OBJECTIVE This study investigated ethnic differentials in the use of pregnancy-related care and aimed to identify whether the differences persist when geographical access to services is equal. This study was based in the north-eastern Ch'orti area of Guatemala, an area characterised by a mixed ladino (of Spanish descent) and Maya (Ch'orti) culture. METHODS Data from a household survey carried...

Background Uterine rupture in a term pregnancy is an adverse and rare event with serious maternal and fetal consequences. The history of uterine septum resection is considered as a risk factor for uterine rupture. Women with such circumstances are thus recommended to be considered as having a high-risk pregnancy. Accordingly, their prenatal care should be implemented in shorter intervals during...

BACKGROUND To date, there is a lack of evidence to suggest that a systematic and coordinated approach to prepregnancy care might make a difference. AIMS To evaluate whether women who receive preconception care through a structured approach will be more likely to be healthy around the time of conception compared with women who plan their pregnancy but have not been exposed to preconception car...

background: one of the elements of the broadening focus of health care beyond its traditional and restricted concept has been the increasing adoption quality of life approach to health care research and practice. objectives: to investigate the qol of women in the third trimester of pregnancy and at 8 weeks postpartum and factors associated with the overall qol. materials and methods: three hund...

INTRODUCTION Preconception care includes any intervention to optimize a woman's health before pregnancy with the aim to improve maternal, newborn and child health (MNCH) outcomes. Preconception care bridges the gap in the continuum of care, and addresses pre-pregnancy health risks and health problems that could have negative maternal and fetal consequences. It therefore has potential to further...

The author presents information on patient-centered care for early pregnancy loss, approaches to management, medication regimens, and patient follow-up.

OBJECTIVE To implement and evaluate a regional prepregnancy care program in women with type 1 and type 2 diabetes. RESEARCH DESIGN AND METHODS Prepregnancy care was promoted among patients and health professionals and delivered across 10 regional maternity units. A prospective cohort study of 680 pregnancies in women with type 1 and type 2 diabetes was performed. Primary outcomes were adverse...

Context Clinical guidelines recommend the documentation of pregnancy intention and family planning needs during primary care visits. Prior to the 2014 Medicaid expansion and release of these guidelines, the documentation practices of Medicaid managed care providers are unknown. Methods We performed a chart review of 1054 Medicaid managed care visits of women aged 13 to 49 to explore client, p...

The effect of educational intervention based on the integrated model health belief with structure social support self-care behaviors during pregnancy