... [T] here was a significant excess of the primary outcome in births planned at home compared with those planned in obstetric units in the restricted group of women without complicating
conditions at the start of care in labour.
The strength of this association was increased when the sample was restricted to women with no complicating
conditions at the start of care in labour (adjusted odds ratio 2.80, 1.59 to 4.92).
For the restricted sample of women without any complicating
conditions at the start of care in labour, the odds of a primary outcome event were higher for births planned at home compared with planned obstetric unit births (adjusted odds ratio 1.59, 95 % confidence interval 1.01 to 2.52) but there was no evidence of a difference for either freestanding or alongside midwifery units compared with obstetric units.
Categorised by parity for all women and restricted to those without complicating
conditions at start of care in labour
Results for all women and restricted to those without complicating
conditions at start of care in labour
Before the analysis of the outcomes, the co-investigators and independent advisory group agreed to modify the analysis plan to include additional analyses of outcomes restricted to women without complicating
conditions at the start of care in labour.
There was no difference overall between birth settings in the incidence of the primary outcome (composite of perinatal mortality and intrapartum related neonatal morbidities), but there was a significant excess of the primary outcome in births planned at home compared with those planned in obstetric units in the restricted group of women without complicating
conditions at the start of care in labour.
The overall test for interaction (heterogeneity) was of borderline statistical significance for all women (P = 0.06), and was significant for women with no complicating
conditions at the start of care in labour (P = 0.03).
Planned birth at home in low risk women without complicating
conditions at the start of care in labour was associated with significant cost savings and a significant decrease in adverse perinatal outcomes avoided.
In further analyses restricted to women without complicating
conditions at the start of care in labour, the adjusted odds of adverse perinatal outcomes were higher for births planned at home compared with those planned in obstetric units (adjusted odds ratio 1.59, 95 % confidence interval 1.01 to 2.52).
Fig 2 Cost effectiveness plane: planned birth at home compared with planned birth in obstetric units for nulliparous low risk women without complicating
conditions at start of care in labour
For low risk women without complicating
conditions at the start of care in labour, the mean incremental cost effectiveness ratios associated with switches from planned birth in obstetric unit to non-obstetric unit settings fell in the south west quadrant of the cost effectiveness plane (representing, on average, reduced costs and worse outcomes).25 The mean incremental cost effectiveness ratios ranged from # 143382 (alongside midwifery units) to # 497595 (home)(table 4 ⇓).
Restriction of the analyses to low risk women without complicating
conditions at the start of care in labour narrowed the cost differences between planned places of birth: total mean costs were # 1511 for an obstetric unit, # 1426 for an alongside midwifery unit, # 1405 for a free standing midwifery unit, and for # 1027 the home (table 2 ⇓).
This was replicated for women without complicating
conditions at the start of care in labour.
Fruits and veggies canned or frozen within hours of being picked will, nutritionally speaking, be at peak
condition at the start of processing.
In short, the suddenly awakened cells displayed massive genomic instability, quite beyond their simple aneuploid
condition at the start of the experiments.
«The triple stint was eventful and the wet
conditions at the start were a challenge but it quickly dried.
«The triple stint was eventful and the wet
conditions at the start were a challenge, but it quickly dried out.
Keep in mind, animals in the wild sometimes die in hibernation — that is an even more likely outcome if they had not been in tip - top
condition at the start of the process.
10 years of data are used to establish correlations between
conditions at the start week and forecast week.
Nevertheless, the risk of cold
conditions at the start of winter is now greater than it has been in recent winters.
Not exact matches
Bob brings 15 years of digital media and
start - up experience to his role of CEO
at Gigwalk, a software platform for consumer brands that delivers local visibility of in - store
conditions and fosters better collaboration with retailers.
The potential deal, which arose as the New York - based
start - up was seeking funding, likely values Boxed
at between $ 325 million and $ 500 million, said the person, who spoke on
condition of anonymity.
At both Walgreens and CVS, for example, exams for minor illnesses, injuries and skin conditions start at $ 8
At both Walgreens and CVS, for example, exams for minor illnesses, injuries and skin
conditions start at $ 8
at $ 89.
After years
at the effective lower bound for short - term interest rates, economic
conditions have finally warranted the
start of U.S. monetary policy normalization.
At this stage, as long as
conditions don't get materially worse (a rather herculean assumption perhaps, given the trade tensions along our southern border), we think Canadian stocks could
start to finally attract some investor interest.
And as longer - term graphs show (such as the one all the way
at the
start of this article),
at most times, stocks have handily out - performed bonds over wide ranges of inflation
conditions and rates of fluctuation.
«The November wage increase is a warning that labor market
conditions are already
starting to turn,» said Joel Naroff, chief economist
at Naroff Economic Advisors in Holland, Pennsylvania.
The signs of capital concentration tell us we need to
start thinking about how we will execute a plan for the ultimate descent
at perhaps a very crowded Hillary Step juncture somewhere in the future when shorter term weather
conditions on the financial market mountain change.
DMI also confirms such market
conditions and for trading we should wait when ADX line
starts upward movement to 20 level
at least.
There are four affirmations about Jesus Christ that historically have been stressed in Christian faith: (1) Jesus is truly human, bone of our bone and flesh of our flesh, living a human life under the same human
conditions any one of us faces — thus Christology, statement of the significance of Jesus, must
start «from below,» as many contemporary theologians are insisting; (2) Jesus is that one in whom God energizes in a supreme degree, with a decisive intensity; in traditional language he has been styled «the Incarnate Word of God»; (3) for our sake, to secure human wholeness of life as it moves onward toward fulfillment, Jesus not only lived among us but also was crucified for us — this is the point of talk about atonement wrought in and by him; (4) death was not the end for him, so it is not as if he never existed
at all; in some way he triumphed over death, or was given victory over it, so that now and forever he is a reality in the life of God and effective among humankind.
Speaking of LeRoyCarhart, four of his former employees have reported unsafe and illegal practices
at his abortion clinic in Bellevue, Nebraska - including unsanitary
conditions and unlicensed staff
starting IVs and dispensing medication.
After Cyndy learned of the
condition, which causes parts of the brain to slowly die, she began researching some of the symptoms, and suddenly, Grant's plunge into addiction following his retirement
at age 32
started to make sense.
According to Jim Peebles of Princeton University, Lemaitre's framework for cosmology is still relevant today because it «consider [s] scenarios for the evolution of structure that
start at high redshift with initial
conditions that do not seem unduly conjured, evolve accordingto accepted laws of physics, and end up looking more or less like the universe we observe.»
Harvesting
starts at the end of the first week in September and lasts for about a month, depending on weather
conditions.
Mr. Allen
started the roast
at about four o'clock this morning, as fully twelve hours» time will be required to get it to a proper
condition for serving.
Deserving to
start a game and being capable of
starting every game
at peak
condition are 2 different things.
Dr. Robert Franks, a concussion specialist
at the Rothman Institute in Philadelphia,
started the deeper look into Joseph's
condition.
Now he's outside the top 10
at 5 - under, and while scoring
conditions are expected to be good, there's no chance he chases down Spieth and Kaymer who
start eight shots ahead.
Romain Grosjean failed to
start last year's Brazilian GP after he spun his Haas car in challenging, wet
conditions out of the last «proper» corner
at Interlagos on his way to the grid.
The American team, which
started the season with
at least nominally high hopes for the men and superlative expectations for the women, has fallen near a state of despair, a
condition caused by a series of disappointing races and agitated further by the fact that the team does not even have national uniforms and is, literally, out
at the elbows.
Before Eaton there was Donaldson, an insecure 300 - pound junior
at Sacramento's Luther Burbank High, who only agreed to
start practicing with the basketball team under one
condition: every window of the gym had to be covered with newspapers so that classmates couldn't stare.
And rest our 1st XI starters to be in optimum
condition to beat Barca
at the Ems on Tuesday night, then go to Old Traford to beat the struggling Man Utd LvG's
starting XI team to finish this month of February on the high.
No. 2 seed Rafa Nadal and fellow top players, Andy Roddick and Andy Murray, were upset about
starting their matches in poor
conditions at the U.S. Open.
The bad news is that I'm coughing regularly and probably
starting the chest cold that has had my wife in bed all weekend (and, no, in her current
condition she is NOT hot...) Airborne zinc lozenges, and vitamin C are already on board and will alternate with the brewskis for
at least the next several couple of days (then back to work on Wednesday, I hope...) My favorite line from Animal House is definitely in order...
Such
conditions meant a long day for the contestants, who will tee it up for the third round
starting at 2:15 p.m. ET.
On Twitter, Rabobank summed up the
condition of their team
at the
start of today's stage, stating that between them, they've notched up 15 crashes, two broken ribs, one punctured lung and one square metre of missing skin.
If Arsene Wenger Does sign this 2 Year Extension, the Board should also formally stipulate that — as well as the «Set In Stone»
conditions above — Wenger MUST be prepared to begin the Transition to the «Post Wenger» Era — which will be set to begin
at the
start of Season 2019 - 2020
at the Latest.
Yes, with the acquisition of Sanchez this season, the German playmaker might not have the pressure of performing in every game he
starts for Arsenal; but it's not an insinuation that the North Londoners can function in pristine
condition, without the German being
at his best.
Following qualifying
at the Shanghai International Circuit and the opening part of the race, which
started in slippery and damp
conditions, it looked unlikely Schumacher would win.