Clinical Trials in Antenatal and Intrapartum Care

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (15 June 2016) | Viewed by 20764

Special Issue Editors


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Guest Editor
Women's Health Academic Centre, King's College London, St Thomas' Hospital, London, UK
Interests: prediction and prevention of preterm birth; pre-eclampsia and measurement of blood pressure in pregnancy; global health

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Guest Editor
Women's Health Academic Centre, King's College London, St Thomas' Hospital, London, UK
Interests: prediction and prevention of preterm birth; in utero transfer; high-risk obstetrics; antenatal care

Special Issue Information

Dear Colleagues,

The obstetric field provides a challenging arena for conducting good quality research. Recruitment may be hampered by the 24-hour, fast-paced, labour ward environment, and by the ethical concerns around intrapartum consent. Other research challenges include the low-incidence but serious outcomes of a primarily healthy population, the need for long-term neonatal follow-up, maternal disregard for her own health relative to that of the foetus and strong socio-cultural beliefs around childbirth. This Special Issue showcases examples of recent work where judicious trail design and methodology has addressed these obstacles, in defiance of the common misconception that non-evidence-based obstetric practice is acceptable.

Prof. Dr. Andrew Shennan
Dr. Helena Watson
Guest Editors

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Keywords

  • Antenatal
  • Intrapartum
  • Obstetric
  • Birth
  • Maternal
  • Neonatal
  • Labour ward

Published Papers (3 papers)

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Research

2967 KiB  
Article
From Consultation to Application: Practical Solutions for Improving Maternal and Neonatal Outcomes for Adolescent Aboriginal Mothers at a Local Level
by Tracy Reibel, Paula Wyndow and Roz Walker
Healthcare 2016, 4(4), 90; https://doi.org/10.3390/healthcare4040090 - 06 Dec 2016
Cited by 6 | Viewed by 7160
Abstract
Adolescent pregnancy has been typically linked to a range of adverse outcomes for mother and child. In Australia, Aboriginal and Torres Strait Islander women have a higher proportion of adolescent births compared with other adolescent Australian women, and are at greater risk of [...] Read more.
Adolescent pregnancy has been typically linked to a range of adverse outcomes for mother and child. In Australia, Aboriginal and Torres Strait Islander women have a higher proportion of adolescent births compared with other adolescent Australian women, and are at greater risk of poorer psychosocial and clinical outcomes if they are not well supported during pregnancy and beyond. Drawing on existing literature and consultations with young Aboriginal women and health professionals supporting pregnant Aboriginal women in Western Australia, this paper discusses the importance of creating models of antenatal care using a “social determinants of health” framework. Destigmatizing young parenthood and providing continuity of caregiver in culturally safe services, with culturally competent health professionals provides a means to encourage engagement with the health system and improve health outcomes for young mothers and their babies. Full article
(This article belongs to the Special Issue Clinical Trials in Antenatal and Intrapartum Care)
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1694 KiB  
Article
Increasing Incidence Rate of Cervical Cerclage in Pregnancy in Australia: A Population-Based Study
by Corrine Lu, Boon Lim and Stephen J. Robson
Healthcare 2016, 4(3), 68; https://doi.org/10.3390/healthcare4030068 - 12 Sep 2016
Cited by 6 | Viewed by 5200
Abstract
Objective: Data published from the United States have demonstrated that the use of cervical cerclage has fallen in the period 1998–2013. This is in contrast to recommendations in Australia. We examined this trend using data from the Australian Institute of Health and Welfare [...] Read more.
Objective: Data published from the United States have demonstrated that the use of cervical cerclage has fallen in the period 1998–2013. This is in contrast to recommendations in Australia. We examined this trend using data from the Australian Institute of Health and Welfare (AIHW). Study design: Retrospective population-based study. Methods: Data from the Australian Institute of Health and Welfare procedural database were used to determine the total number of cervical cerclage sutures inserted during the period 2004 to 2013. Population datasets were used to calculate age-stratified incidence rates of cerclage. Findings: There was a significant increase in the rate of cervical cerclage in women aged 25 to 34 years and in the 35 years and older age group. The incidence of preterm birth was stable for gestations of 32 to 36 weeks, but slightly increased in the 20 to 27 week and 28 to 31 week gestational age groups. Further research into cervical cerclage and the use of vaginal progesterone for the prevention of preterm birth would be valuable. Full article
(This article belongs to the Special Issue Clinical Trials in Antenatal and Intrapartum Care)
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609 KiB  
Article
Postpartum Bonding Disorder: Factor Structure, Validity, Reliability and a Model Comparison of the Postnatal Bonding Questionnaire in Japanese Mothers of Infants
by Yukiko Ohashi, Toshinori Kitamura, Kyoko Sakanashi and Tomoko Tanaka
Healthcare 2016, 4(3), 50; https://doi.org/10.3390/healthcare4030050 - 02 Aug 2016
Cited by 16 | Viewed by 8007
Abstract
Negative attitudes of mothers towards their infant is conceptualized as postpartum bonding disorder, which leads to serious health problems in perinatal health care. However, its measurement still remains to be standardized. Our aim was to examine and confirm the psychometric properties of the [...] Read more.
Negative attitudes of mothers towards their infant is conceptualized as postpartum bonding disorder, which leads to serious health problems in perinatal health care. However, its measurement still remains to be standardized. Our aim was to examine and confirm the psychometric properties of the Postnatal Bonding Questionnaire (PBQ) in Japanese mothers. We distributed a set of questionnaires to community mothers and studied 392 mothers who returned the questionnaires at 1 month after childbirth. Our model was compared with three other models derived from previous studies. In a randomly halved sample, an exploratory factor analysis yielded a three-factor structure: Anger and Restrictedness, Lack of Affection, and Rejection and Fear. This factor structure was cross-validated by a confirmatory factor analysis using the other halved sample. The three subscales showed satisfactory internal consistency. The three PBQ subscale scores were correlated with depression and psychological abuse scores. Their test–retest reliability between day 5 and 1 month after childbirth was measured by intraclass correlation coefficients between 0.76 and 0.83. The Akaike Information Criteria of our model was better than the original four-factor model of Brockington. The present study indicates that the PBQ is a reliable and valid measure of bonding difficulties of Japanese mothers with neonates. Full article
(This article belongs to the Special Issue Clinical Trials in Antenatal and Intrapartum Care)
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