Abstract：
:To explore attitudes of physicians attending births in the public and private sectors and at the managerial level toward cesarean birth in Nicaragua. A qualitative study was conducted consisting of four focus groups with 17 physicians and nine in-depth interviews with decision-makers. Although study participants listed many advantages of vaginal birth and disadvantages of cesarean birth, they perceived that the increase in the cesarean birth rate in Nicaragua has resulted in a reduction in perinatal morbidity and mortality. They ascribed high cesarean birth rates to a web of interrelated provider, patient, and health system factors. They identified five actions that would facilitate a reduction in the number of unnecessary cesarean operations: establishing standards and protocols; preparing women and their families for labor and childbirth; incorporating cesarean birth rate monitoring and audit systems into quality assurance activities at the facility level; strengthening the movement to humanize birth; and promoting community-based interventions to educate women and families about the benefits of vaginal birth. Study participants believe that by performing cesarean operations they are providing the best quality of care feasible within their context. They do not perceive problems with their current practice. The identified causes of unnecessary cesarean operations in Nicaragua are multifactorial, so it appears that a multi-layered strategy is needed to safely reduce cesarean birth rates. The recent Nicaraguan Ministry of Health guidance to promote parto humanizado ("humanization of childbirth") could serve as the basis for a collaborative effort among health care professionals, government, and consumer advocates to reduce the number of unnecessary cesarean births in Nicaragua.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Colomar M,Cafferata ML,Aleman A,Castellano G,Elorrio EG,Althabe F,Engelbrecht Sdoi
10.1007/s10995-014-1478-zsubject
Has Abstractpub_date
2014-12-01 00:00:00pages
2382-92issue
10eissn
1092-7875issn
1573-6628journal_volume
18pub_type
杂志文章abstract：OBJECTIVES:The purpose of this study was to examine the relationship between participation in extracurricular activities and bullying perpetration and victimization among children and adolescents with disabilities. METHODS:A nationally representative sample of 1906 children with and 15,901 children without disabilitie...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-019-02866-6
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVES:Little is known about provider attitudes regarding safety of selected hormonal contraceptives among breastfeeding women. METHODS:Using a nationwide survey, associations were analyzed between provider characteristics and perception of safety of combined oral contraceptives (COCs) in breastfeeding women ≥ 1 m...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-019-02743-2
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:Postpartum depressive symptoms negatively affect the quality of life and daily functioning of mothers and infants. Little research has examined the impact of situational factors such as physical symptom burden and function on early postpartum depressive symptoms. OBJECTIVES:To explore the association betwee...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-005-0048-9
更新日期：2006-03-01 00:00:00
abstract：:Introduction The American Academy of Pediatrics discourages spanking, especially of infants and young toddlers. This study examines the association between maternal immigrant generation and reported spanking of 1-year-old children, and whether this association is impacted by domestic violence (DV). Methods We conducte...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-018-2660-5
更新日期：2019-04-01 00:00:00
abstract：:The objective of this study was to investigate the possible modifying effect of medical home on the association between low birthweight and children's health outcomes. The analytic sample included children 5 years and under from the 2007 National Survey of Children's Health whose mothers were the primary respondents a...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-012-1003-1
更新日期：2012-04-01 00:00:00
abstract：OBJECTIVE:The objective of this study is to determine the association between unmarried status and infant mortality among twins born to teenagers. METHODS:We conducted a retrospective cohort study on twin live births to teenagers in the United States from 1995 through 1998 using the Vital Records assembled by the Nati...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-005-0011-9
更新日期：2005-09-01 00:00:00
abstract：:Obesity rates remain high among children in the United States (US), but children of low-income, minority families are at particularly high risk. Latinos are the largest and most rapidly growing US population group. Effective strategies will require attention to a wide array of culturally mediated variables that influe...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-011-0804-y
更新日期：2012-05-01 00:00:00
abstract：OBJECTIVE:In July 2018 the Academy of Nutrition and Dietetics released a benchmark encouraging early care and education (ECE) programs, including child care centers and family child care homes, to incorporate cultural and religious food preferences of children into meals. We examined the extent to which states were alr...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-019-02833-1
更新日期：2020-02-01 00:00:00
abstract：AIMS:This study examines the prevalence of khat chewing among women during pregnancy and some of the risk factors for this habit in Yemen. METHODS:Survey data on 7,343 ever-married women from the Yemen Demographic and Maternal and Health Survey (YDMHS), conducted in 1997 are used. Women who had a live birth during the...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-007-0231-2
更新日期：2008-05-01 00:00:00
abstract：OBJECTIVES:The project aims were to (1) develop an observational Health and Safety Checklist to assess health and safety practices and conditions in early care and education (ECE) programs using Stepping Stones To Caring For Our Children, 3rd Edition national standards, (2) pilot test the Checklist, completed by nurse ...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-015-1809-8
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVE:Children with special health care needs (CSHCN) benefit from a medical home, however, a subset, those children with high intensity needs, have medical and social service issues beyond the capacity of most primary care practices. We describe a novel medical home center that is designed to meet the needs of chi...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-007-0271-7
更新日期：2008-09-01 00:00:00
abstract：OBJECTIVES:The impact of caring for children with special health care needs (CSHCN) on their families' finances and employment was studied. METHODS:Data from the 2001 National Survey of Children with Special Health Care Needs were used to measure financial and employment problems. The level of impact was examined by c...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-005-4483-4
更新日期：2005-06-01 00:00:00
abstract：:Research on the effect of family structure on childhood obesity is scarce. This study examines the effect of number of parents and number of siblings on US children's body mass index (BMI) and risk of obesity. We conducted a secondary data analysis of the Early Childhood Longitudinal Study-Kindergarten Cohort (ECLS-K)...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-013-1422-7
更新日期：2014-09-01 00:00:00
abstract：:Our exploratory study examined rural-urban differences in dental care utilization during early childhood among Medicaid-enrolled children aged younger than 4 years in South Carolina. We conducted a secondary data analysis using Medicaid data. Dependent variables included preventive dental visits, use of medical settin...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-010-0725-1
更新日期：2012-01-01 00:00:00
abstract：:Objectives To determine whether affluent-born White mother's descending neighborhood income is associated with infant mortality rates (< 365 day, IMR). Methods Stratified and multilevel logistic regression analyses were completed on the Illinois transgenerational dataset of singleton births (1989-1991) to non-Latina W...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-018-2544-8
更新日期：2018-10-01 00:00:00
abstract：OBJECTIVES:To explore women's attitudes and practices related to douching. METHODS:We conducted focus groups between July and December 1999 with 34 black and 27 white women enrolled in a managed care plan in Memphis, Tennessee. Participants were at least 18 years of age and had douched at some time in their lives. Fiv...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1023/a:1011391700314
更新日期：2001-09-01 00:00:00
abstract：:Unintended pregnancies can have negative consequences for both mother and child. The focus of this study was to utilize perceived behavioral control measures (PBC; part of the theory of planned behavior) to identify relevant behavioral determinants of birth control use. This study also tested associations between dire...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-014-1658-x
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVE:To identify maternal characteristics associated with 24-month postpartum weight retention. METHODS:Data were collected from the 2016 Los Angeles Mommy and Baby (LAMB) Follow-Up Survey, a population-based prospective cohort study that assesses maternal and infant health in Los Angeles County. In 2014, LAMB in...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-020-03082-3
更新日期：2021-01-01 00:00:00
abstract：INTRODUCTION:Though interest is growing for trials comparing planned delivery mode (vaginal delivery [VD]; cesarean section [CS]) in low-risk nulliparous women, appropriate study design is unclear. Our objective was to assess feasibility of three designs (preference trial [PCT], randomized controlled trial [RCT], parti...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-020-03073-4
更新日期：2021-01-01 00:00:00
abstract：:The objective was to determine the levels of maternal morbidity from no complications to near miss and describe factors associated with different levels of morbidity. We conducted an observational study of all women delivering at a tertiary hospital in Accra, Ghana between October 2010 and March 2011. We examined the ...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-013-1405-8
更新日期：2014-09-01 00:00:00
abstract：OBJECTIVE:This study evaluates the effectiveness of a set of information, education, and communication (IEC) strategies designed to increase the awareness of danger signs in pregnancy, delivery, or the postpartum period among pregnant or recently pregnant women. METHODS:Three IEC programs were implemented in 4 regions...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1023/a:1014360015605
更新日期：2002-03-01 00:00:00
abstract：:Objective Appropriate and timely complementary feeding practices are fundamental to a child's growth, health, and development during the first 2 years of life. This study aimed to understand (1) Ghanaian mother's complementary feeding practices, and (2) their perceived and observed impacts of complementary feeding on ...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-016-1994-0
更新日期：2016-09-01 00:00:00
abstract：OBJECTIVES:To assess the impact of "This Side Up" T-shirts on parental practices in Nebraska. METHODS:A random sample of 3,210 Nebraska women who gave birth in 2004, stratified by race/ethnicity, was mailed a brief questionnaire on their receipt of a T-shirt and SIDS risk reduction materials at their birthing hospital...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-006-0124-9
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVES:The objective of this study was to describe the occurrence of lifetime trauma exposure in relation to perinatal health outcomes in low-income African American women. METHODS:One hundred and sixteen pregnant African American women recruited from two public prenatal clinics participated in this exploratory st...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-008-0315-7
更新日期：2011-04-01 00:00:00
abstract：:Introduction In Mexico the breastfeeding rate is low and the obesity rate is high. Body image concerns, particularly prevalent in obese women, are associated with low breastfeeding rate; however, this association has never been examined in Mexican women. To fill this need, we examined the association between body imag...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-018-2583-1
更新日期：2018-12-01 00:00:00
abstract：:Background While there is considerable variability with respect to attendance at the postpartum visit, not much is known about women's preferences with respect to postpartum care. Likewise, there is also limited information on providers' practices regarding the postpartum visit and care including the delivery of contr...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-016-2044-7
更新日期：2016-11-01 00:00:00
abstract：:Objectives The social positioning (i.e. social status and autonomy) of women in the household facilitates women's access to and decision-making power related to family planning (FP). Women's access to spending money, which may be an indicator of greater social positioning in the household, may also be greater among wo...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-016-1921-4
更新日期：2016-06-01 00:00:00
abstract：OBJECTIVE:To investigate the confidence women feel about child rearing in Japan and Vietnam. METHODS:We conducted a prospective study of 210 Japanese mothers who registered as pregnant in Sukagawa City, Fukushima, and 132 Vietnamese mothers who attended a university hospital in Ho Chi Minh City. Follow-up surveys were...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-007-0267-3
更新日期：2008-09-01 00:00:00
abstract：:Identifying the educational and resource needs of new mothers is of paramount importance in developing programs to improve maternal and child health outcomes. The primary purpose of this study was to explore the educational needs of new mothers and identify opportunities to enhance healthcare providers' current educat...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-013-1308-8
更新日期：2014-05-01 00:00:00
abstract：:The recent reoccurrence of several vaccine-preventable diseases demonstrates the need for new techniques to promote childhood vaccination. Many mothers make decisions regarding vaccination of their children during pregnancy. As a result, obstetricians have a unique opportunity to influence maternal decisions on this c...
journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-011-0936-0
更新日期：2012-12-01 00:00:00
