It is regarded
as an obstetric emergency because fetal demise can happen if the baby is not delivered.
Future studies should focus on addressing existing research gaps such
as obstetric outcomes, complications, sexuality and therapeutic surgeries, state the authors.
As our obstetric practice changed, did it change women's expectations about how they should prepare for birth?
Since the early 1990s, government policy on maternity care in England has moved towards policies designed to give women with straightforward pregnancies a choice of settings for birth.1 2 In this context, freestanding midwifery units, midwifery units located in the same building or on the same site
as an obstetric unit (hereafter referred to as alongside midwifery units), and home birth services have increasingly become relevant to the configuration of maternity services under consideration in England.3 The relative benefits and risks of birth in these alternative settings have been widely debated in recent years.4 5 6 7 8 9 10 Lower rates of obstetric interventions and other positive maternal outcomes have been consistently found in planned births at home and in midwifery units, but clear conclusions regarding perinatal outcome have been lacking.
My two years in hospital included six months
as an obstetric SHO / junior resident, and such traces scared me silly.
Not exact matches
They were confirmed in the textbooks on embryology and
obstetric gynecology — and
as he pointed out, they had been set forth quite amply in the brief.
As of 1997, «nearly two - thirds of all women who give birth in hospitals with high - volume
obstetric units had an epidural during labor.
«Mars Attack» is new term coined to describe unjustified violation of women by care providers at the time of birth,
as well
as the purposeful abandonment of the peer review system by major
obstetric journals and the abandonment of the use of research evidence by ACOG in their latest protocols, in order to justify continued use of this form of violence against women.
planning birth in an
obstetric unit is associated with a higher rate of interventions, such
as instrumental vaginal birth, caesarean section and episiotomy, compared with planning birth in other settings
ACOG Committee Opinion no. 658: Optimizing Support for Breastfeeding
as Part of
Obstetric Practice.
After graduation
as a midwife, she worked in the
obstetric department of a regional hospital.
Most women in Ireland have
obstetric - led medicalised hospital care
as there are no other choices available to them.
I suppose it is hardly surprisingly that she accepts no responsibility for the many unknown babies who died
as a result of her preaching about the purported virtues of homebirth; she accepts no responsibility for the death of her OWN child who died
as a result of her refusal to seek
obstetric care.
The grass roots organization Improving Birth coined the term «
obstetric violence» - which is playing out in labor and delivery units in certain parts of the world; the World Health Organization called for increased scrutiny of these disrespectful childbirth care practices,
as women treated in this way, feel assaulted and violated, and must be taken
as seriously
as rape.
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.
Women were analysed in the group in which they planned to give birth, with the
obstetric unit group
as the reference.
Women were classified
as «healthy women with low risk pregnancies» if, before the onset of labour, they were not known to have any of the medical or
obstetric risk factors listed in the NICE intrapartum care guideline.
Women readily accepted genuine
obstetric problems
as a reason for transfer, but professional unease and antipathy not related to the particular pregnancy were not
as readily accepted.
Recently, in the USA, doulas have been sited
as a positive
obstetric technique for mother and carers.
Probably it also arises from a misunderstanding of their role and of the accountability of midwives
as well
as from an exaggerated idea of what is expected of general practitioners, who despite
obstetric training are unlikely to have maintained their skills.
Ina May Gaskin's C - section statistics over 40 years: 1.7 % American hospital C - section statistics: 32 % not including routine episiotomy and so on... Oh yes, I know who I would trust for my child's birth... And if the price of an intact body and a peaceful birth was «gentle stimulation» I would accept it with no hesitation... Of course I live in France where
obstetric violence is the norm and home birth nearly considered
as criminal by the establishment, but where puritanism is long gone (thank God)... You may remove this post
as you did for my previous one... It's OK we've got lots of you this side of the Atlantic telling us what's good or bad for us and we trust them less and less.
Yet we know from repeated high quality, robust research that midwifery - led care options (
as opposed to midwife attended care in
obstetric - led units) is the safest model of care for 85 % of women.
American Academy of Pediatrics (AAP) Pilot Breastfeeding Training Program: I participated
as a consultant in this pilot AAP program to train the pediatric,
obstetric and family practice interns and residents at Harbor - UCLA Medical Center.
A total of 777 women with diabetes were recruited with 635 women randomised to each group
as follows: 319 women were allocated to the antenatal hand expression group and 317 women were allocated to standard
obstetric and diabetic care.
The choices are usually based on whether you have private health insurance
as this will determine whether you are entitled to private
obstetric care.
The problem is, when you get into some groups that complain about «medicalized» birth, they do not turn to ACOG &
obstetric science
as a guide.
3) Episiotomy Parameters Linked to Risk for Injury During Birth Emma Hitt, PhD Authors and Disclosures March 8, 2012 — Increased depth and length of episiotomy,
as well
as increased distance from the midline to incision point, are associated with decreased risk for
obstetric anal sphincter injuries (OASIS), according to a new study.
Articles on childbirth and obstetrics «On Pregnancy» (ok
as is) «On Childbirth» (ok
as is) «Childbirth» (Sagesbirth4) «Culture and Birth: The Technocratic Imperative» -LCB- ok
as is -RCB- «The Rituals of American Hospital Birth» -LCB- ok
as is -RCB- «
Obstetric Training
as a Rite of Passage» (ok
as is -RCB- «The Technocratic Body: American Childbirth
as Cultural Expression» -LCB- ok
as is -RCB- «The Technocratic Model of Birth» -LCB- TechMod -RCB- «The Technocratic, Humanistic, and Holistic Models of Birth» -LCB- ok
as is -RCB- «Anthropology and -LSB-...]
Miriam's medical and education background includes: teaching prenatal classes and nursing students in the classroom and clinical setting, coordinating an OB department, and working
as the Hospital
Obstetric Consultant which included policy writing and continuing education for all obstetr
Obstetric Consultant which included policy writing and continuing education for all
obstetricobstetric staff.
Topics: «Birth and
Obstetric Training
as a Rite of Passage,» «Three Paradigms of Birth and Health Care,» «Birth Centers in the Technocracy,» «Models of Midwifery Education: A Global Tour.»
In the late 1980s, I interviewed 12 obstetricians about their experiences of medical training for «
Obstetric Training
as a Rite of Passage,» an article first published in the Medical Anthropology Quarterly that later became a chapter in Birth
as a an American Rite of Passage.
1987 «
Obstetric Training
as a Rite of Passage,» in Obstetrics in the United States: Woman, Physician, and Society, Robert Hahn, ed.
Incremental cost effectiveness ratios and net benefit statistics for normal birth outcome in women at low risk of complications according to planned place of birth: home, freestanding midwifery unit (FMU), or alongside midwifery unit (AMU) with
obstetric unit (OU)
as reference
They are more likely to have medical conditions such
as polycystic ovary syndrome (PCOS) and diabetes, and to experience
obstetric complications and caesarean birth than women of normal weight [28, 59].
Perinatal events can result in associated longer term health and broader societal costs,
as shown by the size of damages paid in
obstetric litigation cases, which represent a substantial cost to the NHS.27 Follow - up over weeks or longer to monitor recovery, or a future assessment of the outcomes for mothers and babies at a later date, would act
as a vehicle for estimating costs and consequences beyond the perinatal period and shed more light on long term cost effectiveness.
Ironically the Birthplace Study (National Perinatal Epidemiology Unit) found that labour takes nearly twice
as long in
obstetric units than it does in midwife - led units or at home.
All maternity patients have access to monitors, medication,
obstetric specialists, pediatric specialists and surgical procedures
as needed.
The mother makes her decision regarding breastfeeding prior to delivery in more than 90 % of cases; therefore, her choice of infant nutrition should be discussed starting in the second trimester and continue
as part of an ongoing dialogue during each
obstetric visit.
The
obstetric unit group contained the largest number of eligible births and was therefore used
as the reference to maximise statistical efficiency.
«A baby with a cleft lip or palate, for example, is often more prone to developing upper respiratory problems such
as colds, allergies, and ear infections,» says Aimee Creelman, a lactation consultant and
obstetric nurse at Brattleboro Memorial Hospital in Southern Vermont.
Although it is not
as large
as the university hospitals, Northwest Community Hospital in Arlington Heights assures moms it has an
obstetric anesthesiologist on staff at all times.
IBCLCs can be found in a wide variety of settings including private practice, working with home birth midwives, hospitals and birth centers, pediatric and
obstetric offices, public health clinics such
as the Women, Infants and Children (WIC) program
as well
as many other settings.
As a childbirth educator and a childbirth assistant, I have read or heard
obstetric myths — old doctors» tales, if you like — many times.
This recommendation is consistent with those of other medical and nursing organizations, such
as the American Academy of Pediatrics (9) and the Association of Women's Health,
Obstetric and Neonatal Nurses (10).
Some were listed
as «suggesting planned birth at an
obstetric unit» and some
as «indicating individual assessment when planning place of birth».
The emergency
obstetric referral interventions examined included financial arrangements, implementation strategies and delivery arrangements such
as information and communication technologies, changes in where care is provided, integration of services, and the use of ambulances.
These procedures should not be described
as «safe» without any caveats; they may be «safe» in terms of
obstetric science's ability to treat any undesirable consequences, but the lay person may understand the term «safe» to mean that there will not be any undesirable consequences.
This was defined
as admission to an intensive care unit, uterine rupture, eclampsia or major
obstetric haemorrhage (requiring a large blood transfusion).
Of course them knowing my medical /
obstetric history does make their opinion much more valuable
as well.
Midwifery model of care vs. Hospital
Obstetric model of care —
as I said in my first statement which is what we are talking about here right?