medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2023,
Номер
unknown
Опубликована: Июль 24, 2023
Abstract
Background
COVID-19
vaccination
is
vital
for
ending
the
pandemic
but
concerns
about
its
safety
among
pregnant
and
postpartum
women,
especially
African
American
(AA)
Hispanic
persist.
This
study
aims
to
explore
factors
that
influence
decision-making
AA
women
through
women’s
experiences
maternal
care
providers’
(MCPs)
observations.
Methods
From
January
August
2022,
we
conducted
semi-structured
interviews
with
MCPs.
Participants
were
recruited
from
obstetric
pediatric
clinics
in
South
Carolina,
all
births
took
place
after
March
2020.
Thematic
analysis
was
employed
data
analysis.
Results
The
involved
19
20
along
9
MCPs,
revealed
both
barriers
facilitators
vaccination.
decision
vaccine
uptake
included:
1)
awareness
of
health
threats
associated
vaccines,
2)
availability
accessibility,
3)
vaccine-related
knowledge
exposure
misinformation,
4)
regarding
pre-existing
conditions
potential
side
effects
5)
emotional
processes,
6)
well-being
infants,
7)
cultural
perspectives,
8)
encouragement
by
trusted
supporters.
Conclusion
Findings
suggest
reliable
information,
social
support,
doctors’
advice
can
motivate
However,
such
as
mistrust
system,
fears
related
impede
women.
Future
interventions
should
target
these
barriers,
disparities,
involve
doctors
outreach,
initiate
conversations
promote
this
population.
Journal of Clinical Medicine,
Год журнала:
2023,
Номер
12(13), С. 4347 - 4347
Опубликована: Июнь 28, 2023
Physical
inactivity
(PI)
represents
a
significant,
modifiable
risk
factor
that
is
more
frequent
and
severe
in
the
female
population
worldwide
for
all
age
groups.
The
physical
activity
(PA)
gender
gap
begins
early
life
leads
to
considerable
short-term
long-term
adverse
effects
on
health
outcomes,
especially
cardiovascular
(CV)
health.
Our
review
aims
highlight
prevalence
mechanisms
of
PI
across
women’s
lifespan,
describing
beneficial
PA
many
physiological
pathological
clinical
scenarios
underlining
need
awareness
global
commitment
promote
strategies
bridge
limit
current
future
generations.
International Journal of Environmental Research and Public Health,
Год журнала:
2023,
Номер
20(2), С. 1556 - 1556
Опубликована: Янв. 14, 2023
An
overview
of
systematic
reviews
with
meta-analysis
was
developed
to
summarize
evidence
on
the
effectiveness
prenatal
yoga-based
interventions
pain,
psychological
symptoms,
and
quality
life
during
pregnancy.
CINAHL
(via
EBSCOhost),
Embase,
PubMed,
SPORTDiscus
Cochrane
Library
were
searched
from
inception
15
December
2022.
The
intervention
interest
any
intervention.
Pain,
considered
as
outcome
measures.
methodological
judged
using
AMSTAR
2.
primary
study
overlap
among
evaluated,
building
a
citation
matrix
calculating
corrected
covered
area
(CCA).
A
total
ten
reviews,
including
fifteen
meta-analyses
comprising
32
distinct
clinical
trials,
included.
Meta-analyses
pain
not
found.
Most
(93%)
showed
that
are
more
effective
than
control
in
reducing
anxiety,
depression,
stress
symptoms.
However,
overall
critically
low,
very
high
(CCA
=
16%).
Altogether,
could
improve
mental
health
pregnant
women,
although
due
important
flaws
detected,
future
should
their
before
drawing
firm
conclusions
this
topic.
British Journal of Sports Medicine,
Год журнала:
2024,
Номер
unknown, С. bjsports - 108478
Опубликована: Ноя. 5, 2024
Objective
To
examine
the
influence
of
postpartum
exercise
on
maternal
depression
and
anxiety.
Design
Systematic
review
with
random
effects
meta-analysis
meta-regression.
Data
sources
Online
databases
up
to
12
January
2024,
reference
lists,
recommended
studies
hand
searches.
Eligibility
criteria
Randomised
controlled
trials
(RCTs)
non-randomised
interventions
any
publication
date
or
language
were
included
if
they
contained
information
Population
(postpartum
people),
Intervention
(subjective
objective
measures
frequency,
intensity,
duration,
volume,
type,
mode
delivery
exercise),
Comparator
(no
different
measures),
Outcome
depression,
anxiety
prevalence,
and/or
symptom
severity).
Results
A
total
35
(n=4072)
included.
Moderate
certainty
evidence
from
RCTs
showed
that
exercise-only
reduced
severity
depressive
symptoms
(19
RCTs,
n=1778,
SMD:
−0.52,
95%
CI
−0.80
–0.24,
I
2
=86%,
moderate
effect
size)
(2
n=513,
−0.25,
−0.43
−0.08,
=0%,
small
size),
odds
by
45%
(4
n=303
OR
0.55,
0.32
0.95,
=0%)
compared
no
exercise.
No
assessed
impact
achieve
at
least
a
reduction
in
symptoms,
individuals
needed
accumulate
350
MET-min/week
(eg,
80
min
intensity
such
as
brisk
walking,
water
aerobics,
stationary
cycling
resistance
training).
Conclusions
Postpartum
depression.
PLoS ONE,
Год журнала:
2024,
Номер
19(4), С. e0300424 - e0300424
Опубликована: Апрель 29, 2024
Background
The
COVID-19
pandemic
has
significantly
affected
maternal
care
services
especially
for
minoritized
individuals,
creating
challenges
both
service
users
(i.e.,
African
American
and
Hispanic
pregnant/postpartum
women)
providers
(MCPs).
Guided
by
a
socioecological
framework,
this
study
aims
to
investigate
the
experiences
of
pregnant
postpartum
women,
as
well
MCPs,
in
accessing
providing
during
Deep
South.
Methods
We
conducted
semi-structured
interviews
with
19
20
9
MCPs
between
January
August
2022.
Participants
were
recruited
from
Obstetrics
Gynecology
clinics,
pediatric
community
health
organizations
South
Carolina,
all
births
took
place
2021.
Interview
transcripts
analyzed
thematically.
Results
Maternal
utilization
provision
influenced
various
factors
at
different
levels.
At
intrapersonal
level,
women’s
personal
beliefs,
fears,
concerns,
stress
related
had
negative
impacts
on
their
experiences.
Some
women
resorted
substance
use
coping
strategy
or
home
remedy
pregnancy-induced
symptoms.
interpersonal
family
social
networks
played
crucial
role
care,
discontinuation
group-based
prenatal
consequences.
reported
desire
support
groups
alleviate
pressures
pregnancy
provide
platform
shared
Language
barriers
identified
an
obstacle
participants.
Community-level
impacts,
such
availability
access
doulas
workers,
provided
essential
information
support,
but
limitations
doula
implicit
bias
also
identified.
institutional
mandatory
pre-admission
testing,
visitation
restrictions,
reduced
patient-MCP
interactions
common
concerns.
Short
staffing
inadequate
due
impact
workforce
reported,
along
anxiety
among
about
protective
equipment
availability.
emphasized
quality
was
maintained,
changes
primarily
attributed
safety
protocols
rather
than
decline
quality.
Conclusion
disrupted
services.
To
overcome
these
issues,
facilities
should
integrate
resources,
adopt
telehealth,
develop
culturally
tailored
education
programs
women.
Supporting
resources
will
enhance
address
disparities
Journal of the American Heart Association,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 25, 2025
Perinatal
psychological
health
conditions
(eg,
perinatal
depression,
anxiety)
are
some
of
the
leading
causes
maternal
mortality
in
United
States
and
associated
with
adverse
pregnancy
outcomes,
long‐term
cardiovascular
intergenerational
effects
on
offspring
neurodevelopment.
These
risks
underscore
importance
addressing
as
a
key
determinant
health.
Thus,
it
is
vital
to
recognize
spectrum
provide
guidance
for
both
patients
clinicians
screening
management
options
across
period.
In
this
scientific
statement
from
American
Heart
Association,
we
redefine
include
health,
robust
evidence
association
highlight
social
environmental
underpinnings,
finally,
offer
about
how
integrate
into
specific
focus
period
(ie,
through
1
year
postpartum).
We
also
describe
opportunities
creating
care
delivery
models
that
recurrently
address
cardio‐obstetric
care,
using
behavioral
pharmacological
interventions,
an
emphasis
better
integration
longer
postpartum
follow‐up,
evaluating
comparative
effectiveness
these
stakeholder
partners.
Journal of Nursing Research,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 28, 2025
ABSTRACT
Background
Depression,
poor
sleep
quality,
and
perceived
lack
of
control
all
commonly
impact
women
in
the
third
trimester
pregnancy.
Depression
can
influence
whereas
sense
during
pregnancy
is
correlated
with
both
quality
depression.
However,
mediating
effect
on
relationship
between
depression
has
not
been
examined
their
trimester.
Purpose
This
study
was
designed
to
explore
depression,
pregnant
determine
degree
which
mediates
control.
Methods
An
exploratory
correlational
cross-sectional
design
used
recruit
263
a
gestational
age
35–36
weeks.
Data
were
collected
using
questionnaires.
respectively
assessed
Edinburgh
Postnatal
Scale,
Pittsburgh
Sleep
Quality
Index,
Labor
Agentry
Scale.
main
outcomes
analyzed
PROCESS
macro
for
SPSS.
Results
found
correlate
positively
negatively
(all
p
s
<
.001).
Thus,
higher
levels
poorer
associated
lower
The
results
confirmed
be
mediated
by
(
Conclusions
Pregnant
may
experience
better
prenatal
counseling
psychological
support
should
provided
reduce
while
improving
Midwifery,
Год журнала:
2025,
Номер
145, С. 104363 - 104363
Опубликована: Март 5, 2025
Despite
the
WHO
and
ACOG's
recommendations
for
at
least
150
min
of
weekly
moderate-intensity
physical
activity
during
pregnancy,
adherence
remains
low,
partly
due
to
concerns
about
safety
efficacy
specific
exercise
modalities.
To
evaluate
pregnant
women's
outcome
expectancy
maternal
fetal
health
regarding
modalities
influence
healthcare
provider
discussions
on
these
perceptions.
A
cross-sectional
survey,
distributed
through
Qualtrics
(a
platform
help
design
distribute
surveys)
word
mouth
507
women
assessed
perceptions
moderate,
vigorous,
resistance
activities.
Provider
past
adverse
pregnancy
experiences
were
likewise
examined
their
expectancy.
Walking
yoga
perceived
as
most
beneficial
both
health,
with
expectancies
being
9.5
±
2.1
8.8
2.9
9.0
2.5
8.2
3.0
health.
Higher
intensity
activities
viewed
less
favorably,
especially
CrossFit®
training
5.2
3.4
4.8
3.3
All
more
than
Discussions
providers
occurred
in
over
70
%
cases
but
did
not
generally
relate
Past
related
statistically
significant
changes
Previously
prescribed
bed
rest
had
some
weak
associations
greater
a
few
Pregnant
benefits
clearly
differ
based
modality
dependent
whether
or
Targeted
communication
strategies
from
public
efforts
are
needed
improve
vigorous
British Journal of Midwifery,
Год журнала:
2025,
Номер
33(4), С. 220 - 226
Опубликована: Апрель 1, 2025
Poor
mental
health
during
and
after
pregnancy
is
a
key
contributor
to
maternal
morbidity
mortality,
despite
the
potential
for
preventative
measures.
Increasing
physical
activity
levels
has
been
recognised
as
non-pharmacological
method
of
improving
wellbeing,
yet
it
not
routinely
discussed
by
healthcare
professionals.
The
association
between
wellbeing
in
non-pregnant
population
well
established,
but
remains
overlooked
pregnancy.
It
crucial
that
professionals
are
aware
understand
positive
impact
being
physically
active
on
wellbeing.
Encouraging
supporting
women
be
can
valuable
enhancing
overall
quality
life
Frontiers in Psychology,
Год журнала:
2025,
Номер
16
Опубликована: Апрель 29, 2025
Introduction
In
the
present
study,
shared
and
distinct
effects
of
two
novel
prenatal
intervention
protocols
implemented
during
last
trimester
gestation
on
perinatal
maternal
wellbeing
outcomes
were
explored.
Methods
A
total
250
pregnant
women
at
28
weeks
randomly
assigned
to
either
a
Passive
relaxation-based
Protocol
or
an
Active
involving
active
engagement
in
various
motor
activities
music
listening.
Anxiety
depression
symptoms
attachment
foetus/infant
assessed
through
self-report
questionnaires
before
(t0)
after
(t1)
protocol,
as
well
1.5
months
postpartum
(t2).
Qualitative
data
participants’
emotional
experiences
while
performing
collected
weekly
diaries,
together
with
adherence
protocol
amount
prescribed
activities.
Results
Group-level
analyses
showed
that
both
associated
improvements
anxiety
extended
period,
different
picture
emerged
for
symptoms.
Analyses
diaries
revealed
more
nuanced
picture,
showing
that,
within
each
group,
and/or
modulated
by
No
differences
between
groups
found
terms
considered,
but
number
relaxation
sessions
positively
predicted
newborns’
gestational
age.
Discussion
These
findings
offer
valuable
insights
into
mechanisms
underlying
passive
versus
interventions,
point
importance
tailoring
strategies
based
individual
preferences
stage.