The Experts below are selected from a list of 6132 Experts worldwide ranked by ideXlab platform

Mary Carolan - One of the best experts on this subject based on the ideXlab platform.

  • advanced Maternal age and adverse perinatal outcome a review of the evidence
    Midwifery, 2011
    Co-Authors: Mary Carolan, Dorota Frankowska
    Abstract:

    Objective: to examine the evidence in relation to advanced Maternal age (35–39 years), physiological risk and adverse perinatal outcome (stillbirth, low birth weight, preterm birth) in high-income countries. Background: this review was conducted against a background of increasing Maternal age (435 years) and concerns for fetal and Maternal Welfare among this group. Consequent to these concerns, increasing trends of birth intervention such as caesarean section and instrumental birth are seen. Although evidence justifies a high rate of intervention among women aged more than 40 years, the evidence for such intervention in women aged 35–39 years is sketchy and often contradictory. Methods: a systematic review was conducted of studies in English, that were published between 2000 and 2010. Studies were included if they had extractable data on Maternal age (35–39 years) and perinatal outcomes. Of 102 retrieved publications, nine met these criteria. Findings: evidence from this review suggests that rates of adverse perinatal outcome, such as stillbirth, are linked to Maternal age 35–39 years. However, rates of increase are modest until 40 years of age or more. The impact of changing Maternal socio demographics appears to be of importance but is not yet well understood. Key conclusions and implications for practice: although risk and rates of adverse perinatal outcome are increased among women aged 35–39 years, midwives and women should also be aware that perinatal outcomes are generally favourable for this group. There is also some suggestion in the literature that social advantage may ameliorate some of the effect of advanced Maternal age on perinatal outcome. Further research is required to evaluate the soundness and strength of this association.

Rolf Zetterstrom - One of the best experts on this subject based on the ideXlab platform.

  • children of alcoholic parents health growth mental development and psychopathology until school age results from a prospective longitudinal study of children from the general population
    Acta Paediatrica, 1993
    Co-Authors: L Nordberg, Peranders Rydelius, Rolf Zetterstrom
    Abstract:

    Of 640 women who paid their first visit to the two Maternal Welfare centres in a new Stockholm suburb during one prospective year, 532 (85%) were interviewed with regard to 41 stress factors forming a "life stress score" (LSS). The interviews were supplemented with data from hospital, social Welfare and police records concerning the expectant mother and the father. The 532 mothers were divided into three groups according to the degree of psychosocial stress (group 1 (n = 194) without psychosocial stress; group 2 (n = 171) with severe psychosocial stress; and group 3 (n = 167) in an intermediate group). In group 2, there were 23 mothers and 51 fathers in 64 families known to suffer from alcoholism/heavy drinking at the time of the first interview and these comprised our study group. The pregnancies and deliveries in the families were investigated with prospective methods. There were 497 liveborn children of whom 54 were born into families known for alcoholism/heavy drinking. The physical health and development of the children was followed by prospective data from the child Welfare centers. Data concerning psychological development and psychiatric health of the child were obtained by interviewing the mother and evaluating the child during visits at home at one and four years of age. At one year of age, 452 of the children (226 boys, 226 girls) and at four to five years of age, 412 of the children (202 boys, 210 girls), were evaluated using the Griffiths' Development Scales. Findings from these evaluations form the basis for comparison of development of children from alcoholic/heavy drinking parents with all other children. For 388 children, data were available from all examinations up to the end of the fourth year, including 38 children (12 boys, 26 girls) in the study group and 350 other children (183 boys, 167 girls). The present findings indicate that children of alcoholic parents in the general population who were followed from pregnancy up to the end of their fourth year have a higher risk of pre- and postnatal death, and have poorer mental development and more symptoms of a psychopathological child psychiatric nature (DSM-III) than other children. Differences related to physical development during infant years disappeared during the observation time. With regard to mental development over a longer period, it appears that factors related to the parent's addictions and the child's sex (i.e. male child) are more important than pediatric risk factors in the form of a score of reduced optimality.

Dorota Frankowska - One of the best experts on this subject based on the ideXlab platform.

  • advanced Maternal age and adverse perinatal outcome a review of the evidence
    Midwifery, 2011
    Co-Authors: Mary Carolan, Dorota Frankowska
    Abstract:

    Objective: to examine the evidence in relation to advanced Maternal age (35–39 years), physiological risk and adverse perinatal outcome (stillbirth, low birth weight, preterm birth) in high-income countries. Background: this review was conducted against a background of increasing Maternal age (435 years) and concerns for fetal and Maternal Welfare among this group. Consequent to these concerns, increasing trends of birth intervention such as caesarean section and instrumental birth are seen. Although evidence justifies a high rate of intervention among women aged more than 40 years, the evidence for such intervention in women aged 35–39 years is sketchy and often contradictory. Methods: a systematic review was conducted of studies in English, that were published between 2000 and 2010. Studies were included if they had extractable data on Maternal age (35–39 years) and perinatal outcomes. Of 102 retrieved publications, nine met these criteria. Findings: evidence from this review suggests that rates of adverse perinatal outcome, such as stillbirth, are linked to Maternal age 35–39 years. However, rates of increase are modest until 40 years of age or more. The impact of changing Maternal socio demographics appears to be of importance but is not yet well understood. Key conclusions and implications for practice: although risk and rates of adverse perinatal outcome are increased among women aged 35–39 years, midwives and women should also be aware that perinatal outcomes are generally favourable for this group. There is also some suggestion in the literature that social advantage may ameliorate some of the effect of advanced Maternal age on perinatal outcome. Further research is required to evaluate the soundness and strength of this association.

L Nordberg - One of the best experts on this subject based on the ideXlab platform.

  • children of alcoholic parents health growth mental development and psychopathology until school age results from a prospective longitudinal study of children from the general population
    Acta Paediatrica, 1993
    Co-Authors: L Nordberg, Peranders Rydelius, Rolf Zetterstrom
    Abstract:

    Of 640 women who paid their first visit to the two Maternal Welfare centres in a new Stockholm suburb during one prospective year, 532 (85%) were interviewed with regard to 41 stress factors forming a "life stress score" (LSS). The interviews were supplemented with data from hospital, social Welfare and police records concerning the expectant mother and the father. The 532 mothers were divided into three groups according to the degree of psychosocial stress (group 1 (n = 194) without psychosocial stress; group 2 (n = 171) with severe psychosocial stress; and group 3 (n = 167) in an intermediate group). In group 2, there were 23 mothers and 51 fathers in 64 families known to suffer from alcoholism/heavy drinking at the time of the first interview and these comprised our study group. The pregnancies and deliveries in the families were investigated with prospective methods. There were 497 liveborn children of whom 54 were born into families known for alcoholism/heavy drinking. The physical health and development of the children was followed by prospective data from the child Welfare centers. Data concerning psychological development and psychiatric health of the child were obtained by interviewing the mother and evaluating the child during visits at home at one and four years of age. At one year of age, 452 of the children (226 boys, 226 girls) and at four to five years of age, 412 of the children (202 boys, 210 girls), were evaluated using the Griffiths' Development Scales. Findings from these evaluations form the basis for comparison of development of children from alcoholic/heavy drinking parents with all other children. For 388 children, data were available from all examinations up to the end of the fourth year, including 38 children (12 boys, 26 girls) in the study group and 350 other children (183 boys, 167 girls). The present findings indicate that children of alcoholic parents in the general population who were followed from pregnancy up to the end of their fourth year have a higher risk of pre- and postnatal death, and have poorer mental development and more symptoms of a psychopathological child psychiatric nature (DSM-III) than other children. Differences related to physical development during infant years disappeared during the observation time. With regard to mental development over a longer period, it appears that factors related to the parent's addictions and the child's sex (i.e. male child) are more important than pediatric risk factors in the form of a score of reduced optimality.

Lindsay P Chaselansdale - One of the best experts on this subject based on the ideXlab platform.

  • Welfare receipt financial strain and african american adolescent functioning
    Social Service Review, 2000
    Co-Authors: Rebekah Levine Coley, Lindsay P Chaselansdale
    Abstract:

    Using a random sample of African‐American adolescent girls in impoverished urban neighborhoods in Chicago, we consider income‐related predictors (poverty, financial strain, Welfare receipt, and Welfare exposure) of adolescents' job preparation and nonmarital childbearing risk. Maternal financial strain is the most consistent predictor, linked to poor school performance and greater sexual experience. Maternal Welfare receipt predicts higher school grades in youth, but Welfare exposure from broader social networks is related to lower grades and greater pregnancy experience. We discuss the implications for families as federal Welfare reforms alter the income sources and financial situations of many poor families.