For any society a timely follow-up of the child's psychosomatic development is of utmost importance. Such a follow-up requires that at the very birth of the child there are adequate records on all phases of pregnancy, on risk factors potentially affecting the child's development, and data on labour and the newborn's functions. All this information should be provided by gynecologists in consultation units for women and in maternity wards, as well as by pediatricians in maternity wards and child dispensaries. In view of this, systematic examinations and the follow-up of children in their first days and years of life are imperative for an early detection of possible health impairments. For the implementation of such a programme a close collaboration of hospital and non-hospital services and the standardization of medical records are essential. At present some recording in this respect exists but its scope is very modest. The setting up of a respective registry is what is actually needed.
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BJOG
January 2025
Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Objective: To study the effects of chorioamnionitis on uterine activity and to investigate associations between external and intrauterine monitoring methods and neonatal outcomes.
Design: Secondary analysis of a randomised controlled trial cohort.
Setting: Two labour wards, in a university tertiary hospital and a central hospital.
Background: Eclampsia is among the primary causes of maternal and perinatal morbidity and mortality in Zanzibar. Many women and men are not aware of the signs, symptoms and causes of eclampsia and may have different explanatory models. Therefore, this study aimed to describe the community understanding of pre-eclampsia, as a key stage to improve maternal and perinatal health in Unguja Island, Zanzibar.
View Article and Find Full Text PDFBackground And Aims: Neonatal sepsis is a major cause of neonatal mortality worldwide. It remains a detrimental bottleneck to the WHO goal of eradicating preventable deaths for children below 5 years of age by 2030. Though the risk factors for adverse clinical outcomes for neonatal sepsis have been widely studied there is no universal consensus.
View Article and Find Full Text PDFObjective: To gain insights into the experience, and impact, of using security staff to facilitate physical restraints for nasogastric tube feeding.
Design: A cross-sectional design using 39 individual interviews, three online focus groups and three written submissions involving young people with lived experience (PWLE), parents/carers, paediatric staff and security staff involved in nasogastric feeding under restraint in paediatric settings in England. Qualitative semistructured interviews were transcribed and thematically analysed.
Soc Sci Med
January 2025
Institute of Tropical Medicine Antwerp, Sint-Rochusstraat 43, 2000, Antwerp, Belgium.
What makes routine maternal and neonatal health data to be 'good quality'? That depends on whom you ask - the people collecting and reporting these data across health system levels have different priorities and face varying constraints. Data are constructed by people, about people, and they both reflect and impact human interactions. This study analyses the power dynamics shaping how routine health data are collected and reported in labour wards of two hospitals in Southern Tanzania.
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