Enduring effects of prenatal and infancy home visiting by nurses on maternal life course and government spending: follow-up of a randomized trial among children at age 12 years.
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Effect of interpregnancy interval on outcomes of pregnancy after miscarriage: retrospective analysis of hospital episode statistics in Scotland.
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Anaemia in pregnancy: associations with parity, abortions and child spacing in primary healthcare clinic attendees in Trinidad and Tobago.
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OBJECTIVE: To determine the prevalence of anaemia in antenatal clinic attendees; to investigate the effects of parity, age, gravidity, previous abortions, child spacing and other factors on the prevalence of anaemia in pregnancy. METHODS: This was a retrospective and cross-sectional study. Antenatal records of 2287 pregnant women attending 40 public healthcare centres from January 2000 to December 2005 in Trinidad and Tobago were used. Data pertaining to the investigated variables were recorded. The national prevalence of anaemia was calculated and chi-square tests, odds ratios and logistic regression were used to assess the relationship between anaemia and each variable. RESULTS: The prevalence of anaemia was 15.3% (95% CI 13.4%, 16.6%). No significant difference in the prevalence of anaemia was found among the different clinics or counties. At the first haemoglobin reading, age was inversely related to the presence of anaemia, whereas gestational age at first visit was directly related. At the final haemoglobin reading, parity, gravidity, and previous spontaneous abortions were directly related to the prevalence of anaemia, while the number of visits was inversely related. Age was inversely associated to the severity of anaemia while gravidity was directly related. CONCLUSION: The prevalence of anaemia decreased by 18.7% from 1967. Despite this positive indication, women under 24 years and those commencing antenatal care after the first trimester are still at a higher risk for developing anaemia. Early commencement of antenatal care and close monitoring of the risk groups identified should be strongly advocated. (+info)
Closely spaced pregnancies are associated with increased odds of autism in California sibling births.
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Nursing does affect the duration of the post-partum to ovulation interval in cotton-top tamarins (Saguinus oedipus).
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Reports on callitrichid monkeys have not revealed a significant effect of nursing on interbirth intervals or on post-partum to ovulation intervals. We examined 25 post-partum intervals in cotton-top tamarin females to determine whether nursing infants would affect the length of the post-partum to ovulation interval. Urinary LH/CG and oestrone conjugates were measured in urine samples collected in the 6 weeks after birth. The post-partum to ovulation interval is the number of days between parturition and the rise of urinary LH and oestrone conjugates associated with ovulation. There was an 84% conception rate post partum. Neither mother's parity nor sex of the infants influenced the length of the post-partum to ovulation interval. The post-partum to ovulation interval for females nursing 2 infants was twice as long as for those not nursing or nursing 1 infant (P less than 0.05). The range of post-partum to ovulation interval lengths was more variable in nursing than in non-nursing females (P less than 0.01). Females spent less than 50% of observed time in contact and less than 20% of observed time nursing their infants. Neither the number of tamarins within the family nor the amount of time the mother was in contact with infants correlated with the length of the post-partum to ovulation interval. However, there was a positive correlation between the percentage time that mothers nursed 1 infant at a time and the length of the post-partum to ovulation interval (r = 0.75, P less than 0.02). The underlying mechanisms of suckling-induced delay of ovulation are present in the cotton-top tamarin as in other primate species. However, these nursing effects do not cause the substantial delay in fertility post partum that is associated with non-callitrichid primates. (+info)