Publications by authors named "Sheona M Mitchell-Foster"

Birth mode has been implicated as a major factor influencing neonatal gut microbiome development, and it has been assumed that lack of exposure to the maternal vaginal microbiome is responsible for gut dysbiosis among caesarean-delivered infants. Consequently, practices to correct dysbiotic gut microbiomes, such as vaginal seeding, have arisen while the effect of the maternal vaginal microbiome on that of the infant gut remains unknown. We conducted a longitudinal, prospective cohort study of 621 Canadian pregnant women and their newborn infants and collected pre-delivery maternal vaginal swabs and infant stool samples at 10-days and 3-months of life.

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Objective: Generations of colonialism, abuse, racism, and systemic trauma have contributed to Indigenous women in Canada bearing the greatest burden of substance use in pregnancy. Stigma associated with substance use in pregnancy translates into multiple barriers to women engaging in care. Care providers have key interactions that can act as a bridge or a barrier to care.

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Purpose: This preliminary study explores Ugandan men's knowledge and attitudes about human papillomavirus (HPV), cervical cancer, and screening.

Methods: A local physician led an education session about cervical cancer for 62 men in Kisenyi, Kampala in Uganda. Trained nurse midwives administered surveys to assess knowledge and attitudes before and after the education session.

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Article Synopsis
  • Cervical cancer is a major health issue for women in Uganda, but screening can help prevent it; a community-based self-collection method for HPV testing was proposed to make screening more accessible.
  • The ASPIRE trial compared two screening methods: self-collected HPV testing facilitated by community health workers and clinic-based visual inspection, evaluating their effectiveness and cost.
  • The results indicated that the HPV screen-and-treat strategy was the most effective and cost-effective option, significantly reducing cervical cancer risk while costing around $130 per year of life saved.
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