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A meta-core outcome set for stillbirth prevention and bereavement care following stillbirth in LMIC.
BMJ Glob Health
January 2025
Centre for Biostatistics, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK
Study Objective: Stillbirth is burdensome in low-income and middle-income countries (LMICs), especially in sub-Saharan Africa and South Asia. Currently, there are two core outcome sets (COS) for stillbirth (prevention and bereavement care), but these were developed with limited reflection of the needs of parents in an LMIC setting. To address this gap, the objective of this study was to establish consensus on the most important outcomes for stillbirth prevention and bereavement care following stillbirth in sub-Saharan Africa and South Asia.
View Article and Find Full Text PDFExploring fetal growth patterns in the second trimester: insights from ultrasound measurements among the Minangkabau Ethnic Group in Indonesia.
BMC Pregnancy Childbirth
January 2025
Obstetrics and Gynecology Departement, Medical Faculty of Andalas University, Padang, West Sumatera, Indonesia.
Background: Understanding fetal growth is essential for predicting perinatal outcomes and long-term health implications. This study explores the correlation between ultrasound parameters and gestational age in the Minangkabau ethnic group, focusing on the biometric variables biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), femur length (FL), and humerus length (HL) during the second trimester.
Methods: Conducted from December 2020 to December 2021, the research employed a cross-sectional design at the Fetomaternal clinic of Hospital M.
A perinatal psychiatry access program to address rural and medically underserved populations using telemedicine.
BMC Womens Health
January 2025
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 67 President St, 5 South, MSC861, Charleston, SC, 29425, USA.
Background: Although highly prevalent, most perinatal mental health and substance use disorders often go unrecognized, undiagnosed, and untreated. Perinatal Psychiatry Access Programs have emerged as a successful model to increase the capacity of front-line maternal health care providers to address perinatal mental health conditions through education, consultation, and increased resources and referrals.
Methods: This model has been adapted in South Carolina to include direct access to mental health treatment in response to inadequate maternity care and mental health services, including a large proportion of rural, Medically Underserved Areas in Primary Care and Mental Health Healthcare Provider Shortage Areas throughout the state.
Impact of Pediatric Palliative Care on Goal Concordant Care in the Neonatal Intensive Care Unit.
J Pain Symptom Manage
January 2025
New York University School Grossman of Medicine, Department of Pediatrics, Pediatric Advanced Care Team; New York University Grossman School of Medicine, Department of Pediatrics, Division of Pediatric Critical Care.
Context: Little is known about the prevalence of goal-concordant care (GCC) in the NICU and whether it can be measured from chart data.
Objectives: To determine if GCC can be evaluated using chart data, to identify factors associated with GCC, and to evaluate the impact of pediatric palliative care (PPC) consultation on GCC.
Methods: Retrospective review of infants who died in a level IV NICU over a 10-year period (2014-2024).
Maternal and perinatal outcomes after implementation of a more active management in late- and postterm pregnancies in Sweden: A population-based cohort study.
PLoS Med
January 2025
Region Västra Götaland, Sahlgrenska University Hospital, Department of Obstetrics and Gynecology, Gothenburg, Sweden.
Background: The risk of perinatal death and severe neonatal morbidity increases gradually after 41 weeks of pregnancy. We evaluated maternal and perinatal outcomes after a national shift from expectancy and induction at 42+0 weeks to a more active management of late-term pregnancies in Sweden offering induction from 41+0 weeks or an individual plan aiming at birth or active labour no later than 42+0 weeks.
Methods And Findings: Women with a singleton pregnancy lasting 41+0 weeks or more with a fetus in cephalic presentation (N = 150,370) were included in a nationwide, register-based cohort study.
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