Bmc Pregnancy Childb
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Bmc Pregnancy Childb · Sep 2015
Fear of childbirth and elective caesarean section: a population-based study.
This population-based cohort study aimed to investigate the demographic and psychosocial characteristics associated with fear of childbirth and the relative importance of such fear as a predictor of elective caesarean section. ⋯ Results suggest that women with fear of childbirth may have identifiable vulnerability characteristics, such as poor mental health and poor social support. Results also emphasize the need to focus on the subjective experience of the birth to prevent fear of childbirth and elective caesarean sections on maternal request. Regarding the relationship with social support, causality has to be interpreted cautiously, as social support was measured at 8 weeks postpartum only.
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Bmc Pregnancy Childb · Sep 2015
Comparative StudyMaternal near miss and mortality in a tertiary care hospital in Rwanda.
To determine the prevalence and factors associated with severe ('near miss') maternal morbidity and mortality in the University Teaching Hospital of Kigali-Rwanda. ⋯ The main causes associated with MNH were peritonitis, hypertensive disorders and bleeding. The high prevalence of peritonitis may reflect suboptimal intraoperative and intrapartum management of high-risk patients at district hospitals. Direct causes of severe maternal outcome are still the most prevalent. The study identified opportunities for improvement in clinical care to reduce potentially these adverse outcomes.
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Bmc Pregnancy Childb · Sep 2015
Comparative StudyHigh risk for obstructive sleep apnea and other sleep disorders among overweight and obese pregnant women.
Obstructive sleep apnea (OSA), a common and serious disorder in which breathing repeatedly stops during sleep, is associated with excess weight and obesity. Little is known about the co-occurrence of OSA among pregnant women from low and middle-income countries. ⋯ Overweight or obese pregnant women have increased odds of sleep disorders, particularly OSA. OSA screening and risk management may be indicated among pregnant women in low and middle income countries, particularly those undergoing rapid epidemiologic transitions characterized by increased prevalence of excessive adult weight gain.