Adverse
birth outcomes result in significant emotional and economic costs for families and communities.
Not exact matches
The
results, presented to the public for the first time in A Good
Birth, show what really matters goes beyond the clinical
outcome or even the usual questions of hospital versus birthing center, and reveal universal needs of women, like the importance of feeling connected, safe, and respected.
In reality, only a very small proportion of home
birth transports actually do
result in such an adverse
outcome, and thus essentially have a negligible effect on hospital
outcomes.
The
resulting 9 Common Ground Statements describe a maternity care environment that respects a woman's autonomy, reduces health disparities, supports cross-professional collaboration and communication, promotes physiologic
birth, expands research that includes the woman in defining the elements of «safety», and accurately assesses the effects of
birth place on
outcomes and experience.
Unplanned home
births are likely emergencies involving precipitous labor or other complications that might
result in poorer - than - average
outcomes when occurring in a setting unprepared for this type of delivery.
Study
results provide evidence that mortality
outcomes in planned home
birth are not significantly different compared to planned hospital
birth, among 693,592 women with singleton
births in the Netherlands.
If so, this self selection may have
resulted in better
outcomes among women with planned home
birth.
Results There were 250 primary
outcome events and an overall weighted incidence of 4.3 per 1000
births (95 % CI 3.3 to 5.5).
The author never stated that home
birth NEVER
results in a positive
outcome.
Don't forget about the 2005 study that compared
outcomes of CPM attended
births and hospital
births, where the
results showed similar IP and neonatal death rates for both, but CPM attended
births fared better in other categories.
A 2014 study that examines nearly 17,000 courses of midwife - led care confirms that among low - risk women, home
births result in low rates of interventions without an increase in adverse
outcomes for babies and mothers alike.
We provide no guaranteed
results and
outcome for your
birth.
The study reviewed the
births of nearly 17,000 women and found that, among low - risk women, planned home
births result in low rates of
birth interventions without an increase in adverse
outcomes for mothers and newborns.
To assess the robustness of the
results of our regression analysis, we performed covariate adjustment with derived propensity scores to calculate the absolute risk difference (details are provided in the Supplementary Appendix, available with the full text of this article at NEJM.org).14, 15 To calculate the adjusted absolute risk difference, we used predictive margins and G - computation (i.e., regression - model — based
outcome prediction in both exposure settings: planned in - hospital and planned out - of - hospital
birth).16, 17 Finally, we conducted post hoc analyses to assess associations between planned out - of - hospital
birth and
outcomes (cesarean delivery and a composite of perinatal morbidity and mortality), which were stratified according to parity, maternal age, maternal education, and risk level.
«Planned home
births result in low rates of interventions without an increase in adverse
outcomes for mothers and babies,» Simkins boasts.
There was, however, an increased incidence of adverse perinatal
outcome associated with planned
birth at home in nulliparous low risk women,
resulting in the probability of it being the most cost effective option at a cost effectiveness threshold of # 20000 declining to 0.63.
There was, however, an increased incidence of adverse perinatal
outcomes associated with planned
birth at home in nulliparous low risk women,
resulting in the probability of it being the most cost effective option at a threshold of # 20000 declining to 0.63.
Hutton et al: Quite literally, the trend continued, in that the next study was also Canadian: «
Outcomes associated with planned home and planned hospital
births in low - risk women attended by midwives in Ontario, Canada, 2003 - 2006,» not surprisingly shows similar
results to the Janssen study.
Women who breastfeed for a shorter duration or not at all are at higher risk of many diseases, and they experience shorter
birth intervals with
resulting negative health
outcomes.
This was expected based on the
results of the pregnancy
outcome study from which these women were selected, ie, women with exposure to fluoxetine late in pregnancy were more likely to have lower
birth weight infants and were also more likely to breastfeed while continuing to use the medication.
Clarification of
results for the
outcomes «No intrapartum analgesia / anaesthesia» and «Attendance at
birth by known midwife».
These findings follow earlier research by Janssen that demonstrated that planned home
births resulted in fewer interventions and similar rates of adverse newborn
outcomes compared to planned hospital
births among women who met the criteria for home
births.
The study's senior author, Associate Professor Natasha Nassar from the University of Sydney Menzies Centre for Health Policy said: «While the association between being born earlier — lower gestational age — and poorer developmental
outcomes is well established, our
results revealed that poor development is further exacerbated in the case of planned
birth, where a considered decision made to deliver an infant determines gestational age.
In today's peer - reviewed Journal of Midwifery & Women's Health (JMWH), a landmark study confirms that among low - risk women, planned home
births result in low rates of interventions without an increase in adverse
outcomes for mothers and babies.
The
births that are riskiest, most difficult, and therefore most likely to
result in lethal
outcomes are supervised by doctors.
So was that
outcome a
result of her fear or tension, did she not «trust
birth» enough?
«among low - risk women, planned home
births result in low rates of interventions without an increase in adverse
outcomes for mothers and babies.»
As a
result, this study provides a much - needed look at the
outcomes of women who intended to give
birth at home (regardless of whether they ultimately transferred to hospital care).
In the meantime and on the basis of our
results, the place of
birth seems to affect perinatal
outcome in women at low risk.
The study's author noted (and anti-home-birth advocates are quick to point out) that the
outcomes were a
result of «a good risk - selection system, good transport in place, and well - trained midwives,» factors that are no doubt influenced by the collaboration of Dutch doctors and midwives and a national health system that support home
births as a viable choice for women.
Results: There was no relation between the planned place of
birth and perinatal
outcome in primiparous women when controlling for a favourable or less favourable background.
In areas where the patient's choice has a profound effect on
outcome, random comparisons eliminating choice will give unreliable estimates of true differences.14 Therefore, in the Netherlands, where choosing between home or hospital
birth is an integral feature of the system, randomised controlled trials between home
birth and hospital
birth would not produce generalisable
results even if it were possible to mount such trials.
A world in which moms have access to affordable, safe and nutritious foods would
result in healthier moms, healthier babies and better
birth outcomes.
While clomiphene is a first - line treatment used to induce ovulation in women with PCOS, it has downsides — namely that in a significant number of women it does not lead to improved ovulation or live
births, and if it does induce ovulation, it frequently
results in pregnancies with multiples who face much higher negative
outcomes including death.
Similar
results, described in PLOS ONE, come from a 2017 study of Vietnamese women: Weight gain during the first half of pregnancy had two to three times the influence on infant
birth outcomes than weight gain in the second half of pregnancy.
Ultimately this can
result in poor
birth outcomes which can have long - term effects on babies who survive, including impaired brain and behavioural development,» says Dr. McDonald, adding that research on safe, effective ways of promoting healthy
birth outcomes are urgently needed.
When the
outcome of the treatment was cross-checked against the BMI of the egg recipient,
results showed that the rates of embryo implantation, pregnancy, twin pregnancy and live
birth were all significantly reduced as BMI increased.
«The
results suggest that the environment is a stronger contributor to adverse
birth outcomes than genes, since there are differences in rates of
birth outcomes across states» Thayer said.
A recent study from the Thai - Myanmar border highlights the severe and previously under - reported adverse impact of readily treatable tropical rickettsial illnesses, notably scrub typhus and murine typhus, on pregnancy
outcomes, finding that more than one third of affected pregnancies
resulted either in stillbirth or premature and / or low
birth weight babies.
«The
results of this study were of particular interest because more than half of the pregnant women with migraine experienced some type of adverse
birth outcome, suggesting that these pregnancies should be considered high risk,» said study author Matthew S. Robbins, M.D., director of inpatient services at Montefiore Headache Center, chief of neurology at Jack D. Weiler Hospital of Montefiore, and associate professor of clinical neurology at Albert Einstein College of Medicine.
Restoring carbon dioxide levels after experimental
birth asphyxia gradually also
resulted in more favorable
outcome of behavior in adult life when compared with rats in which carbon dioxide levels were restored quickly after experimental
birth asphyxia,» Mohamed Helmy explains.
Of the pregnancies that occurred, a similar proportion
resulted in live
birth (81.8 percent women with epilepsy and 80 percent controls), miscarriage (12.7 percent women with epilepsy and 20 percent controls), or other
outcomes (5.4 percent women with epilepsy compared to 0 percent healthy controls).
The
results reveal a generalised deterioration of
birth outcomes, especially underweight at
birth, since 2008.
Prior studies have found that patients admitted to hospitals on weekends have a higher risk of death, but there have been conflicting
results from studies looking at
birth outcomes and day of
birth.
Pesticide exposure can
result in poor
birth outcome or future health issues such as breathing and neurological defects and increases the chances of childhood Leukemia.
Self - Regulation and Toxic Stress Report 3: A Comprehensive Review of Self - Regulation Interventions from
Birth Through Young Adulthood describes results of a comprehensive review of self - regulation interventions from birth through young adulthood and summarizes the level of evidence for different interventions across age groups and outcome dom
Birth Through Young Adulthood describes
results of a comprehensive review of self - regulation interventions from
birth through young adulthood and summarizes the level of evidence for different interventions across age groups and outcome dom
birth through young adulthood and summarizes the level of evidence for different interventions across age groups and
outcome domains.
These
results tend to be larger and are more statistically significant than the estimated effects of proximity to a Superfund site on
birth outcomes.
Brentin Mock writes on a federal study finding, no surprise, that poverty and pollution
result in poorer
birth outcomes in North Carolina.
The
results in Tables 2 and 3 also indicate that concurrent risks (most consistently maternal depression and stressful life events) and maternal life history risks (most consistently giving
birth before age 20 and leaving home before 18 years of age) exerted a consistent and generalized effect on children's health
outcomes at 2 years of age.
RESULTS: Path analysis revealed that the association between maternal ACEs and infant development
outcomes at 12 months operated through 2 indirect pathways: biological health risk (pregnancy health risk and infant health risk at
birth) and psychosocial risk (maternal psychosocial risk in pregnancy and maternal hostile behavior in infancy).