Journal of women's health
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Journal of women's health · Dec 2017
ReviewWhat Are Optimal Cesarean Section Rates in the U.S. and How Do We Get There? A Review of Evidence-Based Recommendations and Interventions.
Cesarean sections (CSs) are the most commonly performed surgical procedures in the world today. Global epidemiological studies from the last decade suggest that the optimal CS rates in developed countries exist somewhere between 15% and 19%. Despite these findings, CS rates in the United States have remained stable at slightly over 32% over the past 10 years. ⋯ This review will then delve into clinician and patient-oriented interventions that have been shown to effectively reduce the rate of potentially avoidable CS. Our analysis showed that large-scale, multifaceted interventions that include audit and feedback cycles as well as peer review strategies were the most effective in decreasing rates of potentially avoidable CS. This review concludes with an agenda for future research into interventions that aim to achieve optimal CS rates.
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Journal of women's health · Dec 2017
Access to and Satisfaction with Prenatal Care Among Pregnant Women with Physical Disabilities: Findings from a National Survey.
Previous qualitative studies suggest that women with physical disabilities face disability-specific barriers and challenges related to prenatal care accessibility and quality. This study aims to examine the pregnancy and prenatal care experiences and needs of U.S. mothers with physical disabilities and their perceptions of their interactions with their maternity care clinicians. ⋯ The findings from this study suggest the need for training and education for clinicians regarding the prenatal care needs of women with physical disabilities.
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Journal of women's health · Dec 2017
Effects of Health Insurance Interruption on Loss of Hypertension Control in Women With and Women Without HIV.
Among low-income women with and without HIV, it is a priority to reduce age-related comorbidities, including hypertension and its sequelae. Because consistent health insurance access has been identified as an important factor in controlling many chronic diseases, we estimated the effects of coverage interruption on loss of hypertension control in a cohort of women in the United States. ⋯ This study provides evidence that health insurance continuity promotes hypertension control in key populations. Interventions that ensure coverage stability and ADAP access should be a policy priority.
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Journal of women's health · Dec 2017
Sleep Duration and Risk of Liver Cancer in Postmenopausal Women: The Women's Health Initiative Study.
Sleep duration has been associated with nonalcoholic fatty liver disease, but its association with liver cancer remains unknown. ⋯ Long sleep duration was associated with a moderate increase in liver cancer risk in obese postmenopausal women in the United States. Larger study is needed to confirm our observation on effect modification by adiposity status.
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Journal of women's health · Dec 2017
Acculturation Influences Postpartum Eating, Activity, and Weight Retention in Low-Income Hispanic Women.
Low-income Hispanic women experience elevated rates of high postpartum weight retention (PPWR), which is an independent risk factor for lifetime obesity. Sociocultural factors might play an important role among Hispanic women; however, very few studies have examined this association. ⋯ Higher acculturation was associated with poorer diet and physical activity behaviors and greater PPWR.