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Healthcare
Special Issues
Focus on Maternal, Pregnancy and Child Health
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Focus on Maternal, Pregnancy and Child Health

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Nursing".

Deadline for manuscript submissions: 1 November 2024 | Viewed by 3135

Special Issue Editor

Dr. Betine Pinto Moehlecke Iser

E-Mail Website
Guest Editor
Graduate Program in Health Sciences, University of Southern Santa Catarina–UNISUL, Tubarão 88704-900, Santa Catarina, Brazil
Interests: epidemiological studies; chronic non-communicable diseases or conditions; aspects of pregnancy, delivery, and birth; maternal and child health

Special Issue Information

Dear Colleagues,

In view of the influence of the woman/mother's health on birth outcomes and child development until adulthood, the aim of this Special Issue is to focus our attention on diverse aspects of maternal, pregnancy, and child health, including the influence of the quality of care.

Maternal and neonatal/child health requires attention from all areas of social and scientific research in light of the United Nations’ Sustainable Development Goals to ensure healthy lives and promote well-being for all at all ages (SDG 3). Thus, this Special Issue welcomes research that aims to fill the main research gaps in order to achieve the following goals: eliminate avoidable maternal and perinatal mortality and morbidity, ensure universal access to sexual and reproductive healthcare, and promote a positive experience of pregnancy and childbirth.

We have a special interest in qualitative and epidemiological studies addressing women´s sexual and reproductive health, antenatal care, birth experiences, pregnancy diseases, gestational outcomes, and fetal and child development. We encourage the submission of original research, systematic reviews, meta-analyses, opinion pieces, or short communications.

We look forward to your contribution to this important theme of discussion.

Dr. Betine Pinto Moehlecke Iser
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • women health
  • maternal health
  • pregnancy
  • parturition
  • infant, newborn
  • postpartum period
  • epidemiology
  • quality of health care
  • perinatology
  • reproductive health services

Published Papers (3 papers)

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Research

17 pages, 1496 KiB  
Article
Identification of the Best Predictive Model for Mortality in Outborn Neonates—Retrospective Cohort Study
by Maria Livia Ognean, Bianca Coțovanu, Dumitru Alin Teacoe, Ioana Andrada Radu, Samuel Bogdan Todor, Cristian Ichim, Iris Codruța Mureșan, Adrian-Gheorghe Boicean, Radu Galiș and Manuela Cucerea
Healthcare 2023, 11(24), 3131; https://doi.org/10.3390/healthcare11243131 - 09 Dec 2023
Viewed by 750
Abstract
Background: Transportation of sick newborns is a major predictor of outcome. Prompt identification of the sickest newborns allows adequate intervention and outcome optimization. An optimal scoring system has not yet been identified. Aim: To identify a rapid, accurate, and easy-to-perform score predictive for [...] Read more.
Background: Transportation of sick newborns is a major predictor of outcome. Prompt identification of the sickest newborns allows adequate intervention and outcome optimization. An optimal scoring system has not yet been identified. Aim: To identify a rapid, accurate, and easy-to-perform score predictive for neonatal mortality in outborn neonates. Material and methods: All neonates admitted by transfer in a level III regional neonatal unit between 1 January 2015 and 31 December 2021 were included. Infants with congenital critical abnormalities were excluded (N = 15). Gestational age (GA), birth weight (BW), Apgar score, place of birth, time between delivery and admission (AT), early onset sepsis, and sick neonatal score (SNS) were collected from medical records and tested for their association with mortality, including in subgroups (preterm vs. term infants); GA, BW, and AT were used to develop MSNS-AT score, to improve mortality prediction. The main outcome was all-cause mortality prediction. Univariable and multivariable analysis, including Cox regression, were performed, and odds ratio and hazard ratios were calculated were appropriate. Results: 418 infants were included; 217/403 infants were born prematurely (53.8%), and 20 died (4.96%). Compared with the survivors, the non-survivors had lower GA, BW, and SNS scores (p < 0.05); only the SNS scores remained lower in the subgroup analysis. Time to admission was associated with an increased mortality rate in the whole group and preterm infants (p < 0.05). In multiple Cox regression models, a cut-off value of MSNS-AT score ≤ 10 was more precise in predicting mortality as compared with SNS (AUC 0.735 vs. 0.775) in the entire group and in the preterm infants group (AUC 0.885 vs. 0.810). Conclusions: The new MSNS-AT score significantly improved mortality prediction at admission in the whole study group and in preterm infants as compared with the SNS score, suggesting that, besides GA and BW, AT may be decisive for the outcome of outborn preterm infants. Full article
(This article belongs to the Special Issue Focus on Maternal, Pregnancy and Child Health)
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14 pages, 892 KiB  
Article
Physical Activity Participation of Black and White Women during the First Year Postpartum: Results and Study Recruitment Strategies
by Erin E. Kishman, Lauren A. Castleberry and Xuewen Wang
Healthcare 2023, 11(19), 2625; https://doi.org/10.3390/healthcare11192625 - 26 Sep 2023
Viewed by 765
Abstract
Background: Little is known about how physical activity participation changes throughout the first year postpartum. This may be due to the difficulty in recruiting this population. The aims of this study were first to describe the recruitment methods and second to examine [...] Read more.
Background: Little is known about how physical activity participation changes throughout the first year postpartum. This may be due to the difficulty in recruiting this population. The aims of this study were first to describe the recruitment methods and second to examine physical activity in the first year postpartum. Methods: Black and White women who gave birth to a singleton infant at ≥37 weeks gestation were recruited by a variety of strategies. At 6–8 weeks (baseline) and 4, 6, 9, and 12 months postpartum, women were instructed to wear an accelerometer for 7 days. Results: Active recruitment with interactions between staff and potential participants was more successful than non-active strategies for enrolling women. Throughout the first year postpartum, physical activity counts and light and moderate-to-vigorous physical activity increased from baseline (165.2 and 21.5 min, respectively) to 12 months (185.0 and 27.6 min, respectively). Sedentary time decreased from 775.3 min at baseline to 749.4 min per day at 12 months. In this sample, Black participants had lower physical activity (counts per minute per day) and greater sedentary time than White participants. Conclusions: Active strategies were more successful in recruiting women into the study. Of those who enrolled, physical activity levels increased over time. Identifying barriers to physical activity that may change over the postpartum period will help develop more targeted interventions to increase physical activity. Full article
(This article belongs to the Special Issue Focus on Maternal, Pregnancy and Child Health)
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12 pages, 267 KiB  
Article
Perceived Cardiovascular Disease Risk Following Preeclampsia: A Cross-Sectional Study
by Nahed Ahmed Hussien, Nazia Shuaib, Zeinab Ali Baraia, Adel Omar Laradhi, Wenna Wang and Zhenxiang Zhang
Healthcare 2023, 11(16), 2356; https://doi.org/10.3390/healthcare11162356 - 21 Aug 2023
Cited by 1 | Viewed by 829
Abstract
Preeclampsia has been linked to an increased risk of cardiovascular disease (CVD), and the preeclamptic women were unaware of this link. Therefore, this study aims to assess women’s knowledge and perception of future CVD after preeclampsia. This study used a cross-sectional descriptive design. [...] Read more.
Preeclampsia has been linked to an increased risk of cardiovascular disease (CVD), and the preeclamptic women were unaware of this link. Therefore, this study aims to assess women’s knowledge and perception of future CVD after preeclampsia. This study used a cross-sectional descriptive design. Two hundred and forty-six women with a preeclampsia history were recruited from the Al Salam MCH Center and Suez Canal University Hospital. Data were collected during March 2022 using a socio-demographic questionnaire, an Adapted Coronary Heart disease knowledge tool for preeclamptic women, and The Perception of Risk of Heart Disease Scale (PRHDS). Most women (96%) were unaware of the relationship between CVD and preeclampsia. The women had a low CVD knowledge level (10.26 ± 6.08) as well as a low perception of cardiovascular disease risk (37.15 ± 7.22). There was a significant positive correlation between CVD knowledge and CVD risk perception (r = 0.434, p = 0.000). This study found that preeclampsia survivors underestimated their CVD risk. Based on these findings, preeclamptic women should receive health education sessions on CVD risk and prevention from their nurses and obstetricians. The hospital pre-discharge plan must contain these sessions in written and electronic formats to help women remember and follow CVD risk reduction measures. Full article
(This article belongs to the Special Issue Focus on Maternal, Pregnancy and Child Health)
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