Governments could substantially reduce the tragic death toll of infants and mothers by making postnatal care services more accessible — especially to impoverished and poorly educated women in rural areas, according to a WHO study. Postnatal care for mothers and babies includes, for example, keeping them in the facility for 24 hours before discharge or visiting them as soon as possible after a home delivery; repeated assessments of mother and newborn babies allows to identify problems early and manage them promptly. Data from 15 low and middle-income countries and territories found that many mothers are not using postnatal services because they are not easily accessible, too expensive, or because mothers do not know when they and their babies need them.
A history of depression may put women at risk for developing diabetes during pregnancy, according to research. This study also pointed to how common depression is during pregnancy and the need for screening and education.
Babies receiving poor nutrition in the womb tend to be smaller at birth, which has been linked to the development of obesity and other health problems later in life. Researchers continue to discover other consequences related to undernutrition during pregnancy. A new study examines how poor fetal nutrition affects protein expression in the fat tissue of adult rats, revealing key differences between males and females.
Researchers find that having sleep apnea while pregnant could make the baby prone to metabolic disease as an adult.
The medication glyburide, which has been increasingly used to treat gestational diabetes in pregnant women, was associated with higher risk for newborns to be admitted to a neonatal intensive care unit, have respiratory distress, hypoglycemia (low blood glucose), birth injury and be large for gestational age compared with infants born to women treated with insulin, according to a new article.
Maternal diet during pregnancy and lactation may prime offspring for weight gain and obesity later in life, according to researchers who looked at rats whose mothers consumed a high-fat diet and found that the offspring’s feeding controls and feelings of fullness did not function normally.
Many urban and suburban areas have high levels of ground-level ozone, an air pollutant that can adversely affect lung and heart health. New research in mice suggests breathing high levels of ozone could also affect women’s ability to conceive.
Meta-analysis shows that compared with insulin glyburide was associated with higher neonatal birth weight , increased incidence of neonatal hypoglycemia , increased incidence of macrosomia .
Jiang YF, et. al., Comparative efficacy and safety of oral antidiabetic drugs in management of gestational diabetes: network meta-analysis of randomized controlled trials.
J Clin Endocrinol Metab. 2015 Mar 24:jc20144403. [Epub ahead of print] PMID: 25803270
A study evaluated the relationship between nutritional conditions in early life and adult health, and found that famine exposure during the first pregnancy trimester was associated with increases in mortality from causes other than cancer or cardiovascular disease. This is the first study to quantify the possible long-term effects of nutrition deprivation at different stages of pregnancy and long-term mortality.
The first fully implantable micropacemaker designed for use in a fetus with complete heart block has been designed by researchers. The investigators anticipate the first human use of the device in the near future.