Showing posts with label improve. Show all posts
Showing posts with label improve. Show all posts

Friday, May 11, 2012

Pregnancy Rates And Cost Per Pregnancy Improve Linked To Weight Loss Intervention

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Main Category: Pregnancy / Obstetrics
Also Included In: Obesity / Weight Loss / Fitness
Article Date: 09 May 2012 - 11:00 PDT

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At the 19th European Congress on Obesity in Lyon, France, the annual meeting of the European Association for the Study of Obesity, Dr Kyra Sim from The Boden Institute of Obesity, Nutrition, Exercise and Eating Disorders at the University of Sydney in Australia presented a new study, which shows that weight loss intervention in obese women who undergo fertility treatment substantially improves their chance of pregnancy and other health indicators, whilst also saving substantial costs per achieved pregnancy.

The study is the first to evaluate the economic value of the impact of women's weight loss strategies on fertility treatment. The randomized controlled trial involved 49 women aged 37 years or younger, with an average BMI of = 30 kg/m2, who were in an assisted reproductive technology program.

The researchers randomized 27 women to a 12-week intervention, consisting of a very-low-energy diet for the first six weeks, after which the women went on a low-energy diet combined with a weekly group multidisciplinary program. The other 22 women in the control group received recommendations for weight loss and the same printed material. The researchers measured multiple parameters at baseline and at 12 weeks. Follow up was at 12 months to confirm whether a pregnancy had occurred.

The findings demonstrated the women in the intervention group registered an average weight loss of 6.6 kg, with a 9 cm waistline reduction compared with those in the control group who lost 1.8 kg on average with a 1 cm reduction in waist circumference. The results also showed that pregnancy rates were significantly improved amongst those in the intervention group with 48% compared to 14% in the control group.

The number of assisted reproductive cycles needed to become pregnant was also less amongst the intervention group, together with a decline in maternal and fetal risk factors. The researchers also noted that the intervention group showed metabolic, hormonal and psychological improvements. The intervention saved US$9360 (AU$9,035 - EUR€6,900 - GBP5865) per pregnancy.

Dr Sim states that the study highlights the significance of implementing a program of preconception weight management together with providing specific information about the maternal and fetal risks of obesity in pregnancy, and concludes:

"A weight-loss intervention, incorporating dietary, exercise and behavioral components, is associated with significantly better pregnancy and economic outcomes in a group of obese women undergoing assisted reproductive technology."

Written By Petra Rattue
Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today

Visit our pregnancy / obstetrics section for the latest news on this subject. Please use one of the following formats to cite this article in your essay, paper or report:

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11 May. 2012. APA

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Saturday, May 5, 2012

In rural areas of Nigeria, work of the midwives to improve essential obstetric care

Main category: nursing and midwifery
Also included in: pregnancy and obstetrics
Article Date: 03 may 2012-0: 00 PDT

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Plan to support newly graduates, unemployed and retired midwives to work in rural areas of Nigeria and provide care essential obstetrical contributed to improve kindergarten, infant and child health and could potentially serve as a model for other countries with low incomes. This includes helping them to redistribute health workforce in low income countries to reduce inequalities in health between urban and rural areas.

A health section of Action in PLoS Medicine this week, a group of researchers Nigerians from the development agency National Primary health care in Abuja and the Federal Ministry of health, describe the regime of midwifery services in which the midwives are displayed for a year for some primary health care of the installations in hard to reach areas or populations not well served with the capability to provide basic essential obstetric care related to a secondary health care facility that is capable of providing emergency obstetric care full.

The authors state: "[midwifery services plan] strategy of the Government of Nigeria recognizes that strategically redistribution and improvement of all of the skills of the existing frameworks of the health workers are feasible on a large scale."

After a year of regime, there was improved unevenly in maternal, newborn and child indices of health in six geo-political zones of Nigeria and the major challenges to continue the regime, such as retention, availability and training of midwives and different levels of commitment of the State and of Governments of Nigeria - they are expected to overcome these challenges and develop the economy.

The authors state: "the initiative potentially is model for other developing countries within and outside sub-Saharan Africa who might need to redistribute their health personnel to reduce inequalities that exist between geographical areas and between urban and rural areas."

Article adapted by Medical News Today news release original. Click on "References" tab over the source.
Visit our nurse / midwife section for the latest news on this subject. Does funding: no specific funding has been received for the writing of the manuscript.
Interests: The authors stated that there are competing interests be.
Citation: Abimbola S, U Okoli, Olubajo O, Abdullahi MJ, Pate MA (2012), the Service of midwives scheme in Nigeria. PLoS Med 9 (5): e1001211. DOI: 10. 1371 / journal.PMED.1001211
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May 5. 2012 APA

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"In rural areas of Nigeria, work of midwives to improve essential obstetric care.

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View the original article here