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Subject = Maternal Health;
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Displaying Results 1 - 19 of 19 on page 1 of 1
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A quality improvement approach to reducing the caesarean section surgical site infection rate in a regional hospital
(2016)
O’ Hanlon, M; McKenna, C; Carton, E; Diviney, D; Costello, MR; O’Sullivan, L; Fitzsimon...
A quality improvement approach to reducing the caesarean section surgical site infection rate in a regional hospital
(2016)
O’ Hanlon, M; McKenna, C; Carton, E; Diviney, D; Costello, MR; O’Sullivan, L; Fitzsimons, J; Toland, L; Dornikova, G; Curran, R; McCann, C; Crinion, L; Doherty, T; Crowley, C; O’Coigligh, S
Abstract:
Surgical site infection (SSI) rates are used extensively by hospitals as a basis for quality improvement. A 30 day post-discharge SSI programme for caesarean section operations has been implemented in Our Lady of Lourdes Hospital since 2011. It has been shown that skin antisepsis and antibiotic prophylaxis are key factors in the prevention of SSI. Using quality improvement methodology, an infection prevention bundle was introduced to address these two factors. Skin antisepsis was changed from povidone-iodine to chlorhexidine-alcohol. Compliance with choice of antibiotic prophylaxis increased from 89.6% in 2014 to 98.5% in 2015. Compliance with timing also improved. The SSI rate of 7.5% was the lowest recorded to date, with the majority of SSIs (64%) diagnosed after hospital discharge. The level of variation was also reduced, however the continued presence of variation and possibility of lower infection rates from the literature imply that further improvements are required.
http://hdl.handle.net/10147/620625
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Access to maternal healthcare in post-conflict South Sudan. Is the health system designed for the context?
(2015)
Elmusharaf, Khalifa
Access to maternal healthcare in post-conflict South Sudan. Is the health system designed for the context?
(2015)
Elmusharaf, Khalifa
Abstract:
Background: The importance of understanding the cultural, social, economic, political and historical contexts when working in post conflict fragile states is well documented. Many health and development projects in post conflict South Sudan are significantly hampered by (i) the mismatch between the views of service providers and those of the community, and (ii) because of the misunderstanding of the context. It is not clear in the literature if the health systems in post conflict situations are designed for or adapted to the context, and if they are, to what extent has understanding of the context and demand side barriers been useful in planning for accessible maternal health care services that can reduce the maternal mortality in such settings. Aim: The aim of this research is to gain an in depth understanding of the determinants of, and delays to access to, the maternal health services in a post conflict setting in South Sudan, and to investigate the extent to which health system ...
http://hdl.handle.net/10379/4957
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Behavioral consequences at 5 y of neonatal iron deficiency in a low-risk maternal-infant cohort.
(2021)
McCarthy, Elaine K.; Murray, Deirdre M.; Hourihane, Jonathan O'B.; Kenny, Louise C...
Behavioral consequences at 5 y of neonatal iron deficiency in a low-risk maternal-infant cohort.
(2021)
McCarthy, Elaine K.; Murray, Deirdre M.; Hourihane, Jonathan O'B.; Kenny, Louise C.; Irvine, Alan D.; Kiely, Mairead E.
Abstract:
Background: Iron is critical to the developing brain, but fetal iron accretion is compromised by several maternal and pregnancy-related factors. Little consideration has been given to the long-term neurologic consequences of neonatal iron deficiency, especially in generally healthy, low-risk populations. Objective: We aimed to investigate the association between neonatal iron deficiency and neurologic development at 2 and 5 y of age. Design: We measured umbilical cord serum ferritin concentrations in the prospective maternal–infant Cork BASELINE (Babies after SCOPE: Evaluating the Longitudinal Impact Using Neurological and Nutritional Endpoints) Birth Cohort. Lifestyle and clinical data were collected from 15 weeks of gestation to 5 y of age. Standardized neurologic assessments were performed at 2 y [Bayley Scales of Infant Development/Child Behavior Checklist (CBCL)] and 5 y (Kaufman Brief Intelligence Test/CBCL). Results: Among 697 maternal–infant pairs, median (IQR) cord ferritin...
http://hdl.handle.net/10468/11054
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Enablers and barriers to physical activity in overweight and obese pregnant women: an analysis informed by the theoretical domains framework and COM-B model
(2018)
Flannery, Caragh; McHugh, Sheena M.; Anaba, Ann Ebere; Clifford, Emma L.; O'Riorda...
Enablers and barriers to physical activity in overweight and obese pregnant women: an analysis informed by the theoretical domains framework and COM-B model
(2018)
Flannery, Caragh; McHugh, Sheena M.; Anaba, Ann Ebere; Clifford, Emma L.; O'Riordan, Mairead N.; Kenny, Louise C.; McAuliffe, F. M.; Kearney, Patricia M.; Byrne, M.
Abstract:
Background: Obesity during pregnancy is associated with increased risk of gestational diabetes mellitus (GDM) and other complications. Physical activity is a modifiable lifestyle factor that may help to prevent these complications but many women reduce their physical activity levels during pregnancy. Interventions targeting physical activity in pregnancy are on-going but few identify the underlying behaviour change mechanisms by which the intervention is expected to work. To enhance intervention effectiveness, recent tools in behavioural science such as the Theoretical Domains Framework (TDF) and COM-B model (capability, opportunity, motivation and behaviour) have been employed to understand behaviours for intervention development. Using these behaviour change methods, this study aimed to identify the enablers and barriers to physical activity in overweight and obese pregnant women. Methods: Semi-structured interviews were conducted with a purposive sample of overweight and obese wo...
http://hdl.handle.net/10468/6841
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Enablers and barriers to physical activity in overweight and obese pregnant women: an analysis informed by the theoretical domains framework and com-b model
(2018)
Flannery, C.; McHugh, S.; Anaba, A. E.; Clifford, E.; O’Riordan, M.; Kenny, L. C.; McAu...
Enablers and barriers to physical activity in overweight and obese pregnant women: an analysis informed by the theoretical domains framework and com-b model
(2018)
Flannery, C.; McHugh, S.; Anaba, A. E.; Clifford, E.; O’Riordan, M.; Kenny, L. C.; McAuliffe, F. M.; Kearney, P. M.; Byrne, M.
Abstract:
Background: Obesity during pregnancy is associated with increased risk of gestational diabetes mellitus (GDM) and other complications. Physical activity is a modifiable lifestyle factor that may help to prevent these complications but many women reduce their physical activity levels during pregnancy. Interventions targeting physical activity in pregnancy are on-going but few identify the underlying behaviour change mechanisms by which the intervention is expected to work. To enhance intervention effectiveness, recent tools in behavioural science such as the Theoretical Domains Framework (TDF) and COM-B model (capability, opportunity, motivation and behaviour) have been employed to understand behaviours for intervention development. Using these behaviour change methods, this study aimed to identify the enablers and barriers to physical activity in overweight and obese pregnant women. Methods: Semi-structured interviews were conducted with a purposive sample of overweight and obese wo...
http://hdl.handle.net/10379/11504
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Intersectoral debate strengthens alliances, advocacy and action for maternal survival in Zambia.
(2012)
O'Donovan, Diarmuid
Intersectoral debate strengthens alliances, advocacy and action for maternal survival in Zambia.
(2012)
O'Donovan, Diarmuid
Abstract:
The Health Promotion Research Centre of the National University of Ireland, Galway and the University of Zambia's School of Medicine conducted operational research to understand and address the socio-cultural and gender contexts of maternal survival. Together with an analytical policy and programming review and qualitative research, the project process also involved the convening of ¿Interest Group¿ meetings involving intersectoral stakeholders at Central (Lusaka) and Provincial (Kasama) levels. These meetings aimed to catalyse debate and stimulate advocacy on the project theme by using discussion of qualitative research as entry point. Participants came from government departments, civil society groups, the indigenous health system, academia, technical provider associations, and media, advocacy and human rights organisations.
http://hdl.handle.net/10379/2869
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Irish Maternity Indicator System IMIS National Report 2015 HSE
(2016)
HSE Clinical Programme in Obstetrics and Gynaecology
Irish Maternity Indicator System IMIS National Report 2015 HSE
(2016)
HSE Clinical Programme in Obstetrics and Gynaecology
Abstract:
This second annual report of the Irish Maternity Indicator System (IMIS) provides national results for 30 metrics from all public maternity units and hospitals for January – December 2015.1 The data from 2014 are also provided for comparison and reflect the latest available data for that year.2 [See Appendix 2 for the IMIS data collection form; the data and methods of analysis are described in Appendix 5.] Senior Managers in hospitals are now using IMIS on a monthly basis to monitor and manage their hospital activities. In the past year, staff at the maternity hospitals have been taking measures to improve the quality of their data and their data collection and reporting processes. Further, based on the improved data, measures have also been taken at maternity units to improve the quality of care delivered. During the year, HSE Acute Hospitals Division decided to use the IMIS data to populate the Maternity Patient Safety Statement, which was recommended in the report of the Chief Me...
http://hdl.handle.net/10147/620161
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Maternal Early Warning Scores (MEWS)
(2018)
Nair, Shrijit; Dockrell, Lucy; Mac Colgain, Siaghal
Maternal Early Warning Scores (MEWS)
(2018)
Nair, Shrijit; Dockrell, Lucy; Mac Colgain, Siaghal
Abstract:
According to Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries in the UK (MBRRACE-UK) report 2016, maternal mortality rate is 8.5 per 100,000 maternities. More than 50% of maternal deaths are potentially preventable.Nine pregnant women develop severe maternal morbidity for every maternal death. Evolving morbidity can be difficult to recognise in the obstetric population because of the normal changes in peripartum physiology. Delays in recognition of patient deterioration and initiation of treatment lead to worse outcomes.2 Early Warning Systems (EWS) have been used since 1999 in the general patient population to identify clinical deterioration. The Maternal Early Warning System (MEWS) has been advocated with the aim to reduce maternal morbidity and mortality, and improve clinical outcomes. The MEWS tracks physiological parameters and evolving morbidity and once a predetermined threshold has been reached, it triggers evaluation by a healthcare professional.
http://hdl.handle.net/10147/623145
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Maternal Health and Maternal Morbidity in Ireland (MAMMI Study)
(2012)
Maternal Health and Maternal Morbidity in Ireland (MAMMI Study)
(2012)
http://hdl.handle.net/10147/208753
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What maternal health-related research matters to women in the first year postpartum?
(2019)
Daly, Deirdre
What maternal health-related research matters to women in the first year postpartum?
(2019)
Daly, Deirdre
Abstract:
?Background to the Maternal health And Maternal Morbidity in Ireland (MAMMI) study.
http://hdl.handle.net/2262/89527
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Participatory ethnographic evaluation and research: reflections on the research approach used to understand the complexity of maternal health issues in South Sudan
(2016)
Elmusharaf, Khalifa; Byrne, Elaine; Manandhar, Mary; Hemmings, Joanne; O'Donovan, ...
Participatory ethnographic evaluation and research: reflections on the research approach used to understand the complexity of maternal health issues in South Sudan
(2016)
Elmusharaf, Khalifa; Byrne, Elaine; Manandhar, Mary; Hemmings, Joanne; O'Donovan, Diarmuid
Abstract:
Many methodological approaches have been used to understand cultural dimensions to maternal health issues. Although a well-designed quantitative survey with a representative sample can provide essential information on trends in behavior, it does not necessarily establish a contextualized understanding of the complexity in which different behaviors occur. This article addresses how contextualized data can be collected in a short time and under conditions in which participants in conflict-affected zones might not have established, or time to establish, trust with the researchers. The solution, the Participatory Ethnographic Evaluation and Research (PEER) approach, is illustrated through a study whereby South Sudanese marginalized women were trained to design research instruments, and collect and analyze qualitative data. PEER overcomes the problem that many ethnographic or participatory approaches face—the extensive time and resources required to develop trusting relationships with th...
http://hdl.handle.net/10344/5319
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Perinatal social support: panacea or a pitfall
(2018)
Newham, James; Alderdice, Fiona A.; Leahy-Warren, Patricia
Perinatal social support: panacea or a pitfall
(2018)
Newham, James; Alderdice, Fiona A.; Leahy-Warren, Patricia
http://hdl.handle.net/10468/6418
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Reproductive justice in Ireland: a feminist analysis of the Neary and Halappanavar cases
(2016)
McCarthy, Joan
Reproductive justice in Ireland: a feminist analysis of the Neary and Halappanavar cases
(2016)
McCarthy, Joan
http://hdl.handle.net/10468/6260
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Social and traditional practices and their implications for family planning: a participatory ethnographic study in Renk, South Sudan
(2017)
Elmusharaf, Khalifa; Bryne, Elaine; O'Donovan, Diarmuid
Social and traditional practices and their implications for family planning: a participatory ethnographic study in Renk, South Sudan
(2017)
Elmusharaf, Khalifa; Bryne, Elaine; O'Donovan, Diarmuid
Abstract:
Background: Understanding what determines family size is crucial for programmes that aim to provide family planning services during and after conflicts. Recent research found that development agents in post conflict settings do not necessarily take time to understand the context adequately, translate their context understanding into programming, or adjust programming in the light of changes. South Sudan, a country that has been suffering from war for almost 50 years, has one of the highest maternal death rates and the lowest contraceptive utilization rates in the world. Methods: This research used Participatory Ethnographic Evaluation and Research (PEER) to provide a contextualised understanding of social and traditional practices and their implications for family planning. Fourteen women were recruited from 14 villages in Renk County in South Sudan in the period 2010–2012. They were trained to design research instruments, conduct interviews, collect narratives and stories and analy...
http://hdl.handle.net/10344/5461
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Social and traditional practices and their implications for family planning: a participatory ethnographic study in Renk, South Sudan.
(2017)
Elmusharaf, Khalifa; Byrne, Elaine; O'Donovan, Diarmuid
Social and traditional practices and their implications for family planning: a participatory ethnographic study in Renk, South Sudan.
(2017)
Elmusharaf, Khalifa; Byrne, Elaine; O'Donovan, Diarmuid
Abstract:
<p>The original article is available at www.biomedcentral.com</p>
<p>BACKGROUND: Understanding what determines family size is crucial for programmes that aim to provide family planning services during and after conflicts. Recent research found that development agents in post conflict settings do not necessarily take time to understand the context adequately, translate their context understanding into programming, or adjust programming in the light of changes. South Sudan, a country that has been suffering from war for almost 50 years, has one of the highest maternal death rates and the lowest contraceptive utilization rates in the world.</p> <p>METHODS: This research used Participatory Ethnographic Evaluation and Research (PEER) to provide a contextualised understanding of social and traditional practices and their implications for family planning. Fourteen women were recruited from 14 villages in Renk County in South Sudan in the period 2010-2012. ...
https://epubs.rcsi.ie/ilhmart/22
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Stop, think, reflect, realise ? first-time mothers? views on taking part in longitudinal maternal health research
(2019)
Daly, Deirdre; Carroll, Margaret
Stop, think, reflect, realise ? first-time mothers? views on taking part in longitudinal maternal health research
(2019)
Daly, Deirdre; Carroll, Margaret
Abstract:
BACKGROUND: Longitudinal cohort studies gather large amounts of data over time, often without direct benefit to participants. A positive experience may encourage retention in the study, and participants may benefit in unanticipated ways. OBJECTIVE: To explore first-time mothers' experiences of taking part in a longitudinal cohort study and completing self-administered surveys during pregnancy and at 3, 6, 9 and 12 months' postpartum. DESIGN: Content analysis of comments written by participants in the Maternal health And Maternal Morbidity in Ireland study's five self-completion surveys, a multisite cohort study exploring women's health and health problems during and after pregnancy. This paper focuses on what women wrote about taking part in the research. Ethical approval was granted by the site hospitals and university. SETTING AND PARTICIPANTS: A total of 2174 women were recruited from two maternity hospitals in Ireland between 2012 and 2015. FINDINGS: A total ...
http://hdl.handle.net/2262/89759
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Stop, think, reflect, realise first-time mothers' experiences of taking part in longitudinal maternal health research
(2019)
Daly, Deirdre
Stop, think, reflect, realise first-time mothers' experiences of taking part in longitudinal maternal health research
(2019)
Daly, Deirdre
Abstract:
Background: Longitudinal cohort studies gather large amounts of data over time, often without direct benefit to participants. A positive experience may encourage retention in the study, and participants may benefit in unanticipated ways. Objective: To explore first?time mothers? experiences of taking part in a longitudinal cohort study and completing self?administered surveys during pregnancy and at 3, 6, 9 and 12 months? postpartum. Design: Content analysis of comments written by participants in the Maternal health And Maternal Morbidity in Ireland study's five self?completion surveys, a multisite cohort study exploring women's health and health problems during and after pregnancy. This paper focuses on what women wrote about taking part in the research. Ethical approval was granted by the site hospitals and university. Setting and participants: A total of 2174 women were recruited from two maternity hospitals in Ireland between 2012 and 2015. Findings: A total of 1000 co...
http://hdl.handle.net/2262/89829
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The Irish Maternity Early Warning System (IMEWS).
(2014)
Maguire, P J; O'Higgins, A; Power, K; Turner, M J
The Irish Maternity Early Warning System (IMEWS).
(2014)
Maguire, P J; O'Higgins, A; Power, K; Turner, M J
Abstract:
In the acute hospital setting, the use of early warning scores (EWS) to monitor vital signs (including heart rate, respiratory rate [RR], blood pressure and temperature) has been shown to be beneficial in the early diagnosis and prompt initiation of treatment in adults with a critical illness 1 . This led to the development of the National Early Warning Score (NEWS) in Ireland by the Health Services Executiveâ s (HSE) Acute Medicine Clinical Care Programme. The NEWS was the first guideline endorsed by the National Clinical Effectiveness Committee (NCEC) and was launched by the Minister of Health Dr James Reilly in 2013. The implementation of NEWS is now mandatory in all acute hospitals. However, NEWS is not suitable for use in pregnancy because a womanâ s vital signs change physiologically from early in pregnancy. National reports in Ireland and the United Kingdom (UK) on maternal mortality have led to recommendations that a modified obstetric EWS be introduced 2,3 . In Ireland, t...
http://hdl.handle.net/10147/559050
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The neonatal period: a missed opportunity for the prevention of iron deficiency and its associated neurological consequences?
(2019)
McCarthy, Elaine K.; Kiely, Mairead E.
The neonatal period: a missed opportunity for the prevention of iron deficiency and its associated neurological consequences?
(2019)
McCarthy, Elaine K.; Kiely, Mairead E.
Abstract:
Iron deficiency is the most common micronutrient deficiency worldwide. Iron is essential for the development of multiple organ systems, most especially the developing brain. Iron deficiency, particularly during sensitive periods of brain development, such as in early childhood, is associated with long‐lasting adverse consequences for cognition, motor function and behaviour. Little consideration has been given to iron deficiency in newborn infants and its potential health consequences. Fetal iron accretion is compromised by pregnancy complications such as pre‐term birth and gestational diabetes mellitus, and our work has identified an increased risk of low iron stores at birth from maternal lifestyle factors such as smoking and obesity. Early‐life events, including Caesarean section delivery, further add to the cumulative risk of neonatal iron deficiency, which can persist throughout infancy into early childhood. While investigations into the long‐term neurological consequences of ne...
http://hdl.handle.net/10468/8943
Displaying Results 1 - 19 of 19 on page 1 of 1
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