An intervention to improve postpartum outcomes in African-American mothers: a randomized controlled trial.

Abstract:

OBJECTIVE:To evaluate the efficacy of an integrated multiple risk intervention, delivered mainly during pregnancy, in reducing such risks (cigarette smoking, environmental tobacco smoke exposure, depression, and intimate partner violence) postpartum. METHODS:Data from this randomized controlled trial were collected prenatally and on average 10 weeks postpartum in six prenatal care sites in the District of Columbia. African Americans were screened, recruited, and randomly assigned to the behavioral intervention or usual care. Clinic-based, individually tailored counseling was delivered to intervention women. The outcome measures were number of risks reported postpartum and reduction of these risks between baseline and postpartum. RESULTS:The intervention was effective in significantly reducing the number of risks reported in the postpartum period. In bivariate analyses, the intervention group was more successful in resolving all risks (47% compared with 35%, P=.007, number needed to treat=9, 95% confidence interval [CI] 5-31) and in resolving some risks (63% compared with 54%, P=.009, number needed to treat=11, 95% CI 7-43) as compared with the usual care group. In logistic regression analyses, women in the intervention group were more likely to resolve all risks (odds ratio 1.86, 95% CI 1.25-2.75, number needed to treat=7, 95% CI 4-19) and resolve at least one risk (odds ratio 1.60, 95% CI 1.15-2.22, number needed to treat=9, 95% CI 6-29). CONCLUSION:An integrated multiple risk factor intervention addressing psychosocial and behavioral risks delivered mainly during pregnancy can have beneficial effects in risk reduction postpartum.

journal_name

Obstet Gynecol

authors

El-Mohandes AA,Kiely M,Joseph JG,Subramanian S,Johnson AA,Blake SM,Gantz MG,El-Khorazaty MN

doi

10.1097/AOG.0b013e3181834b10

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

611-20

issue

3

eissn

0029-7844

issn

1873-233X

pii

112/3/611

journal_volume

112

pub_type

杂志文章,多中心研究,随机对照试验
  • Home uterine activity monitoring: the role of medical evidence.

    abstract::The current paradigm in obstetrics has shifted toward evidence-based medicine, and yet in clinical practice physicians continue to use interventions for which there exists no credible evidence. This article examines the U.S. Food and Drug Administration (FDA) status of home uterine activity monitoring (HUAM) and the p...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181801d66

    authors: Reichmann JP

    更新日期:2008-08-01 00:00:00

  • Standardization of sonar cephalometry and gestational age.

    abstract::At present a large number of different charts are used for prediction of gestational age from sonar biparietal diameter (BPD). In this report the reasons for these observed differences are presented. Additionally, the usefulness of all these charts is questioned because a) the mean differences in 7059 BPDs derived by ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Sabbagha RE,Hughey M

    更新日期:1978-10-01 00:00:00

  • Atraumatic fetal cervical spinal cord injury and cruciate paralysis.

    abstract:BACKGROUND:Congenital cervical spinal cord injury usually is attributed to intrapartum mechanical trauma. CASE:A fetal cervical spinal cord hemorrhage presented as congenital isolated upper extremity ("cruciate") paralysis and muscle atrophy after an atraumatic delivery. Timely neonatal diagnosis and surgery resulted ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00487-0

    authors: Berck DJ,Mussalli GM,Manning FA

    更新日期:1998-05-01 00:00:00

  • Estrogen improves psychological function in asymptomatic postmenopausal women.

    abstract::Estrogen treatment of postmenopausal women has been suggested to improve mood and psychological function. However, this remains controversial because previous studies involved heterogeneous groups, were not double blind, and included women who were also experiencing somatic symptoms that were relieved by estrogen. A r...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Ditkoff EC,Crary WG,Cristo M,Lobo RA

    更新日期:1991-12-01 00:00:00

  • Diagnosis of impending late abortion.

    abstract::During the years 1966 to 1972, 19 pregnant women, all but 1 in the midtrimester, reported to the outpatient clinic because of urinary symptoms. 13 were multigravidas, 6 were secundigravidas. Their chief complaint was urinary urgency and frequency of 2 or 3 days duration only. There was no dysuria or fever. 11 also...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Toaff R,Toaff ME

    更新日期:1974-05-01 00:00:00

  • Fostering harmony in labor and delivery: a nursing preceptorship for clinical clerks.

    abstract:OBJECTIVE:The relationship between the specialized nurses of the Labor and Delivery Suite and the medical students who are rotating through the unit as clinical clerks has traditionally been a poor one. The objective of this project was to develop a program which pairs medical students with nurse preceptors to improve ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000223202.04393.2a

    authors: Skoll MA,Dueckman R,Liston R

    更新日期:2006-07-01 00:00:00

  • Hysteroscopic morcellation compared with electrical resection of endometrial polyps: a randomized controlled trial.

    abstract:OBJECTIVE:To evaluate whether hysteroscopic morcellation or bipolar electrosurgical resection is more favorable for removing endometrial polyps in an office setting in terms of feasibility, speed, pain, and acceptability. METHODS:A multicenter, single-blind, randomized, controlled trial of office hysteroscopic morcell...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/AOG.0000000000000187

    authors: Smith PP,Middleton LJ,Connor M,Clark TJ

    更新日期:2014-04-01 00:00:00

  • Committee Opinion No. 681 Summary: Disclosure and Discussion of Adverse Events.

    abstract::Adverse outcomes, preventable or otherwise, are a reality of medical care. Most importantly, adverse events affect patients, but they also affect health care practitioners. Disclosing information about adverse events has benefits for the patient and the physician and, ideally, strengthens the patient-physician relatio...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001813

    authors:

    更新日期:2016-12-01 00:00:00

  • Uptake of a Guideline for the Administration of a Rescue Course of Antenatal Corticosteroids.

    abstract:OBJECTIVE:To evaluate use (both appropriate and inappropriate) of rescue corticosteroids before and after the implementation of a guideline for their use. METHODS:We conducted a retrospective cohort study using a pharmacy log to identify women who received an initial course of antenatal corticosteroids in the year bef...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001934

    authors: Datkhaeva I,Dray D,Has P,Stifani B,Hughes BL,Rouse DJ

    更新日期:2017-04-01 00:00:00

  • Minimizing the risk of neurologic injury in gynecologic surgery.

    abstract:OBJECTIVE:The association of intraoperative neurologic injuries with gynecologic surgical procedures is well established. The sequelae of such injuries are usually transient and resolve with minimal intervention, although long-term disability can and does occasionally occur. The purpose of this study was to examine the...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/01.AOG.0000110542.53489.c6

    authors: Irvin W,Andersen W,Taylor P,Rice L

    更新日期:2004-02-01 00:00:00

  • Warfarin skin necrosis in a postpartum woman with protein S deficiency.

    abstract:BACKGROUND:Warfarin-induced skin necrosis is a rare and dangerous complication affecting 0.01-0.1% of patients on warfarin. Deficiencies in protein C or protein S in association with other factors have been implicated in its etiology. No report has described this disorder in the immediate postpartum period in patients ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00393-1

    authors: Cheng A,Scheinfeld NS,McDowell B,Dokras AA

    更新日期:1997-10-01 00:00:00

  • Adherence and acceptability of the contraceptive ring compared with the pill among students: a randomized controlled trial.

    abstract:OBJECTIVES:To compare satisfaction with and adherence to the contraceptive vaginal ring and a daily low-dose oral contraceptive pill (OCP) among college and graduate students using a novel method of electronic data collection. METHODS:We randomly assigned 273 women to the contraceptive vaginal ring (n=136) or OCP (n=1...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/AOG.0b013e3181cf45dc

    authors: Gilliam ML,Neustadt A,Kozloski M,Mistretta S,Tilmon S,Godfrey E

    更新日期:2010-03-01 00:00:00

  • Uterine rupture after uterine artery embolization for symptomatic leiomyomas.

    abstract:BACKGROUND:There are few data regarding safety of pregnancy after uterine artery embolization. However, numerous women desire future fertility after this procedure. Uterine rupture without a history of cesarean delivery or uterine scarring is an exceedingly rare complication in pregnancy. CASE:We report a case of uter...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3182a46df9

    authors: Yeaton-Massey A,Loring M,Chetty S,Druzin M

    更新日期:2014-02-01 00:00:00

  • Therapeutic abortion in Maryland, 1968-1970.

    abstract::The effect of reporting therapeutic abortions in Maryland from 1968-1970 to assess the impact of the new abortion law, which was a liberalization of the previous law, is discussed. All hospitals in the state were required to report on all abortions performed. In fiscal year 1969, 2134 abortions were performed, while...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Melton RJ,Seegar JK Jr,Pitts JL

    更新日期:1972-06-01 00:00:00

  • 5-fluorouracil topical treatment of in situ vulvar cancer. A preliminary report.

    abstract::Topical 5-fluorouracil (5-FU) has proven effective in epidermoid cancers of the head and neck. Its effectiveness has been correlated with the ability of the patient's immunologic system to recognize new antigens. In this study, 8 patients with carcinoma in situ of the vulva were evaluated and treated with topical 5-FU...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Krupp PJ,Bohm JW

    更新日期:1978-06-01 00:00:00

  • Neonatal outcomes after gestational exposure to nitrofurantoin.

    abstract:OBJECTIVE:To estimate whether first-trimester exposure to nitrofurantoin is associated with increased malformation rates and, secondarily, to estimate whether exposure to nitrofurantoin is associated with increased rates of negative pregnancy outcomes and perinatal complications. METHODS:We conducted a population-base...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31827c5f88

    authors: Nordeng H,Lupattelli A,Romøren M,Koren G

    更新日期:2013-02-01 00:00:00

  • Interpretation of chorionic villus sampling laboratory results is just as reliable as amniocentesis.

    abstract::Karyotypes of chorionic villi have been said to be less accurate than karyotypes of amniocytes. Karyotypic differences between placental and fetal tissue and maternal-cell contamination could potentially complicate clinical management. We compared cytogenetic results obtained by chorionic villus sampling and amniotic ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Wright DJ,Brindley BA,Koppitch FC 3rd,Drugan A,Johnson MP,Evans MI

    更新日期:1989-11-01 00:00:00

  • Foley Bulb Insertion by Blind Placement Compared With Direct Visualization: A Randomized Controlled Trial.

    abstract:OBJECTIVE:To test the hypothesis that digital placement of a balloon catheter is not inferior to the speculum method in terms of rate of maternal infection. METHODS:In an open-label noninferiority randomized trial, pregnant women who were undergoing induction of labor with unfavorable cervix (less than 3 cm dilated an...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000004182

    authors: Kuhlmann MJ,Spencer N,Garcia-Jasso C,Singh P,Abdelwahab M,Vaughn M,Marshall K,Prasad N,Soulsby-Monroy R,Saade GR,Saad AF

    更新日期:2021-01-01 00:00:00

  • Management of pregnancies complicated by anti-c isoimmunization.

    abstract:OBJECTIVE:To review cases of anti-c isoimmunization and determine the most appropriate management strategies. METHODS:We performed a review of 102 pregnancies managed at The Ohio State University from 1967 to 2001 for anti-c isoimmunization. Of these, 55 had complete data and are included in this report. Information c...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000109206.22354.2C

    authors: Hackney DN,Knudtson EJ,Rossi KQ,Krugh D,O'Shaughnessy RW

    更新日期:2004-01-01 00:00:00

  • Capillary hemangioma of the vagina and urethra in a child: response to short-term steroid therapy.

    abstract::Short-term oral steroid therapy was used to treat a capillary hemangioma of the vagina and urethra in a young child. After 8 weeks of prednisolone therapy (40 mg every other day decreasing to 2.5 mg every other day), vaginal bleeding has not recurred. At 2 years and 8 months, the patient presented with severe hematuri...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Cook CL,Sanfilippo JS,Verdi GD,Pietsch JB

    更新日期:1989-05-01 00:00:00

  • Effects of danazol on gonadotropin levels in castrated rhesus monkeys.

    abstract::Danazol is widely used in the management of endometriosis and mammary dysplasia. However, its mechanism of action is still obscure because of the few studies done and the controversial results obtained. Antigonadotropic activity has been postulated by some investigators, whereas others have observed no effect on the g...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Asch RH,Fernandez EO,Smith CG,Siler-Khodr TM,Pauerstein CJ

    更新日期:1979-04-01 00:00:00

  • Obstetric Care Consensus No. 4: Periviable Birth.

    abstract::Approximately 0.5% of all births occur before the third trimester of pregnancy, and these very early deliveries result in the majority of neonatal deaths and more than 40% of infant deaths. A recent executive summary of proceedings from a joint workshop defined periviable birth as delivery occurring from 20 0/7 weeks ...

    journal_title:Obstetrics and gynecology

    pub_type: 共识发展会议,杂志文章

    doi:10.1097/AOG.0000000000001483

    authors:

    更新日期:2016-06-01 00:00:00

  • Prospective Validation of a Standardized Ultrasonography-Based Ovarian Cancer Risk Assessment System.

    abstract:OBJECTIVE:To evaluate the performance of a system that standardizes ovarian cancer risk assessment and reporting on ultrasonography. METHODS:We conducted a prospective community-based cohort study of average-risk women undergoing ultrasonography in 2016 using a reporting system that requires adnexal masses to be categ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000002939

    authors: Suh-Burgmann E,Flanagan T,Osinski T,Alavi M,Herrinton L

    更新日期:2018-11-01 00:00:00

  • Development of a computerized telecommunication system for in-training evaluation of residents in a laparoscopic educational program.

    abstract:OBJECTIVE:To describe our initial experience with a computerized telecommunication system, termed the interactive voice-response system, to record resident performance of laparoscopic surgery. METHODS:After completing a laparoscopic procedure, the surgeon and resident telephone a toll-free number independently and res...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/S0029-7844(97)00137-3

    authors: Fung Kee Fung MP,Parboosingh IJ,Temple LM,Guy d'Anjou C,Haebe J,Lussier R

    更新日期:1997-07-01 00:00:00

  • Oral contraceptives and the hemostatic system.

    abstract::We studied 30 control women and 131 pill users to evaluate effects of birth control pills and clinical factors on hemostasis. When control patients were matched with an equal number of pill users, none of the direct markers of activated hemostasis (fibrinopeptide A, platelet factor 4, and beta thromboglobulin) were in...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Farag AM,Bottoms SF,Mammen EF,Hosni MA,Ali AA,Moghissi KS

    更新日期:1988-04-01 00:00:00

  • Response of pituitary-adrenal axis on partal stress.

    abstract::The circulating level of ACTH (by radioimmunoassay) and cortisol (by competitive protein binding) were determined at 1- to 2-hour intervals during spontaneous labor (N=8) and induced labor (N=28) and after delivery. There were no differences in ACTH levels between primiparous and multiparous women. The primiparous wom...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Tuimala RJ,Kauppila AJ,Haalahti J

    更新日期:1975-09-01 00:00:00

  • Fetal cardiovascular responses to distress. A review.

    abstract::This review is designed to provide a broad view of fetal cardiovascular response to fetal distress. The presentation focuses on data obtained from laboratories working with fetal sheep, or occasionally fetal monkeys, instead of attempting to interpret data resulting from human fetal studies. Human fetal studies are un...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Goodlin RC

    更新日期:1977-03-01 00:00:00

  • Exogenous gonadotropin therapy in World Health Organization groups I and II ovulatory disorders.

    abstract:OBJECTIVE:To analyze cumulative conception rates and the prognostic factors influencing them during exogenous human menopausal gonadotropin (hMG) therapy for World Health Organization (WHO) group I or II ovulatory disorders. METHODS:A retrospective review was conducted of 468 treatment cycles in 146 women with ovulato...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Fluker MR,Urman B,Mackinnon M,Barrow SR,Pride SM,Yuen BH

    更新日期:1994-02-01 00:00:00

  • Pelvic vein thrombosis as a cause of acute pelvic pain.

    abstract:BACKGROUND:Pelvic vein thrombosis may occur in nonpuerperal patients with hypercoagulable conditions and have significant sequelae. The purpose of this report is to describe a nonpuerperal woman with factor V Leiden mutation who developed acute pelvic pain secondary to pelvic varix thrombosis. CASE:A multiparous woman...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(01)01589-7

    authors: Visaria SD,Davis JD

    更新日期:2002-05-01 00:00:00

  • Renal failure wit XY gonadal dysgenesis: report of the second case.

    abstract::The second case is reported of renal failure in association with XY gonadal dysgenesis. The random association of these conditions appears unlikely. Recognition of a possible association is important because of potential fatality due to renal failure or gonadoblastoma in unrecognized cases. In groups at risk, follicle...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Harkins PG,Haning RV Jr,Shapiro SS

    更新日期:1980-12-01 00:00:00