Introduction: Breast milk is a specific combination of nutrients and immunologic factors; however, milk components may be exposed to oxidation processes, which can in turn be counteracted by antioxidant molecules such as vitamins and antioxidant enzymes, amongst others. Both antioxidant defences and oxidative damage can be affected by age, number of pregnancies and other factors.
Objective: To compare antioxidant defences and oxidative damage indicators in breast milk, according to age of women and number of pregnancies.
Method: Activity of the main antioxidant enzymes, glutathione concentration, oxidative damage to lipids (thiobarbituric acid reactive substances, TBARS) and oxidative damage to proteins (protein carbonyls) was measured in breast milk using spectrophotometric techniques. Data were grouped according to number of pregnancies (1, 2 and 3 or more) and were related to the age of mothers.
Results: Significant differences among groups according to number of pregnancies were found in TBARS levels (p = 0.04) and GST activity (p < 0.01). Also linear correlations between age, lipid peroxidation and GST activity were found.
Conclusion: The age and number of pregnancies apparently increase lipid oxidation in milk due to increased metabolism and production of reactive oxygen species. However, TBARS levels remain relatively low probably because of the mother's antioxidant defenses, particularly GST.
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http://dx.doi.org/10.3305/nh.2014.30.3.7623 | DOI Listing |
BMC Public Health
January 2025
Department of Women's and Children's Health, Karolinska Institutet, Tomtebodavägen 18A, Stockholm, Solna, 171 77, Sweden.
Background: Globally, the quality of maternal and newborn care remains inadequate, as seen through indicators like perineal injuries and low Apgar scores. While midwifery practices have the potential to improve care quality and health outcomes, there is a lack of evidence on how midwife-led initiatives, particularly those aimed at improving the use of dynamic birth positions, intrapartum support, and perineal protection, affect these outcomes.
Objective: To explore how the use of dynamic birth positions, intrapartum support, and perineal protection impact the incidence of perineal injuries and the 5-min Apgar score within the context of a midwife-led quality improvement intervention.
PLoS One
January 2025
Ministry of National Health Services, Regulations and Coordination, Islamabad, Pakistan.
Background: Pakistan has experienced a significant reduction in maternal mortality with a decline of 33 percent between 2006 and 2019. However, the country still grapples with a high number (186 per 100,000 live births) of maternal deaths each year. This study aims to identify socio-demographic and health system related factors associated with maternal mortality.
View Article and Find Full Text PDFEur J Health Econ
January 2025
Arkansas Tech University, Arkansas, USA.
This paper examines whether the expansion of Medicaid under the Affordable Care Act (ACA), which increases access to contraceptives to low-income childless women and allows them more autonomy to determine the timing of their pregnancies and births, is associated with lower abortion rates during the period 2008-2017. Using state-level data from the Guttmacher Institute and employing a difference-in-differences method, we find that Medicaid expansion is associated with a meaningful reduction in the abortion rate among women ages 18-24, presumably through increased use of contraceptives among low-income young adults. Our estimates imply that Medicaid expansion is associated with a relative decrease in the abortion rate among this age group, approximately 1-2 per 1000 women.
View Article and Find Full Text PDFFront Public Health
January 2025
CDC Project Regional HIV Case Surveillance Coordinator, Public Health Emergency Management Directorate, South Ethiopia Region Health Bureau Public Health Institute, Jinka, Ethiopia.
Background: Gender defined as the socially constructed roles, behaviors, activities, and characteristics that society deems appropriate for men, women, and other gender identities. Inequitable gender norms promote male dominance and aggressiveness while portraying women as being subservient. Ensuring equitable gender norms is a prerequisite for achieving gender equality in a society.
View Article and Find Full Text PDFHeliyon
November 2024
Republic of Türkiye Ministry of Health, Basaksehir Cam and Sakura City Hospital, Department of Obstetrics and Gynecology, Istanbul, Türkiye.
Objective: The aim of this study was to investigate the correlation between plateletcrit (PCT) and stages of hypertensive disease of pregnancy by comparing values in groups with healthy pregnancies, gestational hypertension [GHT], preeclampsia with proteinuria [PE + P] and severe preeclampsia with proteinuria [sPE + P]. The secondary aim was to investigate how proteinuria affects PCT values in these patients.
Materials And Methods: This was a retrospective cohort study.
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