Publications by authors named "J Kurinczuk"

Background: Breast milk has significant benefits for preterm babies, but 'very preterm' babies are unable to feed directly from the breast at birth. Their mothers have to initiate and sustain lactation through expressing milk for tube feeding until their babies are developmentally ready to feed orally. There are wide disparities between neonatal units in England in rates of breast milk feeding at discharge.

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Objective: To investigate whether induction/augmentation of labor in pregnant women with anemia increases the risk of postpartum hemorrhage (PPH) and whether this risk varied by indications for labor induction/augmentation and by anemia severity in pregnancy.

Methods: In a prospective cohort study of 9420 pregnant women from 13 hospitals across India, we measured hemoglobin concentrations at recruitment (≥28 weeks of gestation) and blood loss after childbirth during follow-up and collected clinical information about PPH. Clinical obstetric and childbirth information at both visits were extracted from medical records.

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Article Synopsis
  • Mothers of very preterm babies face challenges in breastfeeding due to the need for early milk expression and transitioning from tube feeding to breastfeeding after birth.
  • The study interviewed 23 mothers from different neonatal units in England to understand how staff support and unit facilities influence breastfeeding behaviors, using the COM-B framework to analyze factors like capability, opportunity, and motivation.
  • Key findings highlighted that mothers' motivation was significantly impacted by information from staff on the benefits of breast milk, encouragement, and the availability of resources, indicating that tailored support is essential for improving breastfeeding success in preterm infants.
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Despite Nigeria's stillbirth rate reducing from 28.6 to 22.5 per 1,000 births from 2000-2021, progress trails comparable indicators and regional variations persist.

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Objective: To investigate the association between postpartum haemorrhage (PPH) and subsequent cardiovascular disease.

Design: Population-based retrospective cohort study, using record linkage between Aberdeen Maternity and Neonatal Databank (AMND) and Scottish healthcare data sets.

Setting: Grampian region, Scotland.

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