Sentences with phrase «obstetric led»

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.

The majority of maternity units in Ireland are yet to implement these recommendations into their policy and many women report admission trace and electronic foetal monitoring is routine everyday practice for all women in obstetric led units.

* 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.

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.

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.

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.

Obstetric led (all antenatal appointments at hospital with doctors and midwives - usually for multiples or other high risk).

Not exact matches

Advise low ‑ risk nulliparous women that planning to give birth in a midwifery ‑ led unit (freestanding or alongside) is particularly suitable for them because the rate of interventions is lower and the outcome for the baby is no different compared with an obstetric unit.

1.1.2 Explain to both multiparous and nulliparous women that they may choose any birth setting (home, freestanding midwifery unit, alongside midwifery unit or obstetric unit), and support them in their choice of setting wherever they choose to give birth: Advise low ‑ risk multiparous women that planning to give birth at home or in a midwifery ‑ led unit (freestanding or alongside) is particularly suitable for them because the rate of interventions is lower and the outcome for the baby is no different compared with an obstetric unit.

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.

Obstetric - led care is more associated with higher rates of interventions and midwifery - led care is associated with fewer interventions.

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

Setting England: all NHS trusts providing intrapartum care at home, all freestanding midwifery units, all alongside midwifery units (midwife led units on a hospital site with an obstetric unit), and a stratified random sample of 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.

The majority of our maternity care is based on an obstetric medical care model, which means consultant obstetricians lead the care and policies, not midwives.

Women who do not need or want obstetric - led care are using valuable resources and are taking up time and beds from women who need or want a obstetric - led care model

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.

Does miscarriage in an initial pregnancy lead to adverse obstetric and perinatal outcomes in the next continuing pregnancy?

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.

Ironically the Birthplace Study (National Perinatal Epidemiology Unit) found that labour takes nearly twice as long in obstetric units than it does in midwife - led units or at home.

Jane Sandall was and is principal investigator for two studies evaluating models of midwife - led continuity of care (Sandall 2001), and co-investigator on the «Birthplace in England Research Programme», an integrated programme of research designed to compare outcomes of births for women planned at home, in different types of midwifery units, and in hospital units with obstetric services.

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.

The review found that emergency obstetric referral interventions probably lead to a reduction in neonatal mortality (moderate - certainty evidence).

Fact: People who live in poverty often suffer health consequences as a result, which sometimes lead to potential obstetric complications.

In Northern Ireland, obstetric care is either Consultant led (for high risk women, or at maternal request), midwifery led (for low risk women, and usually as caseload service) or shared care (GP and midwifery, again for low risk women).

Lead and Partner Organizations: Society of Obstetricians and Gynaecologists of Canada; with the Association of Women's Health, Obstetric and Neonatal Nurses; the Canadian Association of Midwives; the Canadian Nurses Association; the College of Family Physicians of Canada; the Society of Rural Physicians of Canada.

Sure, a midwife attends me in labour but the policy is governed by obstetric practice, not midwife led or normal birth.

Obstetric - led care has a very important place in Irish maternity services and should be available for women who want or need this type of maternity care, however, in failing to provide evidence based care options, valuable resources are being over-utilized as women have no option but birth in under - staffed and over-crowded consultant led units.»

High quality robust evidence, including the recently published Cochrane Review on midwife - led care, shows that the large majority of women benefit from a Midwifery - Led care model, not obstetrled care, shows that the large majority of women benefit from a Midwifery - Led care model, not obstetrLed care model, not obstetric.

In 2008 the majority of Australian women (96.9 %) gave birth in either obstetric - led public or private hospitals [3], reflecting a widespread acceptance that birth needs to be medically managed.

Our maternity services are 90 % obstetric - led and lack continuity of carer.

The expert voice in this regard is the president of the Royal Australian and New Zealand College of Obstetrics and Gynaecology (RANZCOG) who reminds readers that current excellent obstetric outcomes are due to high quality medically - led maternity services [37].

We wished to assess whether the planned place of birth would lead to differences in perinatal outcome after the confounding effects of obstetric, medical, and social background were controlled for.

Control: options included midwifery - led care with varying levels of continuity, obstetric trainee care and community - based care «shared» between a general medical practitioner (GP) and the hospital, where the GP provided the majority of antenatal care.

The midwife - led continuity model of care includes: continuity of care; monitoring the physical, psychological, spiritual and social wellbeing of the woman and family throughout the childbearing cycle; providing the woman with individualised education, counselling and antenatal care; continuous attendance during labour, birth and the immediate postpartum period; ongoing support during the postnatal period; minimising technological interventions; and identifying and referring women who require obstetric or other specialist attention.

Most women should be offered midwife - led continuity models of care and women should be encouraged to ask for this option although caution should be exercised in applying this advice to women with substantial medical or obstetric complications.

In some models, midwives provide continuity of midwifery care to all women from a defined geographical location, acting as lead professional for women whose pregnancy and birth is uncomplicated, and continuing to provide midwifery care to women who experience medical and obstetric complications in partnership with other professionals.

Declan Devane is a co-author in one of the included trials in this review (Begley 2011) Jane Sandall was and is principal investigator for two studies evaluating models of midwife - led continuity of care (Sandall 2001), and co-investigator on the «Birthplace in England Research Programme», an integrated programme of research designed to compare outcomes of births for women planned at home, in different types of midwifery units, and in hospital units with obstetric services.

«The clinical implications from an obstetric point of view are potentially huge,» says lead study author Arthur «Jason» Vaught, M.D., a maternal fetal medicine fellow at Johns Hopkins.

It may be psychologically harmful for some women and play a significant role in the development of postpartum depression,» said Grace Lim, M.D., director of obstetric anesthesiology at Magee Women's Hospital of the University of Pittsburgh Medical Center and lead investigator on the study.

The Action on Fistula programme, led by the charity Fistula Foundation and funded by Astellas Pharma EMEA, aims to transform the lives of over 1,200 women in Kenya suffering due to obstetric fistula.

Stunting is a known risk factor for obstetric complications such as obstructed labor and the need for skilled intervention during delivery, leading to injury or death for mothers and their newborns.

I am also a lecturer for the Pelvic Obstetric & Gynaecological Physiotherapy Association in the U.K. on their pregnancy / MSK courses and will be Clinical Lead on their new advanced pelvic floor courses.

If a delayed or botched screening led to a birth defect in your child, we work with a trusted obstetric specialist to build your case for compensation.

Simpson Millar LLP's well - respected clinical negligence practice is particularly adept at handling high - value and complex obstetric claims involving cerebral palsy and Erb's palsy, an area in which it is considered «one of the leading firms».