Sentences with phrase «home and hospital populations»

We might also find a number of babies who had lethal congenital anomalies, who would not have survived no matter where they were born or who attended the birth; there may be important differences between home and hospital populations with regard to whether these anomalies were detected prenatally and whether parents changed their birth plans because of it.

Not exact matches

Flint and colleagues suggested that when midwives get to know the women for whom they provide care, interventions are minimised.22 The Albany midwifery practice, with an unselected population, has a rate for normal vaginal births of 77 %, with 35 % of women having a home birth.23 A review of care for women at low risk of complications has shown that continuity of midwifery care is generally associated with lower intervention rates than standard maternity care.24 Variation in normal birth rates between services (62 % -80 %), however, seems to be greater than outcome differences between «high continuity» and «traditional care» groups at the same unit.25 26 27 Use of epidural analgesia, for example, varies widely between Queen Charlotte's Hospital, London, and the North Staffordshire NHS Trust.
And in Canada, where it appears safest of all, several studies have demonstrated that in carefully selected populations, there is no difference between the number of babies who die at home or in the hospital.
If there were more midwife - led birthing centers, out - of - hospital and home birthing for the low risk healthy population, according to evidence based NICES recommendations, this would decrease the rates of invasive procedures and hospital exposure to pathogens - especially resistant ones, that all increase risk of infection.
The highest rates of breastfeeding are observed among higher - income, college - educated women > 30 years of age living in the Mountain and Pacific regions of the United States.60 Obstacles to the initiation and continuation of breastfeeding include physician apathy and misinformation,61 - 63 insufficient prenatal breastfeeding education, 64 disruptive hospital policies, 65 inappropriate interruption of breastfeeding, 62 early hospital discharge in some populations, 66 lack of timely routine follow - up care and postpartum home health visits, 67 maternal employment68, 69 (especially in the absence of workplace facilities and support for breastfeeding), 70 lack of broad societal support, 71 media portrayal of bottle - feeding as normative, 72 and commercial promotion of infant formula through distribution of hospital discharge packs, coupons for free or discounted formula, and television and general magazine advertising.73, 74
Inclusion criteria were as follows: the study population was women who chose planned home birth at the onset of labor; the studies were from Western countries; the birth attendant was an authorized mid-wife or medical doctor; the studies were published in 1985 or later, with data not older than from 1980; and data on transfer from home to hospital were described.
Although affluent and urban women began having their babies in hospitals, however, medically underserved populations, such as rural women with limited access to hospitals and poor women who couldn't afford to give birth in the hospitals, continued to give birth at home.
Her first job out of midwifery school was in a community health center and hospital in Chicago attending both home and hospital births to a diverse population.
Outcomes of planned home births compared to hospital births in Sweden between 1992 and 2004: a population - based register study.
Comparing intended home and hospital births in a cohort of 529688 low risk pregnancies in primary care in the Netherlands, de Jonge et al recently found low rates of perinatal mortality (intrapartum and neonatal death before 7 days) and admission to the NICU.11 They concluded that an intended home birth does not increase risks compared with an intended hospital birth in this population.
In my experiences with homebirth midwives that practice in Illinois (there is still a large Mennonite population, and a number of women who still wish to birth at home), the recommend having a homebirth friendly Pediatrician in place because, «there are orders to call CPS if a homebirthed baby or mom transfers to a hospital».
Steve Kell, GP and co chair of the NHS Clinical Commissioners representative group, said: «CCGs are trying to develop a sense of joint responsibility for populations, so people in the hospital are thinking beyond their hospital walls to look at nursing home quality, and anything that affects our patients.
«We wanted to determine the risk to help assess whether this population of patients could safely go home and do further outpatient testing within a day or two,» said Dr. Michael Weinstock, a professor of Emergency Medicine at The Ohio State University College of Medicine and chairman of the Emergency Department at Mt. Carmel St. Ann's Hospital.
Enhancing the quality of life through pets *: Supporting programs that train pets to become service animals for military veterans or people with disabilities and for pet therapy programs in hospitals, schools, senior homes or with at - risk populations.
Injured Workers and Poverty Survey 2010 Many Losses, Much Hardship The Impact of Work Injury FAST FACTS • Before injury, 89 % were employed full time; after injury 9 % • Nearly one in five lost their homes after injury • Nearly one quarter had moved in with family or friends at some point after their injuries • One in five injured workers could no longer afford a car • Food bank use rose from 5 to 77 people after work injury • 20 % reported an overnight hospital stay the last 12 months (most because of the work injury) compared with 7 % for the general population of Canadians • Over half had not been able to afford medications in the past 12 months • 57 % of injured workers in the study were unemployed For more information: wwwinjuredworkersonline.org
I have committed over 10 years to working with the psychogeriatric population, typically people over the age of 65 who have been diagnosed with a serious mental illness, both in nursing homes and through a city hospital.
The scope of HV programs has been expanding to address special populations and to include additional goals such as follow - up from hospital discharge, medical visits to children who have special health care needs (eg, asthma care), hospice and palliative care, and environmental evaluations (eg, home lead evaluations).
Although traditional models of primary care provide reactive and episodic care during doctor visits, new models require outreach, coordination, and education / empowerment with increasing teamwork provided by multidisciplinary staff including home visitors.22 As FCMHs and hospitals are increasingly being held accountable to population quality measures, interest in home visitation (HV) and community health worker models have increased.23 For instance, Healthcare Effectiveness Data and Information Set quality measures that assess well - child visit attendance of a primary care practice's panel has increased interest in medical home outreach to families and home visitation strategies.
Designed for practical and sustainable delivery by care providers or educators, the curriculum is ideal for all age groups and populations in places with limited resources, such as hospitals, nursing homes, schools, shelters, and community clinics.
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