Browsing by Subject "Delivery"

Now showing 1 - 3 of 3
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    Cost estimation alongside a multi-regional, multi-country randomized trial of antenatal ultrasound in five low-and-middle-income countries
    (BMC, 2021-05-20) Bresnahan, B. W.; Vodicka, E.; Babigumira, J. B.; Malik, A. M.; Yego, F.; Lokangaka, A.; Chitah, B. M.; Bauer, Z.; Chavez, H.; Moore, J. L.; Garrison, L. P.; Swanson, J. O.; Swanson, D.; McClure, E. M.; Goldenberg, R. L.; Esamai, F.; Garces, A. L.; Chomba, E.; Saleem, S.; Tshefu, A.; Bose, C. L.; Bauserman, M.; Carlo, W.; Bucher, S.; Liechty, E. A.; Nathan, R. O.; Pediatrics, School of Medicine
    Improving maternal health has been a primary goal of international health agencies for many years, with the aim of reducing maternal and child deaths and improving access to antenatal care (ANC) services, particularly in low-and-middle-income countries (LMICs). Health interventions with these aims have received more attention from a clinical effectiveness perspective than for cost impact and economic efficiency.
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    Electronic Heart (ECG) Monitoring at Birth and Newborn Resuscitation
    (MDPI, 2024-06-04) Mende, Sarah; Ahmed, Syed; DeShea, Lise; Szyld, Edgardo; Shah, Birju A.; Pediatrics, School of Medicine
    Background: Approximately 10% of newborns require assistance at delivery, and heart rate (HR) is the primary vital sign providers use to guide resuscitation methods. In 2016, the American Heart Association (AHA) suggested electrocardiogram in the delivery room (DR-ECG) to measure heart rate during resuscitation. This study aimed to compare the frequency of resuscitation methods used before and after implementation of the AHA recommendations. Methods: This longitudinal retrospective cohort study compared a pre-implementation (2015) cohort with two post-implementation cohorts (2017, 2021) at our Level IV neonatal intensive care unit. Results: An initial increase in chest compressions at birth associated with the introduction of DR-ECG monitoring was mitigated by focused educational interventions on effective ventilation. Implementation was accompanied by no changes in neonatal mortality. Conclusions: Investigation of neonatal outcomes during the ongoing incorporation of DR-ECG may help our understanding of human and system factors, identify ways to optimize resuscitation team performance, and assess the impact of targeted training initiatives on clinical outcomes.
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    Factors associated with seeking preventive dental care: an integrative model exploration of behaviors in Mexican immigrants in Midwest America
    (BMC, 2018) Macy, Jonathan T.; Moser, Elizabeth A. S.; Hirsh, Adam T.; Monahan, Patrick O.; Eckert, George J.; Maupome, Gerardo
    Background Mexican immigrants in the United States suffer from poor oral health. The objective of the current study was to explore the utility of applying theory-based factors associated with seeking preventive dental care in a sample of Mexican American adults. Methods Data were collected from a cross-sectional survey of a sample of 157 people of Mexican origin (64% female; age 34 ± 11 years) recruited primarily from church congregations and lay community organizations in Central Indiana. Using the Integrative Model of Behavioral Prediction as the guiding framework, structural equation modeling was used to test factors associated with intention to seek preventive dental care. Results Attitude towards seeking preventive dental care (estimate = 0.37; p < .0001) and self-efficacy for seeking preventive dental care (estimate = 0.68; p < .0001) were associated with intention to seek preventive dental care. The association between dental beliefs and intention to seek preventive dental care was mediated by attitude and self-efficacy (indirect effect = 0.26, p = .002), and the association between past behavior and intention to seek preventive dental care was mediated by self-efficacy (indirect effect = 0.26, p = .003). Conclusions These findings suggest that interventions to increase preventive dental care seeking behavior among Mexican Americans should focus on changing attitudes toward seeking preventive dental care and on increasing self-efficacy to seek preventive dental care. Findings also support the use of interventions to influence dental beliefs.