Theory and Some Data Parent-Offspring Conflict Theory. Research Example The Evolutionary Ecology of Low Birth Weight
|
|
- Clare Chapman
- 7 years ago
- Views:
Transcription
1 1) Bioassay: Health and nutrition? Adequate 2) Socioassay: Security? Poor Wait and see; maybe things will get better Theory and Some Data Parent-Offspring Conflict Theory Research Example The Evolutionary Ecology How Could this Research be Done? Research Project? Poor Adequate Continue G&D; maximise size, learning, etc Reproduce early Parental investment and parent-offspring conflict theory Effects on fetus Maternal Obligation to Provide Parental Investment Maternal Obligation to Provide Parental Investment What Are We Really Talking About? Birth weight is often presented as a textbook example of stabilising selection 1
2 So, now lets find the average birth weight. Resolution to the Paradox Hamilton Inclusive Fitness Trivers Parent-Offspring Conflict Theory Haig POC Applied to Pregnancy Average (3,000 3,500 grams) is lower than the best possible outcome for the baby (3,500 4,000) Inclusive Fitness: The ability of an individual to get his/her genes into future generations. Parent-offspring conflict: Parent and offspring are not genetically identical They both aim to maximise Inclusive Fitness Offspring wants more Parent wants to give less = CONFLICT! WD Hamilton Why Does This Conflict Occur? Maximise Mum s Inclusive Fitness Reduce care when influence on survival decrease, start investing in her next offspring Maximise Offspring s Inclusive Fitness Maintain its own benefit until it is outweighed by the cost to its siblings Why Does This Conflict Occur? Mum & Baby 50% But, Mum to all Offspring 50% (same) Offspring with itself 100% Offspring with sibling 50% (or less if diff Father!) Therefore, current offspring wants more than mother wants to give = conflict 2
3 Why Does This Conflict Occur? How Does This Fit Into What YOU Know? Mother s Optimum Fetus optimum The Evolutionary Ecology A Theoretical Synthesis Why Might a Parent Choose to Invest Less? r-selection: minimax strategy of downside risk protection (minimizes chance of maximum possible fitness cost i.e., lineage extinction) Population Size K Carrying capacity K-selection: maximin strategy of setting stage for the future (maximizes chance of minimum possible fitness benefit i.e., 2 offspring for lineage maintenance; zero population growth) Time What Can We Predict From The Trade-off Between Current and Future Reproduction? Ecological niche (adaptive problem) Age at menarche Indian girls adopted into Sweden Privileged Indian urban 13 Swedish 13.7 Urban Indian 14.2 Rural Indian 14.4 Rural Indian Proos, Hofvander and Tuvemo Menarcheal age and growth pattern of Indian girls adopted into Sweden. Acta Paediatr. Scand. 80:852. 3
4 How Does This Relate to Low Birth Weight? Proportion of SGA by Age at Menarche Quality Quantity Trade-off Low quality = LBW Prediction: Individuals who have an earlier menarche are more likely to have LBW babies. Adjusted Odds Ratio Age at Menarche Early Average Late Age at Menarche Early Average Late Gestational Age by Obstetric Estimate Last Menstrual Period Scholl et al Effects of early maturation on fetal growth. Annals of Human Biology, 16(4): How Does this Relate to Low Birth Weight? Parent-Offspring Conflict Ecological niche (adaptive problem) Haig s application of parent-offspring conflict to pregnancy Maternal restriction to fetal growth (e.g. nutrition) What would we expect the fetus to do? How could this be achieved? Parent-offspring conflict large placenta for birthweight Foetal trade-offs LBW (foetal side of IUGR) H H 2 Earlier Menarche, LBW and Larger Placenta How Would You Actually Test These Predictions?? Ecological niche (adaptive problem) The Evolutionary Ecology Evolutionary Theory: A Tool for Making Testable Predictions Parent-offspring conflict large placenta for birthweight Foetal trade-offs LBW (foetal side of IUGR) H 3 H 2 4
5 Ecological niche (adaptive problem) Costs of reproduction (trade-offs) Maternal trade-offs BMI throughput to foetus (maternal side of IUGR) Parent-offspring conflict large placenta for birthweight Foetal trade-offs LBW (foetal side of IUGR) H 3 Assessment of Early Psychosocial Stress and Attachment Early Stress A Life Events Inventory (LEI) Adapted for Australian populations New: Adverse Childhood Experiences (ACE) questionnaire Attachment The Parental Bonding Instrument Attachment secure/insecure H 2 Maximising Current Reproduction Cannot be measured directly Inferred from reproductive events Standard demographics questionnaire age at menarche age at first sex age at first childbearing Birth Weight and Placental Weight Hospital records Confounding variables Standardisation of placental weight weighing to the gram strip amnion to the cord cut chorion at the edge of placenta cord removed flush with the placenta WARNING! Membranes (intact, colour) Some gross placenta (human) photos to follow 5
6 Parenchyma (dimensions, colour and shape) Cord Insertion Is a larger placenta adaptive or beneficial? What is the Significance of a Large Placenta? The Barker Hypothesis Fetal origins of adult disease Individuals who were small babies with large placentas had highest blood pressure Risk for hypertension in adulthood DM (aga) DM (lga) CON (aga) CON (lga) Evers, I.M., et al (2003). Placental pathology in women with type 1 diabetes and in a control group with normal and large-for-gestational age infants. Placenta 24, Barker, D.J.P., Bull, A.R. et al (1990). Fetal and placental size and risk of hypertension in adult life. British Medical Journal, 301, What is the Significance of Placental Weight? The Fetal Origins of Adult Disease Recent review (2002): 19/25 studies that looked at placental weight and adult disease or indicators of adult disease found associations Important Note Placental weight is not the causal factor in e.g. fetal origins of adult disease, it is an indication of the many important factors that are the maternal environment Useful as guide for preliminary investigations Godfrey, K.M. (2002). The role of the placenta in fetal programming A review. Placenta, 23(Suppl. A, Trophoblast Research 16), S20-S27. 6
7 Human Development Index (r = -.87; p <.001).3 0% 10% Percent 20% of women 30% Relationship between UN Human Development Index and percent of total births to women aged who gave birth before they were 18. HDI = mean years of education standardised per capita income life expectancy at birth (Source: Alan Guttmacher Institute 1998) 40% 50% 7
What women can do to optimise their health during pregnancy and that of their baby Claire Roberts
Periconception Planning to Protect Pregnancy and Infant Health 2015 What women can do to optimise their health during pregnancy and that of their baby Claire Roberts Pregnancy Complications Preterm Birth
More informationThe Influence of Infant Health on Adult Chronic Disease
The Influence of Infant Health on Adult Chronic Disease Womb to Tomb Dr Clare MacVicar Introduction Many diseases in adulthood are related to growth patterns during early life Maternal nutrition important
More informationDoppler Ultrasound in the Management of Fetal Growth Restriction Chukwuma I. Onyeije, M.D. Atlanta Perinatal Associates
Doppler Ultrasound in the Management of Fetal Growth Restriction Chukwuma I. Onyeije, M.D. Atlanta Perinatal Associates 1 For your convenience a copy of this lecture is available for review and download
More informationDifferentiation between normal and abnormal fetal growth
Differentiation between normal and abnormal fetal growth JASON GARDOSI MD FRCSE FRCOG Director, West Midlands Perinatal Institute, St Chad s Court, 213 Hagley Road, Birmingham B16 9RG, U.K. Tel +44 (0)121
More informationScience 10-Biology Activity 15 The Development of the Human Embryo
Science 10-Biology Activity 15 The Development of the Human Embryo 10 Name Due Date Show Me Hand In Correct and Hand In Again By NOTE: This worksheet is based on material from pages 379-380 in Science
More informationAUSTRALIA AND NEW ZEALAND FACTSHEET
AUSTRALIA AND NEW ZEALAND FACTSHEET What is Stillbirth? In Australia and New Zealand, stillbirth is the death of a baby before or during birth, from the 20 th week of pregnancy onwards, or 400 grams birthweight.
More informationExceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies
Exceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies First Antenatal Contact with the GP Obtain medical and obstetric history. Measure
More informationPNE 136 Maternal and Child Health Nursing
Hours Revised: Fall 2015 PNE 136 Maternal and Child Health Nursing Prerequisites: None Course Description: Examines pregnancy, childbirth, postpartum, and newborn care from a family centered approach,
More informationPregnant and Parenting Youth in Foster Care in Washington State: Comparison to Other Teens and Young Women who Gave Birth
January 2014 RDA Report 11.202 Olympia, Washington Pregnant and Parenting in Care in Washington State: Comparison to Other and Women who Gave Birth Laurie Cawthon, MD, MPH Barbara Lucenko, PhD Peter Woodcox,
More informationPreconception Clinical Care for Women Medical Conditions
Preconception Clinical Care for Women All women of reproductive age are candidates for preconception care; however, preconception care must be tailored to meet the needs of the individual. Given that preconception
More informationTHE LIFE CYCLE OF MALNUTRITION
THE LIFE CYCLE OF MALNUTRITION By: STUART GILLESPIE RAFAEL FLORES From IFPRI 1999-2000 INTERNATIONAL FOOD POLICY RESEARCH INSTITUTE 2033 K. STREET WASHINGTON, DC 20006-1002 2000 THE LIFE CYCLE Malnutrition
More informationABSTRACT LABOR AND DELIVERY
ABSTRACT POLICY Prior to fetal viability, intentionally undertaking delivery of a fetus is the equivalent of abortion and is not permissible. After fetal viability has been reached, intentionally undertaking
More informationSocial determinants of mental health in childhood a gene-environment perspective.
Social determinants of mental health in childhood a gene-environment perspective. Anders Hjern, Centre for Health Equity Studies (CHESS), Karolinska Institutet/Stockholm University E-mail:anders.hjern@chess.su.se
More informationDeveloping Human Fetus
Period Date LAB. DEVELOPMENT OF A HUMAN FETUS After a human egg is fertilized with human sperm, the most amazing changes happen that allow a baby to develop. This amazing process, called development, normally
More informationcambodia Maternal, Newborn AND Child Health and Nutrition
cambodia Maternal, Newborn AND Child Health and Nutrition situation Between 2000 and 2010, Cambodia has made significant progress in improving the health of its children. The infant mortality rate has
More information08 LC 29 3403S. The House Committee on Judiciary offers the following substitute to SB 381: A BILL TO BE ENTITLED AN ACT
The House Committee on Judiciary offers the following substitute to SB : A BILL TO BE ENTITLED AN ACT To amend Chapter 0 of Title of the Official Code of Georgia Annotated, relating to vital records, so
More informationA test your patients can trust.
A test your patients can trust. A simple, safe, and accurate non-invasive prenatal test for early risk assessment of Down syndrome and other conditions. informaseq Prenatal Test Simple, safe, and accurate
More informationBABY PHASES... Whether You Are Pregnant Now Or Just Thinking About It.
BABY PHASES... Whether You Are Pregnant Now Or Just Thinking About It. Healthchoice and the Winnie Palmer Hospital for Women & Babies Maternal Education and Breastfeeding Education Center offer an exceptional
More informationFuture. pathophysiology of preeclampsia. ? hypoxia. Also in. marker. 1st trim. In combi w PE s.flt-1 -- seng, PlGF, VEGF, US. Manifest.
Take-home message Basics How to predict placental syndrome? Maternal history and exam markers Uterine artery doppler 3D Power Doppler Biochemical Salwan Al-Nasiry Gynaecoloog perinatoloog MUMC Future challenge
More informationAssessment of Fetal Growth
Assessment of Fetal Growth Unit / Trust: 1. INTRODUCTION The aim of this guideline template is to outline the methods used to assess fetal growth and the referral pathways utilising customised antenatal
More informationEmbryo donation families: Do genetic ties matter? Fiona MacCallum & Sarah Keeley
Embryo donation families: Do genetic ties matter? Fiona MacCallum & Sarah Keeley Embryo donation - background An embryo created using sperm and egg of one couple is donated to a second couple 1983 First
More informationSAMPLE. UK Obstetric Surveillance System. Management of Pregnancy following Laparoscopic Adjustable Gastric Band Surgery.
ID Number: UK Obstetric Surveillance System Management of Pregnancy following Laparoscopic Adjustable Gastric Band Surgery Case Definition: Study 04/11 Data Collection Form - Please report any woman delivering
More informationTEENAGE PREGNANCY. Arizona,2000-2010. Public Health Services Bureau of Public Health Statistics Health Status and Vital Statistics Section
TEENAGE PREGNANCY Arizona,2000-2010 Public Health Services Bureau of Public Health Statistics Health Status and Vital Statistics Section ~ Leadership for a Healthy Arizona ~ Janice K. Brewer, Governor
More informationPage 1. 1. The production of monoploid cells by spermatogenesis occurs in (1) zygotes (3) ovaries (2) testes (4) meristems
1. The production of monoploid cells by spermatogenesis occurs in (1) zygotes (3) ovaries (2) testes (4) meristems Base your answers to questions 2 and 3 on the diagram below of the female reproductive
More informationNEONATAL CLINICAL PRACTICE GUIDELINE
NEONATAL CLINICAL PRACTICE GUIDELINE Title: Routine Screening of Neonates Approval Date: January 2015 Approved by: Neonatal Patient Care Teams, HSC & SBH Child Health Standards Committee Pages: 1 of 6
More informationWorld Health Day Diabetes and RMNCAH in Africa: R for Reproductive Health
World Health Day Diabetes and RMNCAH in Africa: R for Reproductive Health Managing diabetes and reproductive health in developing contexts. The 2016 World Health Day theme to scale up prevention, strengthen
More informationEpidemiology 521. Epidemiology of Maternal and Child Health Problems. Winter / Spring, 2010
Extended MPH Degree Program School of Public Health Department of Epidemiology University of Washington Epidemiology 521 Epidemiology of Maternal and Child Health Problems Winter / Spring, 2010 Instructor:
More informationEach person normally has 23 pairs of chromosomes, or 46 in all. We inherit one chromosome per pair from our mother and one from our father.
AP Psychology 2.2 Behavioral Genetics Article Chromosomal Abnormalities About 1 in 150 babies is born with a chromosomal abnormality (1, 2). These are caused by errors in the number or structure of chromosomes.
More informationReproductive System & Development: Practice Questions #1
Reproductive System & Development: Practice Questions #1 1. Which two glands in the diagram produce gametes? A. glands A and B B. glands B and E C. glands C and F D. glands E and F 2. Base your answer
More informationGuidelines for States on Maternity Care In the Essential Health Benefits Package
Guidelines for States on Maternity Care In the Essential Health Benefits Package Section 2707(a) of the Patient Protection and Affordable Care Act (ACA) requires that all new health insurance plans in
More informationPERINATAL NUTRITION. Nutrition during pregnancy and lactation. Nutrition during infancy.
PERINATAL NUTRITION Nutrition during pregnancy and lactation Nutrition during infancy. Rama Bhat, MD. Department of Pediatrics, University of Illinois Hospital Chicago, Illinois. Nutrition During Pregnancy
More information49. INFANT MORTALITY RATE. Infant mortality rate is defined as the death of an infant before his or her first birthday.
49. INFANT MORTALITY RATE Wing Tam (Alice) Jennifer Cheng Stat 157 course project More Risk in Everyday Life Risk Meter LIKELIHOOD of exposure to hazardous levels Low Medium High Consequences: Severity,
More informationSubmission by the Australian College of Midwives (Inc.) in relation to The Australian Safety and Quality Goals for Health Care
Submission by the Australian College of Midwives (Inc.) in relation to The Australian Safety and Quality Goals for Health Care The Consultation Paper titled Australian Safety and Quality Goals for Health
More informationThe Impact of WIC on Birth Outcomes. Patrick M Catalano MD. Case Western Reserve University Cleveland, Ohio U.S.A.
The Impact of WIC on Birth Outcomes Patrick M Catalano MD. Case Western Reserve University Cleveland, Ohio U.S.A. Current Objectives of the WIC Program WIC's Mission: To safeguard the health of low-income
More informationThe Rh Factor: How It Can Affect Your Pregnancy
The American College of Obstetricians and Gynecologists f AQ FREQUENTLY ASKED QUESTIONS FAQ027 PREGNANCY The Rh Factor: How It Can Affect Your Pregnancy What is the Rh factor? How does a person get the
More informationGestational diabetes mellitus (GDM) is defined
Prevalence of Gestational Diabetes Mellitus in a Medical College in South India: A Pilot Study K Sreekanthan*, A Belicita, K Rajendran, Anil Vijayakumar Abstract Background: The prevalence of diabetes
More informationOutline Chapter 1 Child Psychology 211 Dr. Robert Frank. 1 What is child development, and how has its study evolved?
Outline Chapter 1 Chapter 1: GUIDEPOSTS FOR STUDY 1 What is child development, and how has its study evolved? 2 What are six fundamental points about child development on which consensus has emerged? 3
More informationCord Blood Erythropoietin and Markers of Fetal Hypoxia
July 21, 2011 By NeedsFixing [1] To investigating the relationship between cord blood erythropoietin and clinical markers of fetal hypoxia. Abstract Objective: To investigating the relationship between
More informationPrenatal Stress and Complications
What moms had to say: Prenatal Stress and Complications I think doctors or nurses or whoever should help other pregnant women understand and deal with post-partum blues, cause I'm am still struggling with
More informationUnbeknownst to us, the entire population consists of 5 cloned sheep with ages 10, 11, 12, 13, 14 months.
Activity #14: Sampling distributions and the Central Limit Theorem So far, this unit has focused on distributions of discrete and continuous random variables. In this activity, we ll investigate sampling
More informationA. Evidence for an individually adjustable standard to assess birth weight:
Customised antenatal growth charts are designed to facilitate better supervision of fetal growth. The chart is printed out in early pregnancy, after confirmation of pregnancy dates, and allows serial plotting
More informationAppendices. 2006 Bexar County Community Health Assessment Appendices Appendix A 125
Appendices Appendix A Recent reports suggest that the number of mothers seeking dropped precipitously between 2004 and 2005. Tables 1A and 1B, below, shows information since 1990. The trend has been that
More informationA Strategic Plan for Improving Preconception Health and Health Care: Recommendations from the CDC Select Panel on Preconception Care
1 A Strategic Plan for Improving Preconception Health and Health Care: Recommendations from the CDC Select Panel on Preconception Care Presentation by Kay A. Johnson, MPH, EdM Research Assistant Professor,
More informationCareful collection, organization and review of medical information
Preparing Birth Injury Case Prior To Expert Review of Causation Careful collection, organization and review of medical information essential to documentation of injury By RICHARD A. SILVER When analyzing
More informationINDICATOR REGION WORLD
SUB-SAHARAN AFRICA INDICATOR REGION WORLD Demographic indicators Total population (2005) 713,457,000 6,449,371,000 Population under 18 (2005) 361,301,000 2,183,143,000 Population under 5 (2005) 119,555,000
More informationOET: Listening Part A: Influenza
Listening Test Part B Time allowed: 23 minutes In this part, you will hear a talk on critical illnesses due to A/H1N1 influenza in pregnant and postpartum women, given by a medical researcher. You will
More informationRural Health Advisory Committee s Rural Obstetric Services Work Group
Rural Health Advisory Committee s Rural Obstetric Services Work Group March 15 th webinar topic: Rural Obstetric Patient and Community Issues Audio: 888-742-5095, conference code 6054760826 Rural Obstetric
More informationThe Developing Person Through the Life Span 8e by Kathleen Stassen Berger
The Developing Person Through the Life Span 8e by Kathleen Stassen Berger Chapter 4 Prenatal Development and Birth PowerPoint Slides developed by Martin Wolfger and Michael James Ivy Tech Community College-Bloomington
More informationCollecting cord blood to save and improve lives. Rebecca Roberts
Collecting cord blood to save and improve lives Rebecca Roberts Cells4Life Introduction to stem cells Why cord blood is important Legislation Cells4Life Cord blood collection What is a stem cell? Cells
More informationApplications of Doppler Ultrasound in Fetal Growth Assessment. David Cole
Applications of Doppler Ultrasound in Fetal Growth Assessment David Cole Aims The aim of this presentation is to consider the use of Doppler ultrasound to investigate and monitor those pregnancies at risk
More informationFAMILY HEALTH SERVICES DIVISION Profiles 2014 OVERVIEW
FAMILY HEALTH SERVICES DIVISION Profiles 2014 OVERVIEW Family Health Services Division Overview Data Sources Life Course Perspective and Title V Priorities Population Overview Births Infant Mortality Chapter
More informationLEUKODYSTROPHY GENETICS AND REPRODUCTIVE OPTIONS FOR AFFECTED FAMILIES. Leila Jamal, ScM Kennedy Krieger Institute, Baltimore MD
LEUKODYSTROPHY GENETICS AND REPRODUCTIVE OPTIONS FOR AFFECTED FAMILIES Leila Jamal, ScM Kennedy Krieger Institute, Baltimore MD 2 Outline Genetics 101: Basic Concepts and Myth Busting Inheritance Patterns
More informationAnimal Models of Human Behavioral and Social Processes: What is a Good Animal Model? Dario Maestripieri
Animal Models of Human Behavioral and Social Processes: What is a Good Animal Model? Dario Maestripieri Criteria for assessing the validity of animal models of human behavioral research Face validity:
More informationNutrition for Family Living
Susan Nitzke, Nutrition Specialist; susan.nitzke@ces.uwex.edu Sherry Tanumihardjo, Nutrition Specialist; sherry.tan@ces.uwex.edu Amy Rettammel, Outreach Specialist; arettamm@facstaff.wisc.edu Betsy Kelley,
More informationThe Health and Well-being of the Aboriginal Population in British Columbia
The Health and Well-being of the Aboriginal Population in British Columbia Interim Update February 27 Table of Contents Terminology...1 Health Status of Aboriginal People in BC... 2 Challenges in Vital
More informationCLINICAL AUDIT REPORT LABOUR WARD LOWER UMFOLOZI DISTRICT WAR MEMORIAL HOSPITAL
CLINICAL AUDIT REPORT LABOUR WARD LOWER UMFOLOZI DISTRICT WAR MEMORIAL HOSPITAL Dr A K M Hoque - Medical Manager Dr W Edelstein - Senior Specialist Perinatal mortality rate is a sensitive indicator used
More informationUniversity of Maryland School of Medicine Master of Public Health Program. Evaluation of Public Health Competencies
Semester/Year of Graduation University of Maryland School of Medicine Master of Public Health Program Evaluation of Public Health Competencies Students graduating with an MPH degree, and planning to work
More informationAdolescent Pregnancy and Parenting
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Adolescent Pregnancy and Parenting Policy Hearing Panel Second Round Revision BACKGROUND The social work profession is in a distinctive position to respond to the issues
More informationRacial and Ethnic Disparities in Maternal Mortality in the United States
Racial and Ethnic Disparities in Maternal Mortality in the United States KYRIAKOS S. MARKIDES, PHD UNIVERSITY OF TEXAS MEDICAL BRANCH GALVESTON, TEXAS PRESENTED AT THE HOWARD TAYLOR INTERNATIONAL SYMPOSIUM
More informationGenetics and Pregnancy Loss
Genetics and Pregnancy Loss Dorothy Warburton Genetics and Development (in Pediatrics) Columbia University, New York Estimates of Pregnancy Loss from Conception 1000 fertilized eggs (27% are lost) 728
More informationPrenatal Testing Special tests for your baby during pregnancy
English April 2006 [OTH-7750] There are a number of different prenatal (before birth) tests to check the development of your baby. Each test has advantages and disadvantages. This information is for people
More informationQuality Maternity Care: the Role of the Public Health Nurse
Quality Maternity Care: the Role of the Public Health Nurse Lori Webel-Edgar RN, MN Program Manager-Reproductive Health Simcoe Muskoka District Health Unit Barrie, Ontario session overview quality maternity
More informationRhoGAM Authorization/Refusal
RhoGM uthorization/refusal What does it mean to be Rh negative? Everyone has different types of proteins on their red blood cells. One set of proteins are type or. If you have proteins on your red blood
More informationINDICATOR REGION WORLD
SUB-SAHARAN AFRICA INDICATOR REGION WORLD Demographic indicators Total population (2006) 748,886,000 6,577,236,000 Population under 18 (2006) 376,047,000 2,212,024,000 Population under 5 (2006) 125,254,000
More informationSAVE A LIFE... BY GIVING LIFE!
SAVE A LIFE... BY GIVING LIFE! FOLLOW US ON: HÉMA-QUÉBEC PUBLIC CORD BLOOD BANK www.hema-quebec.qc.ca Scan this code with your smart phone to access the page Register to the Public Cord Blood Bank on the
More informationMaternity Care Primary C-Section Rate Specifications 2014 (07/01/2013 to 06/30/2014 Dates of Service)
Summary of Changes Denominator Changes: Two additions were made to the denominator criteria. The denominator was changed to include patients who had: a vertex position delivery AND a term pregnancy of
More informationCalifornia Diabetes and Pregnancy Program (CDAPP) Sweet Success
California Diabetes and Pregnancy Program (CDAPP) Sweet Success CDAPP Sweet Success Resource and Training Center INFORMATIONAL WEBINAR Thank you for attending today s webinar. We will begin shortly. The
More informationFirst Trimester Screening for Down Syndrome
First Trimester Screening for Down Syndrome What is first trimester risk assessment for Down syndrome? First trimester screening for Down syndrome, also known as nuchal translucency screening, is a test
More informationAssignment Discovery Online Curriculum
Assignment Discovery Online Curriculum Lesson title: In Vitro Fertilization Grade level: 9-12, with adaptation for younger students Subject area: Life Science Duration: Two class periods Objectives: Students
More informationGeneral and Objectives Clinical Skills for. Nursing Students in Maternity and Gynecology. Nursing Department
General and Objectives Clinical Skills for Nursing Students in Maternity and Gynecology Nursing Department Objectives and clinical skills of Antenatal unit Provide antenatal care to woman during normal
More informationTrends in Male Reproductive Health
Trends in Male Reproductive Health Paul A.L. Lancaster University of New South Wales Thanks very much Prof. Hirahara, and I would like to add my thanks to the Ministry of the Environment and especially
More informationExplore and Discover... Human growth. You have been asked to write a short leaflet for young people about growing up and puberty. Teacher information
You have been asked to write a short leaflet for young people about growing up and puberty. Explore and Discover... Teacher information Gallery visited Human Biology Suitable for Key Stage 3 (ages 11 to
More informationMALAWI YOUTH DATA SHEET 2014
MALAWI YOUTH DATA SHEET 2014 2 of Every 3 People in Malawi Are Under Age 25 Age 80+ 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 Male Female 20-24 POPULATION 700,000 700,000 0 POPULATION
More informationGestational Diabetes
Gestational Diabetes What is it? How do we treat it? A Gestational Diabetes Information Booklet Supported by Gestational diabetes is having too much glucose (sugar) in your blood when you re pregnant.
More informationGSCE CHILD DEVELOPMENT: REVISION TIPS!
GSCE CHILD DEVELOPMENT: REVISION TIPS! Assessment. There is a choice between two levels of entry: Foundation and Higher. At Foundation level (paper 1) the grades available are G to C and the Higher level
More informationBUTTE COUNTY PUBLIC HEALTH DEPARTMENT POLICY & PROCEDURE
BUTTE COUNTY PUBLIC HEALTH DEPARTMENT POLICY & PROCEDURE SUBJECT: Pregnancy Testing and Counseling Protocol P&P # APPROVED BY: EFFECTIVE DATE: Mark Lundberg MD Health Officer REVISION DATE: 2/20/2010 Phyllis
More informationOdense Child Cohort (Odense Børnekohorte) a project on children s health
Odense Child Cohort (Odense Børnekohorte) a project on children s health 1 List of contents Odense Child Cohort (Odense Børnekohorte) a project on children s health... 1 List of contents... 2 Project details...
More informationWhy is prematurity a concern?
Prematurity What is prematurity? A baby born before 37 weeks of pregnancy is considered premature. Approximately 12% of all babies are born prematurely. Terms that refer to premature babies are preterm
More informationIncome is the most common measure
Income Goal A healthy standard of living for all Income is the most common measure of socioeconomic status, and a strong predictor of the health of an individual or community. When assessing the health
More informationThe effect of maternal exposure to psychosocial job strain on pregnancy outcomes and child development
PHD THESIS DANISH MEDICAL JOURNAL The effect of maternal exposure to psychosocial job strain on pregnancy outcomes and child development Ann Dyreborg Larsen This review has been accepted as a thesis together
More informationPregnancy Intendedness
Pregnancy Intendedness What moms had to say: "Very excited! We wanted to be pregnant for 8 years!" "I felt too old." "I wanted to have a baby to get some support so I could be on my own; if didn't have
More informationPatient information on soft markers
Patient information on soft markers Before you read this section remember the following important points. The vast majority of babies with soft markers are normal. Soft markers are frequently seen in healthy
More informationcord blood 4-1-1230, Off Abids Road, Bogulkunta, Hyderabad 500001. 3-6-282, Opp. Old MLA Qrtrs., Hyderguda, Hyderabad 500029.
Department of Obstetrics cord blood UNIT 1 BOGULKUNTA 4-1-1230, Off Abids Road, Bogulkunta, Hyderabad 500001. UNIT 2 HYDERGUDA 3-6-282, Opp. Old MLA Qrtrs., Hyderguda, Hyderabad 500029. UNIT 3 JUBILEE
More informationSUB EARLY CHILDHOOD CARE & EDUCATION B.A. 1st year Paper I (Theory) COURSE TITLE : CHILD DEVELOPMENT (BASIC COURSE) COURSE CONTENT
Unit : I Unit : II Unit : SUB EARLY CHILDHOOD CARE & EDUCATION B.A. 1st year Paper I (Theory) COURSE TITLE : CHILD DEVELOPMENT (BASIC COURSE) COURSE CONTENT The field of Child Development and basic concepts
More informationBirth Defects Monitoring in Japan -Possible Effects of Environmental Endocrine Disrupters-
Birth Defects Monitoring in Japan -Possible Effects of Environmental Endocrine Disrupters- Fumiki Hirahara Yokohama City University School of Medicine Thank you, Paul. It is my great pleasure to be here
More informationPractice Questions 1: Evolution
Practice Questions 1: Evolution 1. Which concept is best illustrated in the flowchart below? A. natural selection B. genetic manipulation C. dynamic equilibrium D. material cycles 2. The diagram below
More informationWomen s Health Victoria
Women s Health Victoria Termination of Pregnancy Post 20 Weeks Background Paper March 2007 Prepared by Kerrilie Rice Policy and Research Officer Published by Level 1, 123 Lonsdale Street Melbourne Victoria
More informationDivorce in Europe: Patterns, consequences, policies
Divorce in Europe: Patterns, consequences, policies Juho Härkönen Stockholm University Demography Unit Swedish Institute for Social Research Email: juho.harkonen@sofi.su.se http://people.su.se/~jhr Contents
More informationPrenatal screening and diagnostic tests
Prenatal screening and diagnostic tests Contents Introduction 3 First trimester routine tests in the mother 3 Testing for health conditions in the baby 4 Why would you have a prenatal test? 6 What are
More informationSummary. Accessibility and utilisation of health services in Ghana 245
Summary The thesis examines the factors that impact on access and utilisation of health services in Ghana. The utilisation behaviour of residents of a typical urban and a typical rural district are used
More informationSexual and reproductive health challenges facing young people
Sexual and reproductive health challenges facing young people Shireen J Jejeebhoy, KG Santhya and R Acharya Population Council, New Delhi Lea Hegg Independent consultant, Reproductive Health United Nations
More informationMANA Home Birth Data 2004-2009: Consumer Considerations
MANA Home Birth Data 2004-2009: Consumer Considerations By: Lauren Korfine, PhD U.S. maternity care costs continue to rise without evidence of improving outcomes for women or babies. The cesarean section
More informationAdolescent Pregnancy Rates
Adolescent Pregnancy Adolescent Pregnancy Rates 2002 Arkansas birthrate was down 7% to 60/1000 teenage girls ages 15-19. U.S. rate was 43/1000 Since 1991, rate in Arkansas down 25% 1 Comprehensive Sexuality
More informationPlacental levels of halogenated organic compounds and cord immune markers
Placental levels of halogenated organic compounds and cord immune markers PEACH study: Wilfried Karmaus, Cristin Larder Department of Epidemiology & Biostatistics, University of South Carolina Mark Knottnerus,
More informationDoes Tort Law Improve the Health of Newborns, or Miscarry? A Longitudinal Analysis of the Effect of Liability Pressure on Birth Outcomes
Does Tort Law Improve the Health of Newborns, or Miscarry? A Longitudinal Analysis of the Effect of Liability Pressure on Birth Outcomes YT Yang, DM Studdert, SV Subramanian, and MM Mello Introduction
More informationSection 14 Simple Linear Regression: Introduction to Least Squares Regression
Slide 1 Section 14 Simple Linear Regression: Introduction to Least Squares Regression There are several different measures of statistical association used for understanding the quantitative relationship
More informationVivette Glover Imperial College London
How the emotional state of the mother during pregnancy can affect the development of the fetus and the childthe importance of the relationship with the partner Vivette Glover Imperial College London One
More informationPackages of antenatal care for low-risk pregnancy
Packages of antenatal care for low-risk pregnancy Evolution of knowledge and lessons learnt A. Metin Gülmezoglu G on behalf of Professor Pisake Lumbiganon Outline The background to the WHO antenatal care
More informationOregon Birth Outcomes, by Planned Birth Place and Attendant Pursuant to: HB 2380 (2011)
Oregon Birth Outcomes, by Birth Place and Attendant Pursuant to: HB 2380 (2011) In 2011, the Oregon Legislature passed House Bill 2380, which required the Oregon Public Health Division to add two questions
More informationGoal 1: Eradicate extreme poverty and hunger. 1. Proportion of population below $1 (PPP) per day a
Annex II Revised Millennium Development Goal monitoring framework, including new targets and indicators, as recommended by the Inter-Agency and Expert Group on Millennium Development Goal Indicators At
More information