Midwife Provider Education And Screening Can Prevent And Decrease The Prevalence Of Perinatal And Postpartum Depression: A Critical Review Of The Literature, Suzanne M. Chatters
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Background: Perinatal and postpartum depression (PPD) has a diagnosed prevalence of 10-20%. Experts theorize that up to 60% of women experiencing PPD do not seek help. Mental depression carries a negative stigma in western culture and medicine. It is however, both a natural occurrence and physiologic disorder. If unaddressed, depression can become a severe and dangerous condition for both women and their children. The transition to motherhood presents with multifactorial influences such as hormonal, physical, and mental changes. Pregnant women in particular, who are experiencing a change in hormonal status, sleep pattern disruption, and personal role identity are at risk …
Routine Screening For Thyroid Peroxidase Antibodies During Pregnancy: Universal Versus Targeted, Megan M. Gross
Routine Screening For Thyroid Peroxidase Antibodies During Pregnancy: Universal Versus Targeted, Megan M. Gross
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Background: There are currently no guidelines for screening for thyroid peroxidase antibodies (TPOAb) during pregnancy. Currently, there is some debate as to whether pregnant women should be screened for TPOAb, universally, or using a risk-based approach. In addition, there is conflicting evidence suggesting the implications of positive TPOAb testing during pregnancy and their effect on not only the pregnancy, but also the postpartum period and the fetus. Purpose: To determine whether TPOAb should be screened for during the first trimester of pregnancy; and if so, to determine if a risk-based approach or universal screening method is more appropriate. Results: Twenty-four …
Better Together: Group Prenatal Care Improves Outcomes, Rachel Hanus
Better Together: Group Prenatal Care Improves Outcomes, Rachel Hanus
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Background: Neonatal outcomes have not improved over the past 30 years in spite of increases in funding and utilization. New models of prenatal care, such as Centering Pregnancy, need to be evaluated for effectiveness. This critical review of the literature focuses on comparing birth outcomes, maternal weight gain, and adequacy of prenatal care between group and traditional care models. Results: Newborns with mothers in group care were more likely to be born at later gestational ages and with higher birth weights. Mothers in group care were more likely to use contraception postpartum and have better prenatal attendance. Women in at-risk …
Culturally Sensitive And Holistic Care For Women Who Have Undergone Female Genital Circumcision, Maria Fernanda Honebrink
Culturally Sensitive And Holistic Care For Women Who Have Undergone Female Genital Circumcision, Maria Fernanda Honebrink
All Electronic Theses and Dissertations
Background: Around the world, immigration is part of many people’s lives. In that context, obstetric healthcare providers must be ready to deliver culturally sensitive care to women of different backgrounds. Some of these women have undergone female genital circumcision (FGC). As a result, they have unique healthcare needs. Purpose: Conduct a critical literature review designed to discover and evaluate culturally holistic care guidelines being used to provide healthcare to women who have undergone FGC. Results: There is a lack of clinical guidelines for healthcare providers as they care for circumcised women. Randomized controlled trials are not being done due to …
Variations To Birth Outcomes With Labor And Delivery Doula Support, Nicole I. Hunter-Severson
Variations To Birth Outcomes With Labor And Delivery Doula Support, Nicole I. Hunter-Severson
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Background/Purpose: The purpose of this critical appraisal of the literature is to discern if there are variations to birth outcomes as a result of having a doula present as a continuous support during labor and delivery. Theoretical/Conceptual Framework: Watson’s (2010) Theory of Human Caring will be the framework for this literature appraisal. Dr. Watson’s theory is founded on holistic care that involves putting a heart-centered caring process into action based upon Watson’s 10 carative factors. Methods: Thirty research articles that were relevant to the scope of variations to birth outcomes as a result of having a doula present as a …
Reducing Perineum Injuries And Trauma During Vaginal Delivery, Joyce Elaine Pepple
Reducing Perineum Injuries And Trauma During Vaginal Delivery, Joyce Elaine Pepple
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Background: Perineal trauma and injury is extremely common during vaginal birth. Nurse-midwives and other obstetric providers should explore the most current literature for possible ways that perineal trauma and injury during vaginal birth can be avoided in patients. Purpose: To determine if hands-on perineum care, given by healthcare providers during labor and delivery, decreases perineal trauma and injury in women giving birth vaginally, compared with as opposed to women delivering vaginally who do not receive any hands-on perineum care. Results: Some hands-on techniques may improve perineal outcomes, but the hands-on techniques vary in effectiveness. The majority of providers currently prefer/use …
Implications For Delayed Versus Immediate Umbilical Cord Clamping, Laura Ann Shaver
Implications For Delayed Versus Immediate Umbilical Cord Clamping, Laura Ann Shaver
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Purpose: The purpose of the critical review of literature was to identify and analyze benefits of delayed umbilical cord clamping in full term and preterm infants with a focus on iron stores, hemoglobin, hematocrit, and hyperbilirubinemia. Methods: Twenty-two articles were included in the critical literature review with the purpose of determining whether delayed umbilical cord clamping caused increases in iron stores, hemoglobin and hematocrit, or had no clinical significant increases in hyperbilirubinemia causing neonatal jaundice and the need for phototherapy treatment. Results/Conclusion: Delayed umbilical cord clamping is a low risk, cost effective intervention that is safe and has many benefits …
Nitrous Oxide: Revival Of An Antiquated Pain Modality Helps To Empower Women, April Shuneson
Nitrous Oxide: Revival Of An Antiquated Pain Modality Helps To Empower Women, April Shuneson
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Background: Options for pharmacological pain management in labor are limited. The use of nitrous oxide during labor and gynecological procedures is supported by the American College of Nurse-Midwives (2016); they group suggested that different forms of coping with labor and pain should be made available for women. Purpose: The purpose of this critical review of the literature is to examine the factors contributing to availability, efficacy, safety, and patient outcomes of nitrous oxide when used during labor and gynecological procedures. Results: Twenty-four articles were selected for review and were appraised using the John Hopkins Research Evidence Appraisal Tool (Dearholt & …