Screening in home visit settings isn't going to solve the problem here in California or anywhere in the U.S.. All women deserve to be informed about the most common complication of pregnancy
by their obstetric provider (90 % of births are managed by Ob / Gyns, the other 10 % by family practice doctors or nurse midwives).
Common birth injuries caused
by obstetric negligence include:
Past and recent clinical research
by obstetric anesthesia fellows has been awarded the Gertie Marx Award for best clinical paper at the annual SOAP meeting.
«These new data are an important first step in determining the amount of weight gain (or loss) that is appropriate for women who enter pregnancy with obesity — data which are sorely needed
by obstetric providers to better serve their patients,» says Sharon Herring, MD, MPH, an expert in this area who is a member of The Obesity Society and Assistant Professor at Temple University.
Cheryl Beck wrote that, «Birth trauma lies in the eye of the beholder,» elaborating that what the mother perceives as a traumatic birth, may be seen as a routine delivery
by obstetric care providers (Beck, 2004).
Sure, a midwife attends me in labour but the policy is governed
by obstetric practice, not midwife led or normal birth.
However, it was my understanding that this type of care is very limited in the US and that there is great opposition
by the obstetric community to fully integrate properly trained midwives.
These significantly increased risks of neonatal mortality in home births must be disclosed
by all obstetric practitioners to all pregnant women who express an interest in such births.
Prevention of erythroblastosis
by an obstetric technic.
Method - Women with diabetes in pregnancy were randomised to either expressing colostrum twice per day for no more than 10 minutes, from 36 weeks gestation or standard care
by the obstetric and diabetes team.
She asserts that «an excess risk considerably more than 8 per 10,000 is deemed tolerable
by the obstetric community.»
[The Coroner] said midwife Fiona Hallinan had indirectly contributed to the baby's death by failing to tell the mother of the risks of home birth which had «sustained the misguided views of the mother, contributed to her disregarding the advice provided
by obstetric medical clinicians and facilitated in her a level of confidence that she may safely proceed to home birth».
The excess risk is not determined to be «tolerable»
by the obstetric community.
Realizing that through these procedures women are becoming «moral pioneers,» Rapp set out to document and analyze the contours of the «brave new world» created
by obstetric screening and technology.
Not exact matches
Direct Relief's interventions include expanding access to safe deliveries
by training and equipping traditional birth attendants and midwives, addressing complications in birth with emergency
obstetric care, and enrolling mothers into the Prevention of Maternal - to - Child Transmission of HIV program.
His foundation works to provide care to women in the developing world who suffer from
obstetric fistulas, a childbirth injury caused
by prolonged labor, according to their website.
Obstetric fistula, a severe injury caused
by prolonged childbirth labor, is occurring at an alarming rate in Africa where many births are performed without medical assistance.
«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.
You're the one implying that maternal mortality in the US is driven
by poor
obstetric practice.
A woman's right to choose a full range of providers and settings for pregnancy and birth was recently affirmed in a position statement on midwifery
by the Association of Women's Health,
Obstetric and Neonatal Nurses (AWHONN).
Women who planned a home birth were at reduced risk of all
obstetric interventions assessed and were at similar or reduced risk of adverse maternal outcomes compared with women who planned to give birth in hospital accompanied
by a midwife or physician.
What about the C - section rate, the all purpose bogeyman constantly used
by natural childbirth advocates to scare women about
obstetric care?
In the subgroup analysis stratified
by parity, there was an increased incidence of the primary outcome for nulliparous women in the planned home birth group (weighted incidence 9.3 per 1000 births, 95 % confidence interval 6.5 to 13.1) compared with the
obstetric unit group (weighted incidence 5.3, 3.9 to 7.3).
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).
Of the initial sample of 37
obstetric units, five did not agree to participate and were replaced
by resampling from within the same stratum, and one failed to establish data collection successfully.
The Womanly Art Of Breastfeeding
by La Leche League International Three in a Bed
by Deborah Jackson Pregnancy and Childbirth
by Sheila Kitzinger Reading Birth & Death: a History Of
Obstetric Thinking
by Jo Murphy - Lawless Impact Of Birthing, Practices On Breastfeeding: Protecting the Mother and Baby Continuum
by Mary Kroeger and Linda Smith The American Way Of Birth
by Jessica Mitford Communicating Midwifery
by Caroline Flint Preparing For Birth With Yoga: Exercises For Pregnancy and Childbirth
by Janet Balaskas Pregnancy and Childbirth
by Miriam Stoppard Pregnancy to Parenthood
by Linda Goldberg New Pregnancy and Birth Book
by Miriam Stoppard Who's Having Your Baby?
The public attention given to the landmark High Court case taken
by Aja Teehan and the coverage of the recent Coroner's inquest in the tragic death of baby Kai David Heneghan in Mayo have dominated the debate and have detracted from the real issues of: (i) Ireland's maternity care system being almost solely
obstetric led and (ii) a woman's right to make responsible, informed choices in pregnancy and childbirth.
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.
Whilst your care will be essentially
obstetric antenatally, the birth will be attended
by midwives and your postnatal care will also be provided
by midwives in a public ward (around 8 — 18 beds).
Pushed
By Jennifer Block This book is a no nonsense, upfront look at modern
obstetric practices and malpractices.
In response to the aforementioned study,
obstetric care providers are now being encouraged
by reproductive and women's health experts to provide extra support for women who have undergone cesareans in their efforts to breastfeed.
If you have developed some reliable predictive tool for unmanifested complications that are averted
by an intervention, then please share it because the
obstetric community would desperately love to use it.
Back in the early 19th century, Dr. Semmelweiss was derided
by his peers for hypothesizing on why more women were dying in the
obstetric clinic than in the one run
by midwives.
This occurs in around one in 2,800 epidural insertions.59 Overall, life - threatening reactions occur for around one in 4,000 women.60 — 63 Death associated with an
obstetric epidural is very rare, 64 but can be caused
by cardiac or respiratory arrest, or
by an epidural abscess that develops days or weeks afterward.
The most recent talk is
by Jacqueline Wolf, «From Ether to Epidural:
Obstetric Anesthesia in Historic, Medical, and Social Context ``.
Note: This article was reviewed
by Joseph R. Wax, MD, chairman of the Committee on
Obstetric Practice for the American College of Obstetricians and Gynecologists, and a maternal - fetal medicine specialist at the Maine Medical Center in Portland.
Outcomes were compared
by planned place of birth: at home, in freestanding midwifery units, in alongside midwifery units, or in
obstetric units.
Descriptive statistics were reported for maternal demographic, social, and
obstetric characteristics
by maternity unit Baby Friendly status with a comparison of percentages, weighted for design effect (F statistic27 significance P ≤ 0.05).
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.
Of the 2514 care provider experiences reported, 68.5 % (n = 1723) related to midwifery care, 19.9 % (n = 500) to care provided
by family physicians, and 11.6 % (n = 291) to
obstetric care; 9.7 % (n = 243) care provider experiences were submitted
by women who were pregnant at the time of data collection.
At all # 10000 intervals,
obstetric units were dominated
by other settings and were found to have zero probability of cost effectiveness
For the purposes of this economic evaluation, the forms were initially used in a related study funded
by the National Institute of Health Research (NIHR) research for patient benefit programme «assessing the impact of a new birth centre on choice and outcome of maternity care in an inner city area,» which will be reported in full elsewhere, comparing the costs of care in a free standing midwifery unit with care in an
obstetric unit in the same trust.16 The data collected included details of staffing levels, treatments, surgeries, diagnostic imaging tests, scans, drugs, and other resource inputs associated with each stage of the pathway through intrapartum and after birth care.
Setting 142 of 147 trusts providing home birth services, 53 of 56 freestanding midwifery units, 43 of 51 alongside midwifery units, and a random sample of 36 of 180
obstetric units, stratified
by unit size and geographical region, in England, over varying periods of time within the study period 1 April 2008 to 30 April 2010.
The cohort study aimed to collect data in every NHS trust in England that provides home birth services, every free standing midwifery unit, every alongside midwifery unit, and a random sample of
obstetric units, stratified
by unit size and geographical region, over varying periods of time within the study period (1 April 2008 to 31 April 2010).
If admitted to the unit, women are cared for
by the hospital's internationally renowned maternal - fetal medicine and
obstetric medicine specialists.
This study compared care provided
by general physicians,
obstetric nurses and professional midwives in a cluster - RCT in Mexico.
Committee on
Obstetric Practice This Committee Opinion was developed
by the American College of Obstetricians and Gynecologists» Committee on
Obstetric Practice and Breastfeeding Expert Work Group.
The midwife - led continuity model of care includes: continuity of care; monitoring the physical, psychological, spiritual and social well being of the woman and family throughout the childbearing cycle; providing the woman with individualised education, counselling and antenatal care; attendance during labour, birth and the immediate postpartum period
by a known midwife; ongoing support during the postnatal period; minimising unnecessary technological interventions; and identifying, referring and co-ordinating care for women who require
obstetric or other specialist attention.
It should be read
by every medical student, every midwife, every childbirth educator, every sociologist of childbirth, every researcher, every woman who is picking her way through the minefield of decisions that need to be made about
obstetric care.
All obstetrician — gynecologists and other
obstetric care providers should support women who have given birth to preterm and other vulnerable infants to establish a full supply of milk
by providing anticipatory guidance, support, and education for women.