Journal of women's health
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Journal of women's health · Nov 2017
Incidence of Subclinical Hypothyroidism and Hypothyroidism in Early Pregnancy.
Untreated and subclinical hypothyroidism (SCH) has been associated with adverse pregnancy complications such as increased risk of miscarriage, hypertension, preeclampsia, and preterm delivery. However, in Sweden, screening for thyroid dysfunction during pregnancy is only recommended for women with a high risk of thyroid disease. Therefore, the aim of this study was to determine the incidence of clinical and SCH in women in the first trimester of pregnancy. ⋯ High-risk screening is not useful in predicting which women are at risk of thyroid disease in early pregnancy since ∼10% of women with SCH or hypothyroidism could not be diagnosed in this way.
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Journal of women's health · Nov 2017
The Prenatal Distress Measure: Adaptation of the Postpartum Distress Measure for a Prenatal Sample.
Pregnancy is a significant transition period for women that can be markedly stressful. The presence of elevated depressed mood and anxiety during pregnancy places mothers, fetuses, and neonates at greater risk for developing biological and psychological difficulties. It appears that no general measures of distress currently exist that can be used to screen for both prenatal anxiety and mood. ⋯ Ten total items were selected for the final Pre-DM and are representative of the two factors that emerged from the exploratory factor analysis: general distress and obsessive-compulsive symptoms. It appears that before this study, no measure had been created for the primary purpose of screening for broad psychosocial distress during pregnancy. It is hoped that with further research, the Pre-DM will serve as a screening tool for distress during pregnancy and will be used as a companion measure to the PDM.
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Journal of women's health · Nov 2017
Addressing Maternal Health During CDC's Ebola Response in the United States.
Previous outbreaks suggest that pregnant women with Ebola virus disease (EVD) are at increased risk for severe disease and death. Healthcare workers who treat pregnant women with EVD are at increased risk of body fluid exposure. Despite the absence of pregnant women with EVD in the United States, CDC activated the Maternal Health Team (MHT), a functional unit dedicated to emergency preparedness and response issues, on October 18, 2014. ⋯ The predominant topic was related to infection control for high-risk situations such as labor and delivery. During the Ebola response, most inquiries were received via email rather than telephone, a notable shift compared to the H1N1 emergency response. Lessons learned during the H1N1 and Ebola responses are currently informing CDC's Zika Response, an unprecedented emergency response primarily focused on reproductive health issues.