Group 3 and 4 MCN Updates
Group 3 and 4 MCN Updates
Group 3 and 4 MCN Updates
YEAR NURSING DLSMHSI 2ND YEAR NURSING The Effect of COVID-19 Pandemic
and Social Restrictions on
Mandated Contraption and Depression Rates and Maternal
1 4
Group 3
Surgical Sterilization Attachment in Intermediate
Postpartum Women: A Preliminary
Today's 2 NeoBeat
Today's Study
Agenda Agenda
Maternal and Child Confirming Vertical Fetal Infection
Nursing Updates with COVID-19: Neonatal and
DAISI to Reduce Risk of Maternal Pathology Criteria for Early Onset
3 5 and Transplacental Transmission of
Sepsis
SARS-CoV-2 from Infected
Pregnant Mothers
DLSMHSI 2ND YEAR NURSING Mandated Contraption Sterilization is a permanent method of contraception and is the most
Hemafuse: A Pump to Recycle and Surgical common form of family planning among couples in the United States as
6 Sterilization well as around the world
Blood
Baybay, Stephanie B.
15 women
Questions stemmed from whether the user could recall and follow the advice.
15 midwives
Questions also stemmed the same from women’s interviews and whether the
midwives believed the advice in the digital animation
The Effect of COVID-19 Pandemic and Social The Effect of COVID-19 Pandemic and Social
After viewing DAISI, all women could accurately recall the key messages and they all
Co, Dana Kristina M. Co, Dana Kristina M.
believed it was acceptable for women from different sociocultural backgrounds.
This study aimed to evaluate the postpartum depression rate and maternal-
infant bonding status among postpartum women whose third trimester occurred
They were positive about DAISI believing that it was acceptable and should be used with during the mandatory lockdowns. After 48 hours 223 low-risk pregnant women
postnatal women. Evaluate the factors that affect the psychological status of pregnant
gave birth, they were given the Edinburgh Postpartum Depression Scale (EPDS)
and postpartum women which will guide the healthcare system into
Three themes emerged (simplicity and motivation, cultural acceptability and time and and Maternal Attachment Inventory (MAI) surveys. The median EPDS score for
improving maternal and child implementation during this COVID-19
capability) which identified potential barriers and facilitators to women having the the sample was 7 while 33 women or 14.7% of the women were determined to be
pandemic.
capability, opportunity or motivation to follow the advice in the animation. at risk for postpartum depression. The median EPDS of depressed women was 15.
e
The median MAI score of the 223 women was 100 while the median MAI scores Purpos
for depressive women were lower, at 73 for one group and 101 for the other group. Abstrac
The data was compared at a significance level of p< 0.001. t
CORONAVIRUS IN
TURKEY
Materials & Methods
EDINBURGH
POSTPARTUM MATERNAL
Co, Dana Kristina M. Increased post-traumatic DEPRESSION SCALE ATTACHMENT
Researchers questioned Study was conducted on 223 (EPDS)
stress symptoms, confusion INVENTORY (MAI)
whether quarantine restrictions women with low risk pregnancy
and anger associated with
would affect the mother’s to evaluate postpartum
First reported case: March 11, 2020 finances, fear of infections,
coping and newborn bonding depression rates and maternal
Government and the Ministry of Health immediately and quarantine duration
infant bonding.
Scale using 10 self reported
took action and set social restrictions Self reported instrument of 26
questions, each rated from 0 to 3.
questions about maternal and child
Implementing online classes and home working bonds scored from 1 (almost never)
Malls and restaurants were closed ScoreS range from 0 to 30 where a
As of June 20 to 4 (almost always).
score of 13 or higher is considered
Traveling and flights were restricted or cancelled 164,769 20
Cases
4,563 De probable risk for postpartum
aths Scores range from 26 to 104 where
depression.
the higher scores show a higher
maternal attachment.
PSYCHOLOGICAL CONSEQUENCES OF QUARANTINE
Preliminary Study
Confirming Vertical Fetal Infection with COVID-19: Confirming Vertical Fetal Infection with COVID-19:
Neonatal and Pathology Criteria for Early Onset and Neonatal and Pathology Criteria for Early Onset and
Transplacental Transmission of SARS-CoV-2 from Transplacental Transmission of SARS-CoV-2 from
Infected Pregnant Mothers Infected Pregnant Mothers Determining
Transplacental
Felipe, Miguel Andre T. Transmission from:
Felipe, Miguel Andre T.
The onset of Neonatal illness
Mechanism of Vertical Transmission
Timing of Neonatal Viral Testing by RT-PCR
SARS-CoV 2 Intrauterine Viral Analysis Of Swabs Or Homogenized Whole Samples Of
COVID 19 Hematogenous Placenta
Wuhan, Hubei Province, China Ascending route Anatomic Localization Of Viral Signal In Placental Tissue
Sections Using In Situ PCR Or Immunohistochemistry
Intrapartum
Postpartum
Blood
background
How does it work? How does it work? According to the Baltimore Business Journal, Hemafuse is being made
available for purchase online and will also be distributed in Ghana & Kenya
where it is approved for sale and expected to help rescue a lot of people.
The Hemafuse does not require any electricity, being
The Hemafuse is a recent example of new health operated mechanically by hand. It can be reused up to 25 According to the company, the device is intended for "Most situations of
technologies for developing countries. Autotransfusion is a Hemothrorax and hemoperitoneum including incidents of blunt trauma and
times thanks to replaceable filters, though the reuse seems
early pregnancy complications and exclusion criteria include threats of
medical procedure that recycles a patient's blood back into to only be approved by Ghana & Kenya. It does have to Malignancy (Cancer) or Sepsis.
their system. This practice can be extremely useful when streilized between use to prevent pathogens jumping
there is no donor or matching blood type in injuries with between patients.
large volumes of blood loss or internal bleedings. Blood Good News?
transfusions are necessary for many medical situation.
Laboratory Bilirubin Standard. The mixture was swirled until the bilirubin was fully dissolved and then diluted
Point-of-Care Device to Diagnose to volume with the 40-g/L BSA solution. This solution was stored short term (1 d or less) at 4 C or long
and Monitor Neonatal Jaundice in term at −20 C and was protected from sources of light at all times. Bilirubin standards were then prepared
Low-Resource settings by diluting the bilirubin stock with standard blank to the desired concentration. The system is designed to be used at the bedside by collecting drops of blood from a heel prick
directly onto the disposable card. To optimize the disposable card, we evaluated its performance
Laboratory Blood Sample Preparation. The samples were then mixed gently for 20–30 s, using a
using 50 µL volume of blood. Additionally, previous work suggests that using smaller volumes of
vortexer on the lowest speed setting. Each strip was then measured in the spectrometer ∼2 min after
blood can lead to drop-to-drop variations in analyte concentration.
spotting. The remaining blood sample was centrifuged again to separate the plasma for measurement
by the laboratory standard bilirubinometer.
Tagasa, Johanna T.
Discussion...
Design of Lateral Flow Cards and Reader. The lateral flow cards are
designed to accept drops of whole blood obtained directly from a heel or
finger prick, separate plasma from whole blood within 1–2 min, and
Using this larger volume of blood helps reduce potential sample variability. However, it is preserve the sample so that bilirubin concentration remains constant over
impractical for users to precisely control the volume of blood applied directly from a heel prick at time. The blood collection pad is a glass fiber plasma separation
the bedside. To allow collection in this way, we designed the cards so that a consistent amount of membrane which traps red blood cells, allowing plasma to flow out along
plasma containing bilirubin is delivered to the target area for measurement, independent of the
input volume.
the nitrocellulose strip. The hemoglobin containing red blood cells must be
separated from the plasma, because hemoglobin has a strong Soret band
absorption peak at 420 nm which overlaps with the bilirubin absorption
The reader detects automatically if a calibration card or sample has been inserted and responds peak at 460 nm.
appropriately. The calibration cards are housed inside the reader. The calibration process requires
only 2–3 min to complete and was performed once per day during the clinical study. The BiliSpec Result
lateral flow cards and reader are designed to facilitate an extremely low per-test cost. Materials for
the lateral flow card were cut using a laser cutter and then assembled by hand and could be
produced and assembled locally in a low-resource setting.
5 HPLC method
REFERENCE: A condition that may occur to women who recently gave birth, because the
Baby Blues Postpartum Depression
birth of a baby may trigger powerful emotions which may result to depression.
Postpartum Depression is also linked to chemical, social, physical, and Mood swings Depressed mood/Severe mood
Malm, M., Madsen, I., & Kjellström, J. (2018). Development and Stability of a Heat‐Stable psychological changes that happen during and after the pregnancy. Anxiety swings
Formulation of Carbetocin for the Prevention of Postpartum Haemorrhage for Use in Low Sadness Excessive crying
and Middle‐income Countries. Retrieved November 16, 2020 from Difficulty bonding with the baby
https://onlinelibrary.wiley.com/doi/full/10.1002/psc.3082 Postpartum Depression May Irritability
Withdrawing from family & friends
Persist Three Years After Giving Feeling Overwhelmed
Loss of Appetite
Birth Crying Inability to sleep or Excessive
Reduced Concentration sleeping
Appetite problems Overwhelming fatigue
Trouble sleeping Reduced interest or pleasure
inactivities
Intense irritability & anger
Indicates what...
Data...
New study suggests that Postpartum Depression
may persist three years after giving birth. National A
Findings suggest that extending screening for postpartum depressive
Institutes of Health studied 5000 women and found symptoms for at least two years after childbirth may be beneficial. Babies born between 2008 and 2010 from
that approximately 1 in 4 women experienced high 57 counties in New York State.
levels of depressive symptoms at some point in Study indicates that six months may not be long enough to gauge
three years after giving birth B The study followed 5,000 women for three
depressive symptoms.
years after their children were born.
New Findings...
Result Result
We're done!
Approximately 1 in 4 women experienced high levels of depressive Participants were primarily white, non-Hispanic women.
symptoms at some point in three years after giving birth.
BUT...
Future studies should include a more diverse, broad
Women with underlying conditions, such as mood disorders and/or
population to provide more inclusive data on
gestational diabetes, were more likely to have higher levels of depressive Thank you for
postpartum depression participating. Have a
symptoms that persisted throughout the study period.
great day ahead.
BSN 2-1
AGUSTIN AGUSTIN, CAIRA ANDRE MARIE S. 1
BALMACEDA
CALDERON
DALUMPINES
What is the
MCN UPDATES SAN PEDRO
Perinatal outcomes in twin pregnancies
complicated by maternal morbidity: evidence
objective of
TAGLE
from the WHO Multi-country Survey on this study?
VALENCIA Maternal and Newborn Health
VERTERA
RESULTS:
Twin deliveries SUMMARY:
37.1% twin deliveries were associated with higher rates of preterm BALMACEDA, CZARINA ANDREE SJ. 2
delivery
APGAR SCORE A twin pregnancy comes with risks, both for the mother
7.8 and 10.1% this is respectively for first and second twins
and the babies. Some moms hope to conceive twins or
even higher-order multiples and will take active steps Clinical Manifestations, Risk Factors, and
LBW (low birth weight)
53.2% for the first and 61.1% for the 2nd twin during fertility treatment to increase their odds. Twin
Maternal and Perinatal Outcomes of
STILL BIRTH pregnancies have a higher rate of miscarriage.
Coronavirus Disease 2019 in Pregnancy:
3.6% for the first and 5.7% for the second twin
Living Systematic Review and Meta-Analysis
AGUSTIN
AGUSTIN
EARLY NEONATAL DEATH
3.5% for the first and 5.2% for the second twin
WHAT DOES THIS UPDATE SAY? WHAT DOES THIS UPDATE SAY?
BALMACEDA
CONTENT SUMMARY: POINTS:
initial health assessment through teleheath /
DALUMPINES, JOYCE ANNE B. 4 online communication
Researchers found high blood pressure complicated testing / screening critical for risk migitation
about 80,000 pregnancies in 2018, nearly twice as many negative pressure delivery room
as in 2007. Women living in rural areas continue to be
minimum personnel
approximately 20% more likely to have high blood
appropriate protective equipment
pressure before pregnancy than women living in urban Coronavirus Disease 2019 in Pregnancy: A possible rooming in and breastfeeding
communities
Clinical Management Protocol and
Considerations for Practice
DALUMPINES
ADDITIONAL DATA:( RESEARCHERS EMPHASIZE THE LIMITATION OF DATAS / INFORMATION)
CALDERON
ACCORDING TO CURRENT DATAS, COVID 19 DOES NOT SUGGEST AN INCREASED RISK OF MISCARRIAGE AND BIRTH
DEFECTS AS WELL LOW POSSIBILITY OF VERTICAL TRANSMISSION AND INTRAUTERINE TRANSMISSION.
THERE IS NO SIGNIFICANT EVIDENCE, WHICH PROVE PREGNANT WOMEN ARE MORE SUSCEPTIBLE
TO COVID INFECTIONS
POINTS:
initial health assessment through teleheath / What does this update say?
online communication SAN PEDRO, MA. ELOISA P. 5
testing / screening critical for risk migitation A worldwide health problem among women in the reproductive
age are Obesity and Diabetes. The narrative study provides
negative pressure delivery room
recent epidemiological studies about the association
minimum personnel maternal obesity and diabetes with the of psychiatric
appropriate protective equipment neurological development ofoffsprings. and
Relationship of prenatal maternal overview ofother plausible mechanisms, Providing
challenges andan
possible rooming in and breastfeeding factors for future study. Evidence from the epidemiological
obesity and diabetes to offspring studies suggests that maternal pre-pregnancy obesity is
neurodevelopmental and psychiatric
SAN PEDRO
associated with increased risks for autism spectrum
DALUMPINES
Results: Results:
AUTISM SPECTRUM DISORDER TAGLE, CRYSTAL DANCE G. 6
- Joined size effect between obesity and diabetes increased risk from ATTENTION DEFICIT HYPERACTIVITY DISORDER
pre-pregnancy and insulin treated PGDM rather than non diabetic - increased risk for ADHD with severely obese mother and insulin-
mothers. treated PGDM.
— increased risk with joint effect of GDM combined with obesity.
Transformative Innovations in
COGNITIVE FUNCTION AND INTELLECTUAL ABILITY
- increased risk for developmental delay and emotional behavior problems
Reproductive, Maternal, Newborn, and
DEPRESSION, ANXIET, PSYCHOSIS AND EATING DISORDER
from maternal pre-pregnancy overweight or obesity — association of maternal pre-pregnancy obesity Child Health over the Next 20
— result of lower offspring IQ, poorer motor, spatial and verbal skills 1. with childhood affective problems such as depression and anxiety
from maternal pre-pregnancy obesity.
YearsCyril M. Engmann ,Sadaf
2. increased risk of schizophrenia in offspring
SAN PEDRO
This study addresses gaps in knowledge by Significantly,those who received MAMA SMS text
exploring the experience of participants of the messages had shown: Vertera, Christian Edwin B. 8
Mobile Alliance for Maternal Action South Africa
(MAMA) project. a higher rate of antenatal care attendance,
an increased likelihood of a vaginal birth,
a reducedlikelihood of emergency cesarean
Maternal and newborn care during
It focuses on mHealth or the use of mobile
technology in promoting maternal and child health delivery, and the COVID-19 pandemic in Kenya:
have attended all recommended postnatal follow-
re-contextualising the community
The MAMA intervention sent maternal health and up care visits up to one year after birth.
infant care information by SMS text message midwifery model
approximately 12,000 pregnant women to and Throughthe MAMA strategy, there is a nearing
mothers in Johannesburg, South Africa. new success in attaining UNMDG Goals 4 and 5.
2
Allotey, J., Stallings, E., Bonet, M., Yap, M., Chatterjee, S., Kew, T., . . . Thangaratinam,
which could lead to an increase in maternal and neonatal
● Looks into the factors hindering mothers from a normal S. (2020). Clinical
mortality and morbidity. manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019
delivery and a healthy child in pregnancy: Living systematic review and meta-analysis. M3320. doi:10.1136/bmj.m3320
3
Rebecca Molsberry, M.P.H.; Jacob B. Pierce, B.A.; Amanda M. Perak, M.D., M.S.; William A.
● Analyzes and explains cautionary measures needed to take contracting COVID-19 may affect how women access health Grobman, M.D., M.B.A.; Norrina B. Allen, Ph.D.; Philip Greenland, M.D.; Donald M. Lloyd-
High blood pressure complications in US pregnancies have nearly doubled. (2020, November 09). Retrieved November 21, 2020,
around the community and or in the hospital facilities. from
https://www.sciencedaily.com/releases/2020/11/201109074122.htm
4
SARS-CoV-2 is a novel coronavirus that requires a López, M., Gonce, A., Meler, E., Plaza, A., Hernández, S., Martinez-Portilla, R. J., Cobo, T.,
● Proposes a strategic response to maternal and newborn care in community-centred response, not just hospital-based García, F., Gómez Roig, M. D., Gratacós, E., Palacio, M., Figueras, F., & on behalf of the
Kenya in the context of COVID-19. COVID Collaborative Group (2020). Coronavirus Disease 2019 in Pregnancy: A Clinical Management
interventions.
Protocol and Considerations for Practice. Fetal diagnosis and therapy, 47(7), 519–528.
https://doi.org/10.1159/000508487
5
Kong, L., Chen, X., Gissler, M., & Lavebratt, C. (2020, June 03). Relationship of prenatal
maternal obesity and diabetes to offspring neurodevelopmental and psychiatric disorders: A
narrative review. Retrieved November 23, 2020, from https://www.nature.com/articles/ s41366-
020-0609-4
EmpowEring CommunitiEs strEngthEning hEalth systEms poliCy aCtion Learning Sharing AdApting
innovations in maternal health programming acknowledgements. (2012). Retrieved from
https://care.org/wp-content/uploads/2020/05/MH-2012-Learning-Sharing-Adopting.pdf
6
Engmann, C. M., Khan, S., Moyer, C. A., Coffey, P. S., & Bhutta, Z. A. (2016). Transformative
Innovations in Reproductive, Maternal, Newborn, and Child Health over the Next 20 Years. PLOS
Medicine, 13(3), e1001969. https://doi.org/10.1371/journal.pmed.1001969
THANK YOU!
WHO EMRO | MDGs | Child health and development. (2015). Retrieved November 12, 2020, from
Who.int website: http://www.emro.who.int/child-health/mdg/
The Cardiology Advisor. (2019, January 20). Telemonitoring - The Cardiology Advisor. Retrieved
November 12, 2020, from The Cardiology Advisor website:
https://www.thecardiologyadvisor.com/home/decision-support-in-
medicine/cardiology/telemonitoring/
Coleman J, Eriksen J, Black V, Thorson A, Hatcher A (2020). The Mobile Alliance for Maternal
7
Action Text Message-Based mHealth Intervention for Maternal Care in South Africa: Qualitative
User Study. Retrieved November 21, 2020, from https://pubmed.ncbi.nlm.nih.gov/
Kimani, R. W., Maina, R., Shumba, C., & Shaibu, S. (2020, October 7). Maternal and newborn care
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during the COVID-19 pandemic in Kenya: re-contextualising the community midwifery model. Human
Resources for Health. https://human- resources-
health.biomedcentral.com/articles/10.1186/s12960-020-00518-3#Sec5