Not exact matches
Early clamping of the umbilical cord
at birth, a practice developed without adequate evidence, causes
neonatal blood volume to vary 25 % to 40 %.
Main outcome measure A composite primary outcome of perinatal mortality and intrapartum related
neonatal morbidities (stillbirth after start of care in labour,
early neonatal death,
neonatal encephalopathy, meconium aspiration syndrome, brachial plexus injury, fractured humerus, or fractured clavicle) was used to compare outcomes by planned place of birth
at the start of care in labour (
at home, freestanding midwifery units, alongside midwifery units, and obstetric units).
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.
Even if we just take
early and late
neonatal stats, leaving out HALF of the homebirth deaths (22/44) it's 1.29 / 1000 for MANA's almost all white, majority college educated, mostly singleton, mostly low - risk healthy women in their 20s and 30s, vs. 0.81 for EVERYONE delivering
at term in the hospital.
Here are the mortality rates (excluding lethal anomalies) for babies born to low risk women that were confirmed to be alive
at the start of labor but die either during birth (intrapartum) or in the first week of life (
early neonatal):
Main outcome measures were maternal outcomes (mortality; place and mode of birth; perineal trauma; type of management of the third stage of labor; post-partum hemorrhage; transfer to hospital); and
neonatal outcomes (
early mortality; Apgar score
at 5 minutes; birth weight; breast - feeding initially and
at 6 weeks; significant morbidity; transfer to hospital; admission to a special care nursery).
(
early neonatal death means the baby was born alive but died sometime in the first seven days), a baby is three times more likely to die
at a home birth in the USA with a mortality rate of 1.71 / 1000 versus only 0.64 / 1000 babies dying in the Netherlands.
Looking
at that same study for a comparison of total
neonatal mortality rate (
early plus late
neonatal for both studies)... Birth Center study shows their
neonatal mortality rate was 0.40 / 1000 excluding anomalies.
Therefor, if you compare MANA data with hospital data, you must exclude the MANA intrapartum fetal death and only look
at early and late
neonatal death.
These data report intrapartum and
early neonatal death rates in full term women who intended to deliver out of hospital (and subsequently deliver either out of hospital or in hospital)
at the start of labor compared with women who intended a hospital birth (thus «higher risk» pregnancies are included in this group) in 2012.
Ali was born
early, and even
at just 4 lb 10oz, she required no
neonatal intensive care.
More specifically, compared with women with no
early neonatal signs of breastfeeding difficulty, we found that women who had negative feelings about breastfeeding and reported severe pain while nursing soon after birth were more likely to experience postpartum depression
at 2 months.
I'm looking
at birth statistics in Canada (rough, rough numbers)-- and it looks like the risk of having a stillbirth (never mind
early neonatal death or those who transferred to hospital and had a subsequent still birth)-- is nearly double with home birth (81/6247 =.01296) compared to hospital birth (2734 / 380454).
«Our research indicates that insertion of cervical pessary
at around 22 weeks in both randomly selected women pregnant with twins and in patients with a short cervix of less than 25 millimeters does not reduce the rate of spontaneous
early preterm birth, perinatal death, adverse
neonatal outcome, or need for
neonatal therapy.»
«That they can detect this difference in connectivity so
early is something interesting,» says Hao Huang, who studies
neonatal brain development
at the University of Pennsylvania.
To close the gap, the researchers are using technology that facilitates intervention
early in the child's life and empowers parents to play a very important role: «baby's first and best teacher,» said Ashley Darcy - Mahoney, assistant professor and
neonatal nurse practitioner
at The George Washington University School of Nursing and director of infant research
at its Autism and Neurodevelopmental Disorders Institute.
Although this study is limited by the lack of data on the effects of clinical interventions and
neonatal resuscitation efforts that may have been performed
at the time of birth, these findings suggest that
early detection of perinatal asphyxia is particularly relevant among infants of overweight and obese women although more studies are necessary to confirm these results in other populations.
Early - term births (37 to 38 weeks gestation) are associated with higher
neonatal morbidity (illness) and with more
neonatal intensive care unit (NICU) or neonatology service admissions than term births (39 to 41 weeks gestation), according to a study by Shaon Sengupta, M.D., M.P.H., now of the Children's Hospital of Philadelphia and formerly of the University
at Buffalo, N.Y., and colleagues.
Two years
earlier, in late 2012, Wang had been struggling to care for a month - old preemie named Galya, who was clinging to life in the
neonatal intensive care unit
at Children's Hospital of Orange County (CHOC) in California.
A young boy returns to UC San Diego Health System's
neonatal intensive care unit (NICU) to reunite with the medical staff who saved his life seven years
earlier when he was born weighing a little more than a pound
at just 25 weeks gestation.