Sentences with phrase «birth place study»

Her scholarly work includes the national, CIHR - funded Canadian Birth Place Study examining attitudes to place of birth among maternity care providers; and Changing Childbirth in BC, a provincial, community - based participatory study of women's preferences for maternity care.

The three recent papers published in American Journal of ObGyn: Wax metaanalysis (2010), Chervenak (2013), Grunebaum **** (see note at bottom)(Apgar 0, 2013) and the U.K. Birth Place study (2013) report perinatal death rates from homebirth as 3 times or 10 times higher than perinatal death rates in the first week than hospital birth.

Homebirth is recognised as safe for low risk women, particularly if it is not the first time they are giving birth (i.e. slightly higher risk for primiparous women than multiparous) as per «Birth Place Study» — British Medical Journal 2011 — amongst other studies.

Not exact matches

The place of birth: A study of the environment in which birth takes place with special reference to home confinements.

The study looked at intended place of birth to rule out improperly assigning transferred patients to the hospital group, and included only the lowest possible risk women.

The very large study of place of birth in the UK most recently showed no increase in risk for home birth for second or subsequent babies.

This study was about place of birth, the options being home, primary, secondary, or tertiary, not hospital births all joined together.

Planned Hospital Birth versus Planned Home Birth Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complicatBirth versus Planned Home Birth Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complicatBirth Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complicatbirth in many places can be as safe as planned hospital birth and with less intervention and fewer complicatbirth and with less intervention and fewer complications.

Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complications.

Where are the studies demonstrating institutionalized birth to be a safe place for a healthy mom and baby to birth?

The study was a prospective cohort study with planned place of birth at the start of care in labour as the exposure (home, freestanding midwifery unit, alongside midwifery unit, or obstetric unit).12 Women were included in the group in which they planned to give birth at the start of care in labour regardless of whether they were transferred during labour or immediately after birth.

The strengths of the study include the ability to compare outcomes by the woman's planned place of birth at the start of care in labour, the high participation of midwifery units and trusts in England, the large sample size and statistical power to detect clinically important differences in adverse perinatal outcomes, the minimisation of selection bias through achievement of a high response rate and absence of self selection bias due to non-consent, the ability to compare groups that were similar in terms of identified clinical risk (according to current clinical guidelines) and to further increase the comparability of the groups by conducting an additional analysis restricted to women with no complicating conditions identified at the start of care in labour, and the ability to control for several important potential confounders.

A study of the environment in which birth takes place with special reference to home confinements

Most studies of homebirth in other countries have found no statistically significant differences in perinatal outcomes between home and hospital births for women at low risk of complications.36, 37,39 However, a recent study in the United States showed poorer neonatal outcomes for births occurring at home or in birth centres.40 A meta - analysis in the same year demonstrated higher perinatal mortality associated with homebirth41 but has been strongly criticised on methodological grounds.5, 42 The Birthplace in England study, 43 the largest prospective cohort study on place of birth for women at low risk of complications, analysed a composite outcome, which included stillbirth and early neonatal death among other serious morbidity.

Only those studies that used the intended place of birth, as opposed to the actual place of birth, are included.

In recent well - designed studies that captured planned place of birth andused better sources of data, there were no differences in 5 - minute Apgar scores between home and hospital settings (Hutton et al, 2009; Janssen et al, 2009; van der Kooy et al, 2011).

That's important because many homebirth studies look at actual place of birth and thereby include homebirth transfers in the hospital group, skewing the results.

The Birthplace study looked at intended place of birth at the beginning of labor.

This study puts it at.8 / 1000 for otherwise healthy white women, but I don't know if place of birth was part of the criteria or if home birth transfers were included or not.

In addition, most of these studies used planned place of birth at the onset of labor [1 - 6,8].

In many previous U.S. studies, it was not possible to disaggregate planned in - hospital births from planned out - of - hospital births that took place in the hospital after a woman's intrapartum transfer to the hospital.3, 9,10 The latter births represent 16.5 % of planned out - of - hospital births in our population, and misclassification of these births as in - hospital births caused rates of adverse outcomes among planned out - of - hospital births to be underestimated (in some cases, substantially).

Most of the studies about place of birth have been done in countries where giving birth outside the hospital is not always available or more difficult to arrange.

In a previous study where we explored women's preferences for aspects of intrapartum care regarding planned place of birth we reported that women with a preference for a hospital birth — both midwife - led and obstetrician - led — found the possibility of pain relief treatment much more important compared to women with a preference for a home birth [18].

Studies of place of birth have consistently shown lower rates of intervention in labor and birth for women with low - risk pregnancies who planned their birth at home [1 - 7].

Our study shows no differences in association between preferred place of birth and mode of birth.

Our study demonstrates significant differences in the course of pregnancy and labor in relation to preferred place of birth, as showed by the fewest number of diagnosed medical indications during pregnancy and the fewest intrapartum interventions among women who preferred a home birth.

The aim of our study was to explore whether the initial preferred place of birth at the onset of pregnancy and model of care are associated with differences in the course of pregnancy and intrapartum interventions and birth outcomes.

We also calculated outcome rates before reclassification to determine the effect of misclassification in standard vital statistics data, including prior U.S. studies on place of birth.

For the baby, instrumental delivery can increase the short - term risks of bruising, facial injury, displacement of the skull bones, and cephalohematoma (blood clot under the scalp).24 The risk of intracranial hemorrhage (bleeding inside the brain) was increased in one study by more than four times for babies born by forceps compared to spontaneous birth, 25 although two studies showed no detectable developmental differences for forceps - born children at five years old.26, 27 Another study showed that when women with an epidural had a forceps delivery, the force used by the clinician to deliver the baby was almost twice the force used when an epidural was not in place.28

The study started as an RCT in 2006, but was changed into a prospective cohort study in 2007 because it was impossible to find women who would agree to be randomized for place of birth [12].

We performed a population - based, retrospective cohort study of all births that occurred in Oregon during 2012 and 2013 using data from newly revised Oregon birth certificates that allowed for the disaggregation of hospital births into the categories of planned in - hospital births and planned out - of - hospital births that took place in the hospital after a woman's intrapartum transfer to the hospital.

Thirdly, this study used only clinically defined outcomes to determine the cost effectiveness of planned place of birth.

A broader economic approach to the measurement of outcomes, such as stated preference discrete choice modelling, might have captured women's preferences for alternative attributes of planned place of birth and might have been more informative to decision makers, 28 but this was not practically possible given the anonymity involved in the study design and the available resources.

In this study of the cost effectiveness of alternative planned places of birth in England in women at low risk of complications before the onset of labour, we found that the cost of intrapartum and after birth care, and associated related complications, was less for births planned at home, in a free standing midwifery unit, or in an alongside midwifery unit compared with planned births in an obstetric unit.

I quickly realize that in this section only two studies are listed, and the first one, by Hendrix et al, is self - explanatory in its title: «Why women do not accept randomization for place of birth.»

Olsen and Clausen (2012) stated that observational studies of increasingly better quality and in different settings suggested that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complications.

Women need to know and understand that they have choices when it comes to Hypnobabies classes or home study, their caregivers and their baby's birth place.

Declercq said one problem with relying on this study is the results may have been skewed because the researchers relied on the location the birth was planned for rather than where it actually took place.

The SMMIS database is extremely useful for the study of pregnancy outcomes by place of birth, because it overcomes many of the problems inherent within other data sources.

Researchers can access the de-identified datasets to study the process and outcomes of midwifery care, physiologic birth, and place of delivery.

A number of studies have shown possible links between birth defects and taking aspirin during early pregnancy, however none of these studies are conclusive — most of your baby's development takes place in the first 12 weeks of pregnancy so it is best to avoid aspirin during this time.

«For this large cohort of women who planned midwife - led home births in the United States, outcomes are congruent with the best available data from population - based, observational studies that evaluated outcomes by intended place of birth and perinatal risk factors.

I want to draw your attention to The Birth Place Research Quality Index (ResQu Index), an index that can be used to assess the quality of studies about the place of bBirth Place Research Quality Index (ResQu Index), an index that can be used to assess the quality of studies about the place of bPlace Research Quality Index (ResQu Index), an index that can be used to assess the quality of studies about the place of bplace of birthbirth.

Many other studies have shown this to be the primary reason for placing infants in the nonsupine position.10, 12,13 Our study showed that spitting up in the first 24 hours after birth occurs in fewer than 4 % of newborns, whether asleep or awake.

Table 3: Association between maternal interventions and outcomes and planned place of birth among the 12 982 women in the study

Despite the care taken in this study to match the 3 groups, there may be differences regarding the women who chose home birth that placed them at either lower or higher risk for adverse outcomes that we are unable to measure.

This study, in addition to aiding families to make place of birth decisions, should spur our hospitals to improve the care tey provide.

Previous studies have relied on birth certificate data, which only capture the final place of birth (regardless of where a woman intended to give birth).

Because our goal was to better inform childbearing women and their caregivers of the potential consequences of home birth, we chose to study the planned rather than the actual place of birth.

In the study group, we included all births in British Columbia between Jan. 1, 2000, and Dec. 31, 2004, that were planned to take place at the woman's home at the onset of labour.