Sentences with phrase «in obstetric care»

Patient Safety, Adverse Healthcare Events and Near - Misses in Obstetric Care — A Systematic Literature Review

«Substantial differences in obstetric care for First Nations women in Canada.»

There are substantial differences in obstetric care provided to First Nations women compared with women in the general population, and these differences may contribute to higher infant mortality in First Nations populations, according to research published in CMAJ (Canadian Medical Association Journal).

I came back to Minnesota and did additional practicums in obstetric care and this only further solidified my passion for midwifery.

This article provides an overview of the advantages of greater interdisciplinary collaboration and the current policy developments in obstetric care in the Netherlands.

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.

This is the modest sum which needs to be invested each year in «social support» to guarantee universal access to drinking water within ten years (1,300 million individuals did not have access in 1997), universal access to basic education (1,000 million people are illiterate), universal access to basic healthcare (17 million children die each year from easily cured illnesses), universal access to adequate nourishment (2,000 million people suffer from anemia), universal access to sanitary infrastructures and universal access for women to gynecological and obstetric care.

«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.

We take the time to offer truly comprehensive, evidence - based prenatal care to fill that fills in the emotional and informational gaps common in traditional obstetric care.

When I opened my private practice I was co-located in a midwifery office, the midwives I worked with attracted many women with history of traumatic birth seeking better care and I ended up taking on many clients with traumatic stress symptoms in a subsequent pregnancies and reporting experiences of obstetric violence and / or triggering memories and flashbacks from childhood or earlier life abuses.

... [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.

Sandall et al (2013) is the most recent Cochrane Review and conclude that most women should be offered midwife - led continuity models of care, although caution should be exercised in applying this advice to women with substantial medical or obstetric complications.

In contrast to the claims of homebirth and midwifery advocates, the Netherlands is far from being the ideal model of obstetric care.

In the meantime, we will continue the fight to provide safe obstetric care in the hands of trained CNMs and covering MDIn the meantime, we will continue the fight to provide safe obstetric care in the hands of trained CNMs and covering MDin the hands of trained CNMs and covering MDs.

Current research includes: co-leading organisational case studies in Birthplace in England, a national study of birth outcomes in home, midwife led, and obstetric led units; investigating the relationship between measures of safety climate and health care quality in A and E and intrapartum care; and conducting nested process evaluations of two trials of obesity in pregnancy behavioural interventions.

March 2014 — The American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal - Fetal Medicine (SMFM) have released the first guideline, Safe Prevention of the Primary Cesarean Delivery, in a new Obstetric Care Consensus series.

Most women in Ireland have obstetric - led medicalised hospital care as there are no other choices available to them.

In Spain, obstetric care includes routine enemas, pubic shaving, and episiotomy, procedures that are not evidence based and which ignore the WHO's guidelines on the care of women in labouIn Spain, obstetric care includes routine enemas, pubic shaving, and episiotomy, procedures that are not evidence based and which ignore the WHO's guidelines on the care of women in labouin labour.

The grass roots organization Improving Birth coined the term «obstetric violence» - which is playing out in labor and delivery units in certain parts of the world; the World Health Organization called for increased scrutiny of these disrespectful childbirth care practices, as women treated in this way, feel assaulted and violated, and must be taken as seriously as rape.

These are considered to increase risk for the woman or baby, and care in an obstetric unit would be expected to reduce this risk.8

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.

The lack of midwifery led units and midwifery led care options is however stark and in direct contrast to options available to mothers in the UK where 99 % of women have access to both an obstetric - led unit and a midwife - led unit within a 60 minute drive of their home.

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).

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.

I work in Australia and am very proud that we celebrate midwifery and obstetric care and respect women, their babies and families the way we do.

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.

Women were classified as «healthy women with low risk pregnancies» if, before the onset of labour, they were not known to have any of the medical or obstetric risk factors listed in the NICE intrapartum care guideline.

No woman needed obstetric intervention in the first hour after admission and no baby required intubation at birth; three babies, however, were admitted to special care (one after caesarean delivery and two for prematurity).

A change to hospital care was common before labour (29 %), though in half of these cases there was no obstetric reason for transfer

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.

For many women, a traumatic primary experience in an obstetric led unit is one of the main reasons for choosing midwifery - led care or home birth in a subsequent pregnancy.

Obstetric - led care has its place in all maternity services and must be available for women who need or want this type of care.

Yet we know from repeated high quality, robust research that midwifery - led care options (as opposed to midwife attended care in obstetric - led units) is the safest model of care for 85 % of women.

The NHS launched an investigation into the incident and subsequently adjusted several practices regarding obstetric care and c - sections in the area.

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.

Choosing your GP to provide you with the majority of your care will usually be in combination with midwifery or obstetric care.

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).

* Women report difficulties in accessing intermittent monitoring in some obstetric led maternity units due to routine policy and the individual beliefs or perceptions of risk from health care providers.

It is also possible that the unique health care system found in the United States — and particularly the lack of integration across birth settings, combined with elevated rates of obstetric intervention — contributes to intrapartum mortality due to delays in timely transfer related to fear of reprisal and / or because some women with higher - risk pregnancies still choose home birth because there are fewer options that support normal physiologic birth available in their local hospitals.

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 breastfeeIn 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 breastfeein their efforts to breastfeed.

This has resulted in a «geographic lottery» in terms of women's choices and developments with some parts of the country offering midwifery led care, birth pools, home birth services, open doula policies, anomaly scans, early transfer home, DOMINO care and other parts of the country offering nothing beyond an obstetric led service.

Topics: «Birth and Obstetric Training as a Rite of Passage,» «Three Paradigms of Birth and Health Care,» «Birth Centers in the Technocracy,» «Models of Midwifery Education: A Global Tour.»

For this group, we reviewed all medical records to determine whether there had been medical complications or a need for care that occurred during pregnancy — based on the «List of Obstetric Indications» - which would have been an indication for referral to obstetrician - led care if they were in midwife - led care.

The outcome measures used in most studies of birthplace and models of maternity care are obstetric intervention rates and birth outcomes [1 - 6,8,9].

Fourthly, and related, an attempt to value outcomes in terms of quality adjusted life years (QALYs) in preference to clinical endpoints should make the findings of this cost effectiveness research more relevant to decision makers for obstetric care in the NHS.

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 2.52In 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 2.52in 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 2.52in 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 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.

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 ⇓).