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93英文.docx
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93英文
MedSciSportsExerc.2010Aug23.[Epubaheadofprint]
PhysicalActivityandHypertensiveDisordersofPregnancyAmongHispanicWomen.
FortnerRT,PekowPS,WhitcombBW,SievertLL,MarkensonG,Chasan-TaberL.
1DivisionofBiostatisticsandEpidemiology,DepartmentofPublicHealth,UniversityofMassachusettsAmherst,Amherst,MA2BaystateMedicalCenter,Springfield,MA3DepartmentofAnthropology,UniversityofMassachusettsAmherst,Amherst,MA.
Abstract
PURPOSE:
Priorstudiesoftheassociationbetweenphysicalactivityandriskofhypertensivedisordersofpregnancyhavebeenconflicting,failedtoassesstotalphysicalactivity,andincludedfewHispanicwomen,thelargestminoritygroupintheUnitedStateswiththehighestbirthrates.
METHODS:
Weexaminedthisassociationamong1,043participantsintheLatinaGestationalDiabetesMellitus(GDM)Study,aprospectivecohortofpredominantlyPuertoRicanprenatalcarepatientsconductedfrom2000-2004inWesternMassachusetts.Physicalactivityinpre-andearlypregnancywasassessedbybilingualinterviewersusingamodifiedversionoftheKaiserPhysicalActivitySurvey(KPAS).
RESULTS:
Fiftywomen(4.8%)werediagnosedwithhypertensivedisordersofpregnancyand30(2.9%)withpreeclampsia.Inmultivariableanalyses,therewasastatisticallysignificanttrendofdecreasingriskofhypertensivedisorderswithincreasingsports/exerciseinearlypregnancy(ptrend=0.04).Highlevelsofearlypregnancyactivelivingactivity(OR:
0.4,95%CI:
0.1-1.1,ptrend=0.07)andhousehold/caregivingactivity(OR:
0.4,95%CI:
0.1-1.3,ptrend=0.07)wereassociatedwitha60%reductioninriskofhypertensivedisordersrelativetolowlevels;however,theseassociationswereofmarginalstatisticalsignificance.Highlevelsoftotalphysicalactivity(OR:
0.3,95%CI:
0.1-1.0,ptrend=0.06)inearlypregnancywereassociatedwitha70%reductionintheriskofhypertensivedisordersrelativetolowlevels;however,thisassociationwasalsoofmarginalstatisticalsignificance.Pre-pregnancyphysicalactivitywasnotassociatedwithhypertensivedisorders.
CONCLUSION:
TheseresultsinaHispanicpopulation,althoughbasedonsmallnumbersofcases,corroboratepreviousstudiessuggestingthatrecreationalactivityinearlypregnancyreducesriskofhypertensivedisordersofpregnancy.
PMID:
20798663[PubMed-assuppliedbypublisher]
AfrJReprodHealth.2009Sep;13(3):
111-22.
UtilizationofantenatalcareanddeliveryservicesinSagamu,southwesternNigeria.
IyaniwuraCA,YussufQ.
DepartmentofCommunityHealthandPrimaryHealthCare,OlabisiOnabanjoUniversityTeachingHospital,Sagamu,OgunState,Nigeria.christywura@
Abstract
Asurveyof392womenwhohadcarriedatleastonepregnancytoterminSagamu,South-WesternNigeriawasconductedtodeterminethepatternofuseofmaternityservicesandassessfactorsthatmayinfluencetheobservedpattern.Majorityofthewomenreceivedantenatalcare(84.6%)duringtheirlastpregnancy.Four-fifthofthosewhoreceivedANCfirstattendedtheclinicduringthesecondtrimester(79.6%).Theplacesofdeliveryweregovernmentfacilities(54.8%),privatehospital(24.5%),traditionalbirthattendants(13.5%)andspiritualhealinghomes(5.6%).Highereducationalstatusandhigherlevelofincomepositivelyaffectedthepatternofuseoftheseservices(p<0.05).Perceivedqualityofservicewasthemostimportantfactorwhichinfluencedthechoiceoffacilityforobstetriccare.Aconsiderableproportionofthosewhousedtraditionalbirthattendants(36.1%)usedittopleasetheirhusbands.Ourfindingssuggestthatimprovingthesocioeconomicstatusofmenandwomeninthecommunityisakeyfactortoimprovingutilizationofmaternitycareservices.
AfrJReprodHealth.2009Sep;13(3):
9-20.
ThestruggletoreducehighmaternalmortalityinNigeria.
HarrisonKA.
UniversityofPortHarcourt,Nigeria.kaharrison19@
Abstract
AccordingtoUNICEFestimatesforNigeria,maternalmortalityratiois1100per100,000livebirths,antenatalcarecoverage47percent,institutionaldeliveryrate33percent,andeachwomanbearssixchildrenontheaverage.Reducingthehighmaternalmortalityratio,whichistheprimeconcern,hashithertoconcentratedontransformingthehealthsystemthroughbringingresourcesandexpertisetobearonthehighmaternalmortalityperseincludingsomeofitssurroundingelements.Ithasfailed.Highmaternalmortalitymustbetackledatamuchmorefundamentallevel.InthecomplexitiesanduniquenessofNigeria'scurrentsituation,itissuggestedthatthefundamentalremedyistostampoutthechaosinthecountrybygettingthepoliticsandgovernancestructuresright.Accuratepopulationcensusisparamount.Compulsoryregistrationofbirthsanddeaths,fixingthebroken-downeducationalsystemandbringingbackthepublicserviceethosthecountryoncehad,arecoreissues.
PMID:
20690258[PubMed-indexedforMEDLINE
JNursScholarsh.2010Jun;42
(2):
113-21.
Prenatalstretchingexerciseandautonomicresponses:
preliminarydataandamodelforreducingpreeclampsia.
YeoS.
UniversityofNorthCarolinaatChapelHill,SchoolofNursing,ChapelHill,NC,USA.syeo@email.unc.edu
Abstract
PURPOSE:
Preeclampsiaisaleadingcauseofperinatalmortalityandmorbidity,anditincreasesmaternalriskforfuturecardiovasculardisease.Thepurposeofthestudywastoexploretherelationshipsamongstretchingexercise,autonomiccardiacresponse,andthedevelopmentofpreeclampsia.
DESIGN:
Secondarydataanalysis.
METHODS:
Heartrateandpulsepressurewerelongitudinallyexaminedinthissecondarydataanalysisamongwomenwhoengagedinstretchingexercisedailyfrom18weeksofgestationtotheendofpregnancycomparedwithwomenwhodidwalkingexercisedailyduringthesametimeperiod.Atotalof124womenwererandomizedtoeitherstretching(n=60)orwalking(n=64)intheparentstudy.Findings:
Heartratesinthestretchinggroupwereconsistentlylowerthanthoseinthewalkinggroup.
CONCLUSIONS:
Basedontheresultsofthissecondarydataanalyses,aphysiologicframeworkforpossiblebeneficialeffectsofstretchingexercisebyenhancingautonomicresponsesonreducingrisksforpreeclampsiaisproposedanddiscussed.
CLINICALRELEVANCE:
Iftheprotectiveeffectisestablished,stretchingexercisecanbetranslatedintonursinginterventionforprenatalcare.
BullWorldHealthOrgan.2010Jul1;88(7):
500-8.Epub2009Dec29.
IronandfolicacidsupplementsandreducedearlyneonataldeathsinIndonesia.
TitaleyCR,DibleyMJ,RobertsCL,HallJ,AghoK.
SydneySchoolofPublicHealth,EdwardFordBuilding(A27),UniversityofSydney,NSW2006,Australia.ctitaley@health.usyd.edu.au
Abstract
OBJECTIVE:
Toexaminetherelationshipbetweenantenatalcare,ironandfolicacidsupplementationandtetanustoxoidvaccinationduringpregnancyinIndonesiaandtheriskofearlyneonataldeath(deathindays0-6oflife).
METHODS:
Weanalysedpooleddataonneonatalsurvivalinsingletoninfantsborninthe5yearsbeforeeachoftheIndonesiandemographicandhealthsurveysof1994,1997and2002-2003.Onlythemostrecentlyborninfantofeachmotherwasincluded.MultivariateCoxproportionalhazardsmodelswereusedtoidentifyfactorslinkedtoearlyneonataldeath.
FINDINGS:
Ofthe40576infantsincluded,442experiencedearlyneonataldeath.Afteradjustment,theriskofearlyneonataldeathwassignificantlyreducedforinfantsofmotherswhoreceivedeitheranyformofantenatalcare(hazardratio,HR:
0.48;95%confidenceinterval,CI:
0.31-0.73),anyquantityofironandfolicacid(HR:
0.53;95%CI:
0.36-0.77)or>or=2tetanustoxoidinjections(HR:
0.66;95%CI:
0.48-0.92).Whenweanalyseddifferentcombinationsofthesemeasures,ironandfolicacidsupplementationprovidedthemainprotectiveeffect:
earlyneonataldeathswerestillsignificantlyreducedamonginfantswhosemothersreceivedironandfolicacidsupplementsbutnootherformofantenatalcare(HR:
0.10;95%CI:
0.01-0.67),orthesupplementsbut<2tetanustoxoidinjections(HR:
0.46;95%CI:
0.29-0.73).Subsequentanalysisshowedthat20%ofearlyneonataldeathsinIndonesiacouldbeattributedtoalackofironandfolicacidsupplementationduringpregnancy.
CONCLUSION:
IronandfolicacidsupplementationduringpregnancyinIndonesiasignificantlyreducedtheriskofearlyneonataldeathandcouldalsodosoinotherlow-andmiddle-incomecountries.
JObstetGynaecolRes.2010Jun;36(3):
646-50.
Simpleeducationalinterventionwillimprovetheefficacyofroutineantenatalironsupplementation.
SenanayakeHM,PremaratneSP,PalihawadanaT,WijeratneS.
DepartmentofObstetricsandGynaecology,FacultyofMedicine,UniversityofColombo,Colombo,SriLanka.senanayakeh@
Abstract
AIM:
SriLankahasapolicyoffreeprovisionofironsupplementstopregnantwomen.However,irondeficiencyanemiaremainscommoninpregnancy.
METHODS:
Wetestedthehypothesisthateducatingwomenregardingimprovingbioavailabilitycouldimprovetheefficacyofironsupplementation.Theeducationfocusedonhowbestsupplementscouldbetakenandonhowtheyshouldbestored.Wecarriedoutastudyusingaquasi-experimentaldesignonagroupofwomenattendingforantenatalcareatasuburbanUniversityObstetricUnitinSriLanka.Thecontrolgrouphadcarefreeofchargeincludingironsupplementationandantihelminthictherapy.Inaddition,thestudygroupreceivedaneducationinsmallgroupsregardingmaximizingbioavailabilityofiron.Hemoglobinandironstatusofthewomenwerecomparedbetweenthegroupsatrecruitmentandat34weeksofgestation.
RESULTS:
Thetwogroupswereequallymatchedindemographicdata,andhemogl
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