Publications by authors named "Lea Minton"
Article Synopsis
- Pregnant individuals in rural areas face challenges accessing perinatal care due to long travel distances and limited resources, leading to poor outcomes.
- Telehealth has improved access to care, but requires broadband and devices, which can be difficult for unstably housed pregnant people to obtain.
- The Midwifery Integrated Home Visitation Program aims to provide perinatal services at convenient locations, using mobile technology and telehealth to meet both medical and non-medical needs, potentially improving care and reducing emergency situations.
Neonatal Hypoxic Ischemic Encephalopathy and Planned Home Birth.
J Midwifery Womens Health
January 2022
Introduction: As planned home births increase, emerging evidence on the perinatal outcomes of newborns who were planned hospital births versus planned home births has been inconsistent, and a growing number of states have attempted to legislate community births. We sought to determine whether an association exists between neonatal hypoxic ischemic encephalopathy (HIE), a complication of ischemic birth injury, and planned location of birth.
Methods: A case-control study design was used to compare data from neonates with HIE obtained from electronic health records at Kapiolani Medical Center for Women and Children in Honolulu, Hawaii, with data from neonates without HIE obtained from Hawaii state birth certificate data.
The State of Hawai'i ranks third in the nation for homelessness. Homelessness disproportionately affects the health care of pregnant mothers and their children. These homeless persons are at risk for malnutrition, physical and psychological trauma, injuries and chronic illnesses, and have difficulty accessing healthcare and social services.
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