Not exact matches
Sterling spent the next year creating the toy,
studying gender differences and cognitive development in children, writing a business
plan and doing in -
home testing with a prototype with more than 100 boys and girls in three schools and more than 40
homes.
Darin Kingston of d.light, whose profitable solar - powered LED lanterns simultaneously address poverty, education, air pollution / toxic fumes / health risks, energy savings, carbon footprint, and more Janine Benyus, biomimicry pioneer who finds models in the natural world for everything from extracting water from fog (as a desert beetle does) to construction materials (spider silk) to designing flood - resistant buildings by
studying anthills in India's monsoon climate, and shows what's possible when you invite the planet to join your design thinking team Dean Cycon, whose coffee company has not only exclusively sold organic fairly traded gourmet coffee and cocoa beans since its founding in 1993, but has funded dozens of village - led community development projects in the lands where he sources his beans John Kremer, whose concept of exponential growth through «biological marketing,» just as a single kernel of corn grows into a plant bearing thousands of new kernels, could completely change your business strategy Amory Lovins of the Rocky Mountain Institute, who built a near - net - zero - energy luxury
home back in 1983, and has developed a scientific, economically viable
plan to get the entire economy off oil, coal, and nuclear and onto renewables — while keeping and even improving our high standard of living
Aetna, the global healthcare leader, announced
plans in 2016 to reduce its work - from -
home policy, citing
studies showing that
home - based workers «collaborate less with colleagues.»
I'm currently
studying abroad in southern France, and right before returning
home to the States, I've
planned a 5 - day visit to Paris.
Things are very busy over here — I'm in the throes of bar
study crunch time, wedding
planning (my mom is a huge help with this though), arranging for movers, and finding a new
home in Chicago.
Last Summer, ACOG «leaked» data from a
study to be published in the American Journal of Obstetrics and Gynecology stating that
planned home births carried a 2 - 3 fold increase in neonatal death compared with hospital births.
Perinatal death associated with
planned home birth in Australia: population based
study.
The dates of the twelve
studies included within the Wax (2010) analysis is also an area of concern, with eight dating prior to the birth certificate data set change that identified
planned from unplanned
home births.
Outcomes of
planned home births with certified professional midwives: large prospective
study in North America.
Twelve
studies were included in the review, offering a total of 342,056
planned home and 207,551
planned hospital deliveries for analysis (Wax et al, 2010).
Hutton EK, Reitsma AH, Kaufman K. Outcomes associated with
planned home and
planned hospital births in low - risk women attended by midwives in Ontario, Canada, 2003 — 2006: a retrospective cohort
study.
Outcomes of 11,788
planned home births attended by certified nurse - midwives: a retrospective descriptive
study.
The American College of Obstetricians & Gynecologists emphasized the results of the Wax
study in its official statement on homebirth, siting that «Women inquiring about
planned home birth should be informed of its risks and benefits based on recent evidence.
Homebirth and midwifery advocates point with pride to a recent
study that showed that homebirth with a midwife in the Netherlands is as safe as hospital birth with a midwife (Perinatal mortality and morbidity in a nationwide cohort of 529 688 low - risk
planned home and hospital births).
In the latest paper discussed in that post, Severe adverse maternal outcomes among low risk women with
planned home versus hospital births in the Netherlands: nationwide cohort
study, de Jonge concluded:
We registered with an agency, formulated our
plans for an adoption, and completed our
home study.
First, a little background on the
study, Outcomes of
planned home birth with registered midwife versus
planned hospital birth with midwife or physician.
A major
study published in the UK (Birthplace in England Collaborative Group, 2011) has examined the risks of
planned home births, comparing them against
planned deliveries in hospitals and midwife units for low risk women.
I think we can all agree that the quality of research on
planned home birth is varied, and proponents and opponents will find flaws with respective
studies.
Planned Hospital Birth versus Planned Home Birth Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complic
Planned Hospital Birth versus
Planned Home Birth Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complic
Planned Home Birth Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complicati
Home Birth Observational
studies of increasingly better quality and in different settings suggest that
planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complic
planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complicati
home birth in many places can be as safe as
planned hospital birth and with less intervention and fewer complic
planned hospital birth and with less intervention and fewer complications.
Observational
studies of increasingly better quality and in different settings suggest that
planned home birth in many places can be as safe as
planned hospital birth and with less intervention and fewer complications.
Supported by funding from the Canadian Institute for Health Research, Professor Vedam conducted a national, mix - methods
study on factors leading to divergent attitudes among maternity care providers» regarding
planned home birth.
ACNM (2005) offers a position statement specific to homebirth and states, «High quality controlled trials and descriptive
studies have established that
planned home births achieve excellent perinatal outcomes.
The
study adds to the body of large cohort
studies of
planned home births that have reported on the relative safety of
home versus hospital births.
Fransen (2015) makes a few intriguing points: The Midwives Alliance of North American (MANA) identifies a systematic review written within the official «journal» of Lamaze International as one «best available
studies on
planned home birth and maternal fetal outcomes.»
«There are several significant hurdles which must be overcome if a
study is to make a useful contribution to the debate about whether perinatal death is more likely if a
home birth is
planned or if a hospital birth is
planned, and few (if any) readily available data sources can overcome all of these hurdles.
This
study also provides further evidence to support the safety of
planned home birth.
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.
Her latest effort is Severe adverse maternal outcomes among low risk women with
planned home versus hospital births in the Netherlands: nationwide cohort
study.
The
study was a prospective cohort
study with
planned place of birth at the start of care in labour as the exposure (
home, freestanding midwifery unit, alongside midwifery unit, or obstetric unit).12 Women were included in the group in which they
planned to give birth at the start of care in labour regardless of whether they were transferred during labour or immediately after birth.
«Unfortunately,
studies which have not differentiated between
planned and unplanned
home birth or attendance by qualified versus unqualified attendants, and / or that do not clearly define appropriate inclusion criteria, have been used to discredit all
home birth.
Steering group — This
study was
planned and coordinated by Jean Davies, research midwife, Newcastle; Pat Davies, health visitor, Sunderland; Alan Fortune, general practitioner, Alnwick; Linda Hedley, senior midwife, Berwick; Edmund Hey, consultant paediatrician, Newcastle; Barbara Hinchcliffe, health visitor, Hexham; Maureen Hodgson, community midwife, North Durham; Ann Kirkpatrick, midwifery supervisor, Darlington; Jane Lumley, National Childbirth Trust, Hexham; Norma McPherson, community midwife, Barrow in Furness; Diane Packham, Association for the Improvement of Maternity Services, Newcastle; Willie Reid, consultant obstetrician, Carlisle; Marjorie Renwick, regional maternity survey coordinator, Newcastle; Margaret Robinson, community midwife, Cockermouth; Laura Robson, director of midwifery education, Newcastle; Sheila Smithson, community midwife, Middlesbrough; Ann West, senior midwife, Penrith; Margaret Whyte, the Society to Support
Home Confinement; Jane Wright, community midwife, Teesside; and Gavin Young, general practitioner, Penrith.
To tackle these issues we carried out a large prospective
study of
planned home births.
A randomised controlled trial would be the best way to tackle selection bias of mothers who
plan a
home birth, but a randomised controlled trial in North America is unfeasible given that even in Britain, where
home birth has been an incorporated part of the healthcare system for some time, and where cooperation is more feasible, a pilot
study failed.31 Prospective cohort
studies remain the most comprehensive instruments available.
Views are particularly polarised in the United States, with interventions and costs of hospital births escalating and midwives involved with
home births being denied the ability to be lead professionals in hospital, with admitting and discharge privileges.5 Although several Canadian medical societies6 7 and the American Public Health Association8 have adopted policies promoting or acknowledging the viability of
home births, the American College of Obstetricians and Gynecologists continues to oppose it.9
Studies on
home birth have been criticised if they have been too small to accurately assess perinatal mortality, unable to distinguish
planned from unplanned
home births accurately, or retrospective with the potential of bias from selective reporting.
Of women in the
study who
planned further children, 91 % (136/149) said they would opt for a
home birth again (including four who were delivered by caesarean section).
The aim of our
study was to determine firstly, whether a retrospective linked data
study was a viable alternative to such a design using routinely collected data in one Australian state and secondly, to report on the outcomes and interventions for women (and their babies) who
planned to give birth in a hospital labour ward, birth centre or at
home.
«Kenneth C Johnson and Betty - Anne Daviss's Outcomes of
planned home births with certified professional midwives: large prospective
study in North America, BMJ 2005; 330:1416 (18 June), found that the outcomes of
planned homebirths for low risk mothers were the same as the outcomes of
planned hospital births for low risk mothers, with a significantly lower incident of interventions in the homebirth group.»
In recent well - designed
studies that captured
planned place of birth andused better sources of data, there were no differences in 5 - minute Apgar scores between
home and hospital settings (Hutton et al, 2009; Janssen et al, 2009; van der Kooy et al, 2011).
A
study published in the British Medical Journal (July 2005) of the outcomes of 5,418
planned home births concluded that homebirth is a reasonable and safe choice for healthy women.
The most recent large scale
study comparing outcomes for mother and baby reported in the British Medical Journal last month showed that for women who had previously given birth, adverse outcomes were less common among
planned home births (1 per 1,000) than among
planned hospital births (2.3 per 1,000).
While the
study focused on children from two - parent
homes,
study authors
plan on following up their research by examining what day - to - day actions affect children most.
In this significant
study, which analyzed nearly 17,000
planned home births, nearly 96 % of women delivered their babies vaginally, and only 4.5 % required pitocin to start or augment their labor.
These
studies were from Australasia, 13 14 Europe, 15 — 18 and the United States.19 Australian
planned home births had a perinatal death rate about twice as high as these countries (table 5).
Low participation in population based
studies of
planned home births is common.
Many
studies of American
home birth show that
planned home birth with a midwife has a perinatal death rate at least triple that of a comparable hospital 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.
In a previous
study where we explored women's preferences for aspects of intrapartum care regarding
planned place of birth we reported that women with a preference for a hospital birth — both midwife - led and obstetrician - led — found the possibility of pain relief treatment much more important compared to women with a preference for a
home birth [18].
Studies of place of birth have consistently shown lower rates of intervention in labor and birth for women with low - risk pregnancies who
planned their birth at
home [1 - 7].
de Jonge A, Mesman JA, Manniën J, Zwart JJ, van Dillen J, van Roosmalen J. Severe adverse maternal outcomes among low risk women with
planned home versus hospital births in the Netherlands: nationwide cohort
study.