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  1. Article ; Online: Fathers get depressed too: lifestyle and relationship factors, stress and sleep quality are associated with depression in new fathers in the first 6 months postbirth.

    Oyelade, Oyeyemi Olajumoke / Olowe, Atinuke Oluwatoyosi

    Evidence-based nursing

    2019  Volume 23, Issue 3, Page(s) 76

    MeSH term(s) Depression ; Fathers ; Humans ; Life Style ; Male ; Prospective Studies ; Risk Factors ; Sleep
    Language English
    Publishing date 2019-08-28
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 1425988-6
    ISSN 1468-9618 ; 1367-6539
    ISSN (online) 1468-9618
    ISSN 1367-6539
    DOI 10.1136/ebnurs-2019-103110
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Development of antepartum risk prediction model for postpartum hemorrhage in Lagos, Nigeria: A prospective cohort study (Predict-PPH study).

    Okunade, Kehinde S / Ugwu, Aloy O / Adenekan, Muisi A / Olumodeji, Ayokunle / Oshodi, Yusuf A / Ojo, Temitope / Adejimi, Adebola A / Ademuyiwa, Iyabo Y / Adaramoye, Victoria / Okoro, Austin C / Olowe, Atinuke / Akinmola, Olukayode O / John-Olabode, Sarah O / Adelabu, Hameed / Henriquez, Rodrigo / Decroo, Tom / Lynen, Lutgarde

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2024  

    Abstract: Objectives: There is currently a limited ability to accurately identify women at risk of postpartum hemorrhage (PPH). We conducted the "Predict-PPH" study to develop and evaluate an antepartum prediction model and its derived risk-scoring system.: ... ...

    Abstract Objectives: There is currently a limited ability to accurately identify women at risk of postpartum hemorrhage (PPH). We conducted the "Predict-PPH" study to develop and evaluate an antepartum prediction model and its derived risk-scoring system.
    Methods: This was a prospective cohort study of healthy pregnant women who registered and gave birth in five hospitals in Lagos, Nigeria, from January to June 2023. Maternal antepartum characteristics were compared between women with and without PPH. A predictive multivariable model was estimated using binary logistic regression with a backward stepwise approach eliminating variables when P was greater than 0.10. Statistically significant associations in the final model were reported when P was less than 0.05.
    Results: The prevalence of PPH in the enrolled cohort was 37.1%. Independent predictors of PPH such as maternal obesity (adjusted odds ratio [aOR] 3.25, 95% confidence interval [CI] 2.47-4.26), maternal anemia (aOR 1.32, 95% CI 1.02-1.72), previous history of cesarean delivery (aOR 4.24, 95% CI 3.13-5.73), and previous PPH (aOR 2.65, 95% CI 1.07-6.56) were incorporated to develop a risk-scoring system. The area under the receiver operating characteristic curve (AUROC) for the prediction model and risk scoring system was 0.72 (95% CI 0.69-0.75).
    Conclusion: We recorded a relatively high prevalence of PPH. Our model performance was satisfactory in identifying women at risk of PPH. Therefore, the derived risk-scoring system could be a useful tool to screen and identify pregnant women at risk of PPH during their routine antenatal assessment for birth preparedness and complication readiness.
    Language English
    Publishing date 2024-01-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.15364
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Prenatal anaemia and risk of postpartum haemorrhage: a cohort analysis of data from the Predict-PPH study.

    Okunade, Kehinde S / Adejimi, Adebola A / Olumodeji, Ayokunle M / Olowe, Atinuke / Oyedeji, Olufemi A / Ademuyiwa, Iyabo Y / Adelabu, Hameed / Toks-Omage, Eselobu / Okoro, Austin C / Davies, Nosimot / Adenekan, Muisi A / Ojo, Temitope / Rabiu, Kabiru A / Oshodi, Yusuf A / Ugwu, Aloy O / Olowoselu, Festus O / Akinmola, Olukayode O / Olamijulo, Joseph A / Oluwole, Ayodeji A

    BMC public health

    2024  Volume 24, Issue 1, Page(s) 1028

    Abstract: Background: Most previous clinical studies investigating the connection between prenatal anaemia and postpartum haemorrhage (PPH) have reported conflicting results.: Objectives: We examined the association between maternal prenatal anaemia and the ... ...

    Abstract Background: Most previous clinical studies investigating the connection between prenatal anaemia and postpartum haemorrhage (PPH) have reported conflicting results.
    Objectives: We examined the association between maternal prenatal anaemia and the risk of PPH in a large cohort of healthy pregnant women in five health institutions in Lagos, Southwest Nigeria.
    Methods: This was a prospective cohort analysis of data from the Predict-PPH study that was conducted between January and June 2023. The study enrolled n = 1222 healthy pregnant women giving birth in five hospitals in Lagos, Nigeria. The study outcome, WHO-defined PPH, is postpartum blood loss of at least 500 milliliters. We used a multivariable logistic regression model with a backward stepwise conditional approach to examine the association between prenatal anaemia of increasing severity and PPH while adjusting for confounding factors.
    Results: Of the 1222 women recruited to the Predict-PPH study between January and June 2023, 1189 (97·3%) had complete outcome data. Up to 570 (46.6%) of the enrolled women had prenatal anaemia while 442 (37.2%) of those with complete follow-up data had WHO-defined PPH. After controlling for potential confounding factors, maternal prenatal anaemia was independently associated with PPH (adjusted odds ratio = 1.37, 95% confidence interval: 1.05-1.79). However, on the elimination of interaction effects of coexisting uterine fibroids and mode of delivery on this association, a sensitivity analysis yielded a lack of significant association between prenatal anaemia and PPH (adjusted odds ratio = 1.27, 95% confidence interval: 0.99-1.64). We also recorded no statistically significant difference in the median postpartum blood loss in women across the different categories of anaemia (P = 0.131).
    Conclusion: Our study revealed that prenatal anaemia was not significantly associated with PPH. These findings challenge the previously held belief of a suspected link between maternal anaemia and PPH. This unique evidence contrary to most previous studies suggests that other factors beyond prenatal anaemia may contribute more significantly to the occurrence of PPH. This highlights the importance of comprehensive assessment and consideration of various maternal health factors in predicting and preventing this life-threatening obstetric complication.
    MeSH term(s) Pregnancy ; Humans ; Female ; Nigeria/epidemiology ; Postpartum Hemorrhage/epidemiology ; Prospective Studies ; Anemia/epidemiology ; Family ; Vitamins
    Chemical Substances Vitamins
    Language English
    Publishing date 2024-04-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-024-18446-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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