BACKGROUND Genetic disorders due to kindred marriages are common medical conditions in Iran; however, the legal aspects of abortion remain controversial. This study was undertaken to determine physicians' opinions regarding the termination of pregnancy for three genetic diseases: thalassemia major, hemophilia, and Down's syndrome. METHODS A questionnaire was administered to selected physician...

BACKGROUND While spirituality is well described in end-of-life care literature, research on its place in the delivery room remains largely limited to mother-oriented qualitative studies focusing on life-threatening situations (e.g., high-risk pregnancies). Our aim was to compare mothers' and fathers' spirituality during childbirth. METHODS A mixed methods questionnaire was developed from our ...

Smoking during pregnancy is highly prevalent in populations of white, low socioeconomic status women who are more addicted to nicotine than most other groups within their social class. Qualitative and quantitative assessments conducted by this research team suggested that eVective pregnancy smoking interventions should be oVered in the context of high risk counselling that also addressed source...

BACKGROUND Considering the fact that a significant proportion of high-risk pregnancies are currently referred to tertiary level hospitals; and that a large proportion of low obstetric risk women still seek care in these hospitals, it is important to explore the factors that influence the childbirth experience in these hospitals, particularly, the concept of humanized birth care.The aim of this ...

Antenatal, intrapartum and postpartum complications are thought to be more in grand multiparous females and this is labeled among one of high risk pregnancy group. Our aim is to find maternal and perinatal complications and outcome in grand multiparas in a tertiary care centre and should this still be considered a high risk group or not. This hospital based descriptive type of observational stu...

Studies of cervical sonography, fetal fibronectin, and uterine contraction monitoring during pregnancy have improved our understanding of how preterm labor occurs, but their use in practice remains uncertain. This article reviews the use of these tests to improve the accuracy of diagnosis of preterm labor and to estimate the likelihood of preterm birth in women with historical risk factors. Bec...

Patients with high risk pregnancies can benefit from case management and additional care. In order to provide patients with those services, they may be enrolled in case management programs. Machine learning and natural language processing (NLP) methods can be leveraged to automatically detect patients for referral to such programs. We describe initial experiments in predicting high risk pregnan...

Diabetes mellitus complicates 3–5% of all pregnancies and is a major cause of perinatal morbidity and mortality, as well as maternal morbidity. The availability of a variety of new insulins, the insulin pump, and self-monitoring of blood glucose have revolutionized the care of the pregnancy complicated by diabetes mellitus. However, challenges remain in caring for the pregnant patient with preg...

A decade after the first International Conference on Safe Motherhood, maternal mortality remains very high in most West African countries, even in capital cities. The detection of high risk pregnancies, known as the risk approach, during antenatal consultations has been the basis of most maternal and child health programmes over the last decade. The effectiveness of antenatal care as a tool to ...

BACKGROUND The future development of children is considered more than ever now due to the advances in medical knowledge and thus the increase in survival rates of high-risk infants. This study investigated the correlation between high-risk pregnancy and developmental delay in children aged 4-60 months. METHODS This descriptive study was conducted on 401 mothers and their children (4-60 months...