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Young A, Lim MY, Sanders J, Branch DW, Simonsen SE. Pregnancy and childbirth in women with bleeding disorders: A retrospective cohort study. Haemophilia 2023; 29:240-247. [PMID: 36395791 DOI: 10.1111/hae.14688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 10/07/2022] [Accepted: 10/12/2022] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Reproductive-age women with bleeding disorders (BDs) are underdiagnosed and understudied, despite their increased risk for adverse health outcomes and pregnancy complications. AIM This study examines pregnancy outcomes and obstetric complications of Utah women with BDs. METHODS This retrospective cohort study utilized linked birth records and clinical billing data from two large Utah healthcare systems. Utah residents who had their first birth at > 20 weeks gestation (2008-2015) and who received non-emergent care within either system before delivery were included (n = 61 226). Multivariable logistic regression models were used to examine relationships between BDs and neonatal and obstetric outcomes. RESULTS A total of 295 women (.48%) were included in the BD study population. Women with BDs had significantly increased odds of preterm birth (aOR 1.85, 95% CI 1.32-2.60), Caesarean delivery (aOR 1.38, 95% CI 1.06-1.79), postpartum blood transfusion (aOR 2.55, 95% CI 1.05-6.22), unplanned postpartum hysterectomy (aOR 33.96, 95% CI 7.30-157.89) and transfer to an intensive care unit (aOR 18.18, 95% CI 7.17-46.08). All of the women with BDs who experienced these serious complications were not diagnosed with a BD until the year of their first birth. Additionally, those with BDs were more likely to experience maternal and infant mortality. CONCLUSION Women with BDs had an increased risk for preterm birth, Caesarean delivery, blood transfusion, unplanned hysterectomy, intensive care unit admission, maternal and infant mortality. Those who were not diagnosed with a BD before the year of their first birth were at an increased risk for serious pregnancy complications.
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Affiliation(s)
- Ashli Young
- University of Utah Health, Salt Lake City, Utah, USA
| | - Ming Y Lim
- Division of Hematology and Hematologic Malignancies, Department of Internal Medicine, University of Utah, Salt Lake City, Utah, USA
| | - Jessica Sanders
- Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah, USA
| | - D Ware Branch
- James R. and Jo Scott Research Chair, University of Utah Health and Intermountain Healthcare, Salt Lake City, Utah, USA
| | - Sara E Simonsen
- University of Utah College of Nursing, Salt Lake City, Utah, USA
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Less common hemorrhagic coagulopathies in women. Blood Coagul Fibrinolysis 2021; 31:S22-S24. [PMID: 33351499 DOI: 10.1097/mbc.0000000000000990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Congenital coagulopathies are a group of hereditary conditions associated with significant hemorrhagic complications. Women with congenital coagulopathies tend to experience higher bleeding rates resulting from physiological processes and pregnancy and delivery. In these women, it is essential to recognize the symptoms and work in a coordinated way between hematologists and gynecologists.
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Guelcher CJ, Chase J, Pollard D. Women and girls with heavy menstrual bleeding and inherited bleeding disorders: A call to action for the Haemophilia Treatment Centre Nurse. Haemophilia 2020; 27 Suppl 3:82-86. [PMID: 32469119 DOI: 10.1111/hae.14019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2020] [Accepted: 04/09/2020] [Indexed: 12/27/2022]
Abstract
Over the last several decades, the increasing focus on women with inherited bleeding disorders (WBD) has brought more patients into Haemophilia Treatment Centres (HTC) around the world. These women present with unique challenges including a significant risk of heavy menstrual bleeding (HMB). The influx of a new patient group has necessitated expansion of the services provided by the multi-disciplinary team in HTCs. Nurses already play a central role in patient and family education within the HTC. As such, they are well positioned to participate in the development of adaptations within the HTC infrastructure to provide clinical care and education specifically for WBD. The nursing experts in HTCs should play an active role in outreach as well as providing education to WBD. Despite this supposition, review of the growing body of literature surrounding the topic of WBD is notable for a paucity of literature highlighting the role of the HTC nurse and potential impact on this, relatively new, but steadily increasing, patient population.
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Affiliation(s)
| | - Jaime Chase
- John Hunter Children's Hospital, New Lambton Heights, NSW, Australia
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Brown C, Davis KE, Habiba N, Massey-Stokes M, Warren C. Parent preferences for text messages containing infant feeding advice. Mhealth 2020; 6:9. [PMID: 32190620 PMCID: PMC7063264 DOI: 10.21037/mhealth.2019.11.03] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Accepted: 10/25/2019] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Text-messaging is beneficial in health promotion. Research on impact of message framing (gain- versus loss-framed) has had variable results, depending on type of behavior targeted. There is no research on framing of text-messaging to promote healthful infant feeding practices. METHODS The purpose of this cross-sectional survey was to examine whether parents of infants aged three months or younger viewed gain- or loss-framed text messages as more helpful and which style was viewed as more likely to affect feeding practices. A secondary purpose was to determine what time of day and frequency of messaging was preferred. Parents were recruited from an urban pediatric medical clinic. PsychData was used to administer the survey. Parents rated message pairs targeting constructs of the Health Belief Model using a five-point Likert scale. Paired t- tests compared overall ratings for helpfulness and likelihood of messages affecting feeding practices between gain- and loss-framed messages. Descriptive and frequency analyses were applied to demographics and questions regarding preferred timing for receiving messages. RESULTS A total of 34 parents (3 fathers and 31 mothers, mean age 26±5.5 years) completed the survey, with 41% enrolled in WIC and 29% in SNAP. There was no overall difference in helpfulness or likelihood of messages affecting feeding practices between gain- and loss-framed messages. Message style did not affect likelihood of adopting a feeding practice. However, gain framed messages relating to benefits and self-efficacy for breastfeeding were viewed more positively (mean =2.32; P=0.034; mean =1.79; P=0.041, respectively). The greatest proportion of parents (38%) preferred receiving messages once per week, and 50% preferred morning messages. CONCLUSIONS Framing of text messages appeared to have little effect on parents' acceptance of messages related to infant feeding practices. Parents were receptive to receiving messages from their infant's healthcare provider once per week, in the morning.
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Affiliation(s)
- Cassandra Brown
- Texas Woman’s University, Nutrition and Food Sciences, Denton, TX, USA
| | - Kathleen E. Davis
- Texas Woman’s University, Nutrition and Food Sciences, Denton, TX, USA
| | - Nusrath Habiba
- University of North Texas Health Science Center, Ft. Worth, TX, USA
| | - Marilyn Massey-Stokes
- Texas Woman’s University, School of Health Promotion and Kinesiology, Denton, TX, USA
| | - Cynthia Warren
- Texas Woman’s University, Nutrition and Food Sciences, Denton, TX, USA
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Jacobson AE, Vesely SK, Koch T, Campbell J, O’Brien SH. Patterns of von Willebrand Disease Screening in Girls and Adolescents With Heavy Menstrual Bleeding. Obstet Gynecol 2018; 131:1121-1129. [PMID: 29742662 PMCID: PMC10518183 DOI: 10.1097/aog.0000000000002620] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To estimate the frequency of von Willebrand disease screening and factors that affect screening frequency in a national sample of girls and adolescents with heavy menstrual bleeding. METHODS In this retrospective cohort study, we used a national claims database for privately and publicly insured patients between 2011 and 2013 for girls aged 10-17 years. Diagnostic criteria of heavy menstrual bleeding were the presence of one inpatient or two outpatient International Classification of Diseases, 9th Revision codes for heavy menstrual bleeding. We defined severe heavy menstrual bleeding as heavy menstrual bleeding plus an inpatient stay for menstrual bleeding, iron deficiency anemia, or blood transfusion. To assess whether patient- or facility-level characteristics affected screening, we performed logistic regression analysis including patient age, health care provider type seen at first visit for menorrhagia, patient residence in a metropolitan statistical area (proxy for urban vs rural inhabitance), and approximate travel time to the nearest hemophilia treatment center. RESULTS We identified 23,888 postpubertal girls and adolescents with heavy menstrual bleeding (986 with severe heavy menstrual bleeding). Von Willebrand disease screening was performed in 8% of females with heavy menstrual bleeding and 16% with severe heavy menstrual bleeding. Younger age at diagnosis, commercial insurance, and living within a metropolitan statistical area were associated with higher screening rates. Patients who underwent testing for iron deficiency anemia had the highest likelihood of undergoing screening (odds ratio 7.08, 95% CI 6.32-7.93). Among patients living in a metropolitan statistical area, those 60 minutes or more from a hemophilia treatment center were less likely to undergo screening. CONCLUSION Despite recommendations by the American College of Obstetricians and Gynecologists for more than 15 years, fewer than 20% of postpubertal girls and adolescents with heavy menstrual bleeding underwent screening for von Willebrand disease in this cohort. Increased clinician awareness and adherence to recommended screening recommendations may increase diagnosis of von Willebrand disease.
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Affiliation(s)
- Amanda E. Jacobson
- Division of Pediatric Hematology/Oncology, Nationwide Children’s Hospital/The Ohio State University, Columbus, OH
| | - Sara K. Vesely
- Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK
| | - Terah Koch
- Division of Pediatric Hematology/Oncology, Nationwide Children’s Hospital/The Ohio State University, Columbus, OH
| | - Janis Campbell
- Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK
| | - Sarah H. O’Brien
- Division of Pediatric Hematology/Oncology, Nationwide Children’s Hospital/The Ohio State University, Columbus, OH
- Center for Innovation in Pediatric Practice, The Research Institute at Nationwide Children’s Hospital, Columbus, OH
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Yang S, Ge M, Liu S, Liu Y, Cen M, Pan C. A Preliminary Study of Age and Sex of People with Hemophilia. Health (London) 2017. [DOI: 10.4236/health.2017.93028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Konkle BA. Progress toward meeting the needs of adolescent females with bleeding disorders. Haemophilia 2016; 22:196-198. [PMID: 26822793 DOI: 10.1111/hae.12870] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/22/2015] [Indexed: 11/28/2022]
Affiliation(s)
- B A Konkle
- Bloodworks Northwest and Department of Medicine, Division of Hematology, University of Washington, Seattle, WA, USA
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Nor Asyikin Y, Nani D, Nor Azwany Y, Shamsul Kamal A, Imran A, Shaiful Bahari I, Rosediani M. Knowledge of and attitudes towards of menstrual disorders adults in north-eastern state of Peninsular Malaysia. MALAYSIAN FAMILY PHYSICIAN : THE OFFICIAL JOURNAL OF THE ACADEMY OF FAMILY PHYSICIANS OF MALAYSIA 2015; 10:2-10. [PMID: 27570602 PMCID: PMC4992348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
INTRODUCTION In Malaysia, the prevalence of menstrual disorders among adolescents and young adults is high. However, most of them are not aware of the signs and symptoms of menstrual disorders in terms of medical issue as well as Islamic ruling. Awareness of the menstrual disorder symptoms is important so that early and appropriate treatment can be given. OBJECTIVES The objective of the study was to compare the knowledge and attitude of premarital men and women on menstrual disorders. METHODS This was a comparative cross sectional study conducted in Kota Bharu, Kelantan. Selfadministered questionnaires were given for data collection. The questionnaires consisted of 3 parts that required information on the women's and men's socio-demographic data, women's menstrual history and information in knowledge and attitude of men and women on menstrual disorders. RESULTS A total of 460 respondents were involved in this study with a response rate of 93.5%. The prevalence of good knowledge was higher among women compared to men with 73.2% and 26.8%, respectively. There was a significant difference on knowledge and attitude on menstrual disorders between premarital men and women. CONCLUSION Both premarital men and women had low knowledge on menstrual disorder with men knowing less than the women.
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Affiliation(s)
- Y Nor Asyikin
- MMed (F Medicine) Department of Family Medicine School of Medical Science Universiti Sains Malaysia Health Campus,16150 Kubang Kerian, Kelantan, Malaysia
| | - D Nani
- (Corresponding author) MMed (F Medicine) Department of Family Medicine School of Medical Science Universiti Sains Malaysia Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia
| | - Y Nor Azwany
- MCommMed (Epidemiology & Biostatistics) Department of Community Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian,16150, Kelantan, Malaysia
| | - A Shamsul Kamal
- BA.Hons.Syariah Politeknik Kota Bharu, Km 24 Kok Lanas, 16450 Ketereh, Kelantan, Malaysia
| | - A Imran
- MMed (F Medicine) Department of Family Medicine School of Medical Science Universiti Sains Malaysia Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia
| | - I Shaiful Bahari
- MMed (F Medicine) Department of Family Medicine School of Medical Science Universiti Sains Malaysia Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia
| | - M Rosediani
- MMed (F Medicine) Department of Family Medicine School of Medical Science Universiti Sains Malaysia Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia
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Kulkarni R. Improving care and treatment options for women and girls with bleeding disorders. Eur J Haematol 2015; 95 Suppl 81:2-10. [DOI: 10.1111/ejh.12580] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/23/2015] [Indexed: 01/08/2023]
Affiliation(s)
- Roshni Kulkarni
- Department of Pediatrics and Human Development; Center for Bleeding and Clotting Disorders; Michigan State University; East Lansing MI USA
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Rambod M, Forsyth K, Sharif F, Khair K. Assessment and management of pain in children and adolescents with bleeding disorders: a cross-sectional study from three haemophilia centres. Haemophilia 2015; 22:65-71. [DOI: 10.1111/hae.12765] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/01/2015] [Indexed: 12/24/2022]
Affiliation(s)
- M. Rambod
- Department of Medical Surgical; Community Based Psychiatric Care Research Center; School of Nursing and Midwifery; Shiraz University of Medical Sciences; Shiraz Iran
| | - K. Forsyth
- Clinical Nurse Specialist-Haemophilia; Royal London Hospital; London UK
| | - F. Sharif
- Department of Mental Health and Psychiatric Nursing; Community Based Psychiatric Care Research Center; School of Nursing and Midwifery; Shiraz University of Medical Sciences; Shiraz Iran
| | - K. Khair
- Great Ormond Street Hospital for Children NHS Foundation Trust; London UK
- Health and Social Care; London South Bank University; London UK
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Richardson LC, Parker CS, Tsai J. Blood disorders and public health. Am J Prev Med 2014; 47:656-7. [PMID: 25245798 PMCID: PMC4476383 DOI: 10.1016/j.amepre.2014.07.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2014] [Revised: 05/13/2014] [Accepted: 07/18/2014] [Indexed: 11/28/2022]
Affiliation(s)
- Lisa C Richardson
- Division of Blood Disorders, National Center on Birth Defects and Developmental Disabilities, CDC, Atlanta, Georgia.
| | - Christopher S Parker
- Division of Blood Disorders, National Center on Birth Defects and Developmental Disabilities, CDC, Atlanta, Georgia
| | - James Tsai
- Division of Blood Disorders, National Center on Birth Defects and Developmental Disabilities, CDC, Atlanta, Georgia
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