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42 results on '"Telfer, Michelle"'

7. A case study analysis of a successful birth center in northern Uganda.

Author

Telfer, Michelle, Zaslow, Rachel, Nalugo Mbalinda, Scovia, Blatt, Rachel, Kim, Diane, and Kennedy, Holly Powell

Subjects
*NEONATAL mortality, *BIRTHING centers, *COMMUNITY health workers, *MATERNAL mortality, *NEONATAL death, DEVELOPING countries
Abstract

Background Methods Results Conclusions Mothers and infants continue to die at alarming rates throughout the Global South. Evidence suggests that high‐quality midwifery care significantly reduces preventable maternal and neonatal morbidity and mortality. This paper uses a case study approach to describe the social and institutional model at one birth center in Northern Uganda where, in over 20,000 births, there have been no maternal deaths and the neonatal mortality rate is 11/1000—a rate that is lower than many high‐resource countries.This case study combined institutional ethnographic and narrative methods to explore key maternal and neonatal outcomes. The sample included birthing people who intended to or had given birth at the center, as well as the midwives, staff, stakeholders, and community health workers affiliated with the center. Data were collected through individual and small group interviews, participant observation, field notes, data and document reviews. Iterative and systematic analytical steps were followed, and all data were organized and managed with Atlas.ti software.Findings describe the setting, an overview of the birth center's history, how it is situated within the community, its staffing, administration, clinical outcomes, and model of care. A synthesis of contextual variables and key outcomes as they relate to the components of the evidence‐informed Quality Maternal and Newborn Care (QMNC) framework are presented. Three overarching themes were identified: (a) community knowledge and understanding, (b) community integrated care, and (c) quality care that is respectful, accessible, and available.This birth center is an example of care that embodies the findings and anticipated outcomes described in the QMNC framework. Replication of this model in other childbearing settings may help alleviate unnecessary perinatal morbidity and mortality. [ABSTRACT FROM AUTHOR]

Published
2024
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9. Nitrous oxide's revival in childbirth: Widely used before the advent of epidural analgesia in the 1970s, patient-controlled nitrous oxide is re-emerging for analgesia in labor

Author

Illuzzi, Jessica L. and Telfer, Michelle L.

Subjects
Delivery (Childbirth) -- Physiological aspects, Nitrous oxide -- Dosage and administration -- Complications and side effects, Anesthesia -- Methods -- Usage, Health
Abstract

Across the United States, nitrous oxide ([N.sub.2]O) is attracting attention as a desired option for analgesia during childbirth. Worldwide it remains one of the most common labor analgesics, utilized widely [...]

Published
2018

12. The clinical profile of patients attending a large, Australian pediatric gender service: A 10-year review.

Author

Tollit, Michelle A., May, Tamara, Maloof, Tiba, Telfer, Michelle M., Chew, Denise, Engel, Melanie, and Pang, Ken

Subjects
GENDER affirming care, CONFIDENCE intervals, PEDIATRICS, RETROSPECTIVE studies, GENDER dysphoria, PSYCHOSOCIAL functioning, MENTAL health, GENDER-nonconforming people, REGRESSION analysis, GENDER identity, SUICIDAL ideation, CHILD psychopathology, DESCRIPTIVE statistics, SOCIAL classes, DATA analysis software
Abstract

Objectives: To better understand the clinical profile of patients attending a large Australian pediatric gender service. Retrospective clinical audit of patients seen at the Royal Children's Hospital Gender Service (RCHGS) over 10 years (2007-16). Setting: The RCHGS: Australia's largest pediatric gender service. Participants: Patients were eligible for inclusion if they had an appointment with the RCHGS between January 2007 - December 2016, and had either a self-reported gender which differed from what was presumed for them at birth or sought guidance regarding gender identity/expression. Main outcome measures: Demographic/developmental history, clinical presentation including information about gender identity/dysphoria, comorbidities, self-harm, suicidal ideation, gender-affirming treatment, psychosocial functioning. Results: 359 patients were first seen during the study period. Assigned females (54%) slightly outnumbered assigned males (46%), and presented at an older age (14.8 vs 12.4 years. Patients predominantly identified as transgender (87.2%) or non-binary (7.2%). Across the cohort, gender diversity was evident from a young age (median age 3), and symptoms of gender dysphoria were noted earlier in assigned males (median age 4) than assigned females (median age 11). Although 81% of patients met eligibility for GD, rates of hormonal treatment were much lower, with 29% of young people ≥10 years of age receiving puberty blocking treatment and 38% of adolescents ≥ 16 years of age receiving gender-affirming hormones (i.e. testosterone or estrogen). Many patients had mental health difficulties and/or neurodevelopment disorders, including major depressive disorder/low mood (51%), self-harm (25%), suicidal ideation (30%) and autism spectrum disorder (16%). Conclusion: This audit illustrates the complex profile and needs of transgender and gender diverse children and adolescents presenting to specialist gender services. Supplemental data for this article is available online at https://doi.org/10.1080/26895269.2021.1939221. [ABSTRACT FROM AUTHOR]

Published
2023
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17. Bridge study protocol: an international, observational cohort study on the transition of healthcare for adolescents with chronic conditions

Author

Kosola, Silja, primary, Culnane, Evelyn, additional, Loftus, Hayley, additional, Tornivuori, Anna, additional, Kallio, Mira, additional, Telfer, Michelle, additional, Miettinen, Päivi J, additional, Kolho, Kaija-Leena, additional, Aalto, Kristiina, additional, Raivio, Taneli, additional, and Sawyer, Susan, additional

Published
2021
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21. Long-term Puberty Suppression for a Nonbinary Teenager

Author

Pang, Ken C., primary, Notini, Lauren, additional, McDougall, Rosalind, additional, Gillam, Lynn, additional, Savulescu, Julian, additional, Wilkinson, Dominic, additional, Clark, Beth A., additional, Olson-Kennedy, Johanna, additional, Telfer, Michelle M., additional, and Lantos, John D., additional

Published
2020
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24. ICD-11 and gender incongruence of childhood: a rethink is needed

Author

Winter, Sam, primary, Ehrensaft, Diane, additional, Telfer, Michelle, additional, T'Sjoen, Guy, additional, Koh, Jun, additional, Pickstone-Taylor, Simon, additional, Kruger, Alicia, additional, Griffin, Lisa, additional, Foigel, Maya, additional, De Cuypere, Griet, additional, and Karasic, Dan, additional

Published
2019
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34. The kids are OK: it is discrimination not same‐sex parents that harms children

Author

Knight*, Ken W, primary, Stephenson*, Sarah EM, additional, West*, Sue, additional, Delatycki, Martin B, additional, Jones, Cheryl A, additional, Little, Melissa H, additional, Patton, George C, additional, Sawyer, Susan M, additional, Skinner, S Rachel, additional, Telfer, Michelle M, additional, Wake, Melissa, additional, North, Kathryn N, additional, and Oberklaid, Frank, additional

Published
2017
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40. Concord, Kannapolis join to steer growth.

Author

Telfer, Michelle

Abstract

Focuses on the merger of the chambers of commerce of Cabarrus County and Kannapolis, North Carolina. Benefits of the merger to business enterprises in the counties; Chambers' plan to improve its services for its 1,650 members; Supporters of the merger.

Published
1997

41. Direct-marketing Advantage.

Author

Telfer, Michelle

Abstract

Profiles Charlotte, North Carolina-based Advantage Mail Network Inc. Inclusion in the 1995 Fast 50 list of fastest growing businesses in the Charlotte region; Reasons behind growth; Focus on direct marketing research to help clients reach customers outside major metro markets.

Published
1996

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