Introduction: The postpartum period can have a significant physical, emotional, and social impact on the quality of a woman’s life. Most postpartum research has focused on physical complications and only a few studie...Introduction: The postpartum period can have a significant physical, emotional, and social impact on the quality of a woman’s life. Most postpartum research has focused on physical complications and only a few studies have specifically investigated quality of life. The purpose of this study was to explore predictors affecting the quality of life of postpartum Brazilian mothers. Study Design and Methods: A cross-sectional Quality of Life survey was performed in 210 Brazilian mothers during the early postpartum period. Data were collected using an interview technique and two instruments: 1) a maternal questionnaire and the 2) Maternal Postpartum Quality of Life tool/Brazilian version. The association between maternal characteristics and quality of life in the post-partum period was investigated with bivariate and multivariable analyses. Results: Mothers who had the best Quality of Life were white, registered students, 30 - 40 years of age, who were married or living with a partner, and without physical complaints;in addition, they had at least an 8th grade education, more than 4 children, and had attended more than 8 prenatal visits with a nurse. The stepwise model indicated that white race (p < 0.05) and married or living with a partner (p < 0.05) were the best predictors of Quality of Life in postpartum women. Conclusions and Clinical Implications: Marital status and race conditions may predict quality of life in postpartum Brazilian mothers. In addition, improved knowledge concerning the postpartum, maternal experience may help develop health interventions to enhance the quality of life of this population.展开更多
<strong>Background:</strong> Most postpartum mothers experience fatigue. However, it was unclear which day after birth during hospitalization mothers are the most fatigued, and if the mothers’ background ...<strong>Background:</strong> Most postpartum mothers experience fatigue. However, it was unclear which day after birth during hospitalization mothers are the most fatigued, and if the mothers’ background is a factor. The aim of this study was to investigate hospitalized mothers’ characteristic features, fatigue, and relaxation, and then to find the correlated factors of fatigue in order to obtain suggestions for mothers’ early postpartum care. <strong>Methods:</strong> This quantitative cross-sectional descriptive correlational study occurred during May to December 2016. A purposive sample of early postpartum hospitalized mothers at a postpartum unit in a Tokyo hospital completed an anonymous self-filled questionnaire survey. The survey included respondents’ characteristics, fatigue scale, and relaxation scale. Data were analyzed with descriptive statistics, independent t-test, one-way analysis of variance, multiple regression analyses, and structural equation modeling. <strong>Results:</strong> Returned questionnaires were 251 (83.4%). Fatigue was significantly higher for mothers with longer postpartum days compared to shorter postpartum days (F = 5.7, p < 0.001). Fatigue was significantly higher in mothers with a previous disease compared to no previous disease (t = 2.2, p < 0.05). The three significant predictors of Fatigue were 1) relaxation (<em>β</em> = <span style="white-space:nowrap;">−</span>0.30, p < 0.001), 2) postpartum days (<em>β</em> = 0.26, p < 0.001), and 3) previous disease (<em>β</em> = 0.14, p < 0.05). The structural equation modeling revealed that the same factors were related to Fatigue. <strong>Conclusions:</strong> No relaxation, longer postpartum days, and previous disease were associated with Fatigue for early postpartum mothers. These results suggest that focusing on previous disease, length of postpartum days, and mother’s relaxation is needed to provide full support to early postpartum mothers.展开更多
<strong>Introduction: </strong><span><span><span style="font-family:""><span style="font-family:Verdana;">In Senegal, according to the 2017 Demographic Heal...<strong>Introduction: </strong><span><span><span style="font-family:""><span style="font-family:Verdana;">In Senegal, according to the 2017 Demographic Health Survey, </span><span style="font-family:Verdana;">about 22% of married women have an unmet need for family planning. Globally</span><span style="font-family:Verdana;">, 61% of women do not have access to postpartum family planning. </span><b><span style="font-family:Verdana;">Material </span><span style="font-family:Verdana;">and Method: </span></b><span style="font-family:Verdana;">This is a prospective, descriptive and analytical study from March</span><span style="font-family:Verdana;"> 05, 2017 to January 31, 2018. The interrogation was done in the hospital ward with filling in the data collection form. The data collected was first coded and then entered, using the sphinx software. The data analysis was done with Epi info version 7 software and included a descriptive and analytical component. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">The average age of the patients was 26 years with extremes of 15 and </span><span style="font-family:Verdana;">48 years. Average gestation was 2.3 with extremes of 1 and 8 pregnancies. More </span><span style="font-family:Verdana;">than half of the women (64.7%) had delivered by caesarean in an emergency setting. More than half of the women (66.7%) had chosen the hormonal contraceptive method within 48 hours of delivery and the implant was the type of </span><span><span style="font-family:Verdana;">contraceptive prescribed in almost half of the cases (49.3%). </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">Integrating postpartum family planning into programs will ultimately help to dramat</span></span><span style="font-family:Verdana;">ically decrease high-risk pregnancies, decrease the </span><span style="font-family:Verdana;">unmet need for family plannin</span><span style="font-family:Verdana;">g (FP), and improve the health and survival of mothers and children.</span></span></span></span>展开更多
Aim: To investigate the impact of postnatal depressive symptoms and infant sex on perceived and observed mother-infant interaction among rural Bangladeshi women. Methods: Fifty women with depressive symptoms and their...Aim: To investigate the impact of postnatal depressive symptoms and infant sex on perceived and observed mother-infant interaction among rural Bangladeshi women. Methods: Fifty women with depressive symptoms and their infants at 2 - 3 months were compared with 50 women without depressed symptoms and their infants, matched on geographic areas, parity and infant sex. The Edinburgh Postnatal Depression Scale assessed depressive symptoms, the Postpartum Bonding Questionnaire assessed the mother’s perception of bonding with the infant and mother-infant interactions were videotaped and analyzed with the Global Rating Scale. Results: Mothers with depressive symptoms were poorer, were less educated and rated lower infant bonding than mothers without depressive symptoms (p = 0.03), yet objective observation revealed no difference between the two groups regarding maternal interactive behavior (p = 0.57). However, infants, particularly boys (p = 0.002), of mothers with depressive symptoms fretted more in mother-infant interaction than infants of mothers without depressive symptoms (p = 0.009). Conclusion: Although mothers with depressive symptoms did not show less sensitivity in interactive behavior at 2 - 3 months than those without depressive symptoms, our results indicate that infants, particularly boys, of mothers with depressive symptoms may be negatively influenced by depressive symptoms.展开更多
目的探讨剖宫产术中晚断脐对母婴结局的影响情况。方法回顾性分析海口市妇幼保健院2017年7月~11月收治的100例剖宫产产妇的临床资料,依据是否采用晚断脐进行分组,对照组和观察组,每组各50例。观察两组产妇第三产程时间、产后出血量、产...目的探讨剖宫产术中晚断脐对母婴结局的影响情况。方法回顾性分析海口市妇幼保健院2017年7月~11月收治的100例剖宫产产妇的临床资料,依据是否采用晚断脐进行分组,对照组和观察组,每组各50例。观察两组产妇第三产程时间、产后出血量、产后72 h血红蛋白、新生儿出生后24 h毛细血管血红蛋白、新生儿出生后1 min Apgar评分、新生儿出生后5 min Apgar评分、新生儿胆红素峰值、达峰值时间、并发症发生率。结果观察组产妇第三产程时间、产后出血量低于对照组,产后72 h血红蛋白高于对照组,观察组新生儿胆红素水平、新生儿胆红素峰值均高于对照组,差异有统计学意义(P<0.05);两组新生儿并发症发生率比较,差异无统计学意义(P>0.05)。结论剖宫产术中晚断脐,可以降低第三产程时间、产后出血量,提高新生儿质量,获得良好的母婴结局。展开更多
文摘Introduction: The postpartum period can have a significant physical, emotional, and social impact on the quality of a woman’s life. Most postpartum research has focused on physical complications and only a few studies have specifically investigated quality of life. The purpose of this study was to explore predictors affecting the quality of life of postpartum Brazilian mothers. Study Design and Methods: A cross-sectional Quality of Life survey was performed in 210 Brazilian mothers during the early postpartum period. Data were collected using an interview technique and two instruments: 1) a maternal questionnaire and the 2) Maternal Postpartum Quality of Life tool/Brazilian version. The association between maternal characteristics and quality of life in the post-partum period was investigated with bivariate and multivariable analyses. Results: Mothers who had the best Quality of Life were white, registered students, 30 - 40 years of age, who were married or living with a partner, and without physical complaints;in addition, they had at least an 8th grade education, more than 4 children, and had attended more than 8 prenatal visits with a nurse. The stepwise model indicated that white race (p < 0.05) and married or living with a partner (p < 0.05) were the best predictors of Quality of Life in postpartum women. Conclusions and Clinical Implications: Marital status and race conditions may predict quality of life in postpartum Brazilian mothers. In addition, improved knowledge concerning the postpartum, maternal experience may help develop health interventions to enhance the quality of life of this population.
文摘<strong>Background:</strong> Most postpartum mothers experience fatigue. However, it was unclear which day after birth during hospitalization mothers are the most fatigued, and if the mothers’ background is a factor. The aim of this study was to investigate hospitalized mothers’ characteristic features, fatigue, and relaxation, and then to find the correlated factors of fatigue in order to obtain suggestions for mothers’ early postpartum care. <strong>Methods:</strong> This quantitative cross-sectional descriptive correlational study occurred during May to December 2016. A purposive sample of early postpartum hospitalized mothers at a postpartum unit in a Tokyo hospital completed an anonymous self-filled questionnaire survey. The survey included respondents’ characteristics, fatigue scale, and relaxation scale. Data were analyzed with descriptive statistics, independent t-test, one-way analysis of variance, multiple regression analyses, and structural equation modeling. <strong>Results:</strong> Returned questionnaires were 251 (83.4%). Fatigue was significantly higher for mothers with longer postpartum days compared to shorter postpartum days (F = 5.7, p < 0.001). Fatigue was significantly higher in mothers with a previous disease compared to no previous disease (t = 2.2, p < 0.05). The three significant predictors of Fatigue were 1) relaxation (<em>β</em> = <span style="white-space:nowrap;">−</span>0.30, p < 0.001), 2) postpartum days (<em>β</em> = 0.26, p < 0.001), and 3) previous disease (<em>β</em> = 0.14, p < 0.05). The structural equation modeling revealed that the same factors were related to Fatigue. <strong>Conclusions:</strong> No relaxation, longer postpartum days, and previous disease were associated with Fatigue for early postpartum mothers. These results suggest that focusing on previous disease, length of postpartum days, and mother’s relaxation is needed to provide full support to early postpartum mothers.
文摘<strong>Introduction: </strong><span><span><span style="font-family:""><span style="font-family:Verdana;">In Senegal, according to the 2017 Demographic Health Survey, </span><span style="font-family:Verdana;">about 22% of married women have an unmet need for family planning. Globally</span><span style="font-family:Verdana;">, 61% of women do not have access to postpartum family planning. </span><b><span style="font-family:Verdana;">Material </span><span style="font-family:Verdana;">and Method: </span></b><span style="font-family:Verdana;">This is a prospective, descriptive and analytical study from March</span><span style="font-family:Verdana;"> 05, 2017 to January 31, 2018. The interrogation was done in the hospital ward with filling in the data collection form. The data collected was first coded and then entered, using the sphinx software. The data analysis was done with Epi info version 7 software and included a descriptive and analytical component. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">The average age of the patients was 26 years with extremes of 15 and </span><span style="font-family:Verdana;">48 years. Average gestation was 2.3 with extremes of 1 and 8 pregnancies. More </span><span style="font-family:Verdana;">than half of the women (64.7%) had delivered by caesarean in an emergency setting. More than half of the women (66.7%) had chosen the hormonal contraceptive method within 48 hours of delivery and the implant was the type of </span><span><span style="font-family:Verdana;">contraceptive prescribed in almost half of the cases (49.3%). </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">Integrating postpartum family planning into programs will ultimately help to dramat</span></span><span style="font-family:Verdana;">ically decrease high-risk pregnancies, decrease the </span><span style="font-family:Verdana;">unmet need for family plannin</span><span style="font-family:Verdana;">g (FP), and improve the health and survival of mothers and children.</span></span></span></span>
文摘Aim: To investigate the impact of postnatal depressive symptoms and infant sex on perceived and observed mother-infant interaction among rural Bangladeshi women. Methods: Fifty women with depressive symptoms and their infants at 2 - 3 months were compared with 50 women without depressed symptoms and their infants, matched on geographic areas, parity and infant sex. The Edinburgh Postnatal Depression Scale assessed depressive symptoms, the Postpartum Bonding Questionnaire assessed the mother’s perception of bonding with the infant and mother-infant interactions were videotaped and analyzed with the Global Rating Scale. Results: Mothers with depressive symptoms were poorer, were less educated and rated lower infant bonding than mothers without depressive symptoms (p = 0.03), yet objective observation revealed no difference between the two groups regarding maternal interactive behavior (p = 0.57). However, infants, particularly boys (p = 0.002), of mothers with depressive symptoms fretted more in mother-infant interaction than infants of mothers without depressive symptoms (p = 0.009). Conclusion: Although mothers with depressive symptoms did not show less sensitivity in interactive behavior at 2 - 3 months than those without depressive symptoms, our results indicate that infants, particularly boys, of mothers with depressive symptoms may be negatively influenced by depressive symptoms.
文摘目的探讨剖宫产术中晚断脐对母婴结局的影响情况。方法回顾性分析海口市妇幼保健院2017年7月~11月收治的100例剖宫产产妇的临床资料,依据是否采用晚断脐进行分组,对照组和观察组,每组各50例。观察两组产妇第三产程时间、产后出血量、产后72 h血红蛋白、新生儿出生后24 h毛细血管血红蛋白、新生儿出生后1 min Apgar评分、新生儿出生后5 min Apgar评分、新生儿胆红素峰值、达峰值时间、并发症发生率。结果观察组产妇第三产程时间、产后出血量低于对照组,产后72 h血红蛋白高于对照组,观察组新生儿胆红素水平、新生儿胆红素峰值均高于对照组,差异有统计学意义(P<0.05);两组新生儿并发症发生率比较,差异无统计学意义(P>0.05)。结论剖宫产术中晚断脐,可以降低第三产程时间、产后出血量,提高新生儿质量,获得良好的母婴结局。
