Both one and two year rates
of adverse outcomes compared favorably with historical performance criteria established among medically managed patients with aortic stenosis.
In the article, Stamatina Iliodromiti from the University of Glasgow, UK, and colleagues found birth weight less than 25th or greater than 85th centile to be associated with greater risk
of adverse outcomes compared with birth weight within these cutoffs, suggesting an expansion of the definition of «fetus at risk» beyond the less than 10th or greater than 90th centile range that is commonly used to trigger surveillance of fetal well - being and / or delivery.
Not exact matches
Dr. Fisher believes that dispassionate, rigorous study
of birth across all settings is more important than ever given disparities in women's access to trained and licensed care providers, current and future physician workforce issues, rising costs
of health care, and unacceptably high rates
of adverse outcomes for mothers and infants in the U.S.
compared to other industrialized countries.
Women who planned a home birth were at reduced risk
of all obstetric interventions assessed and were at similar or reduced risk
of adverse maternal
outcomes compared with women who planned to give birth in hospital accompanied by a midwife or physician.
There is a lack
of good quality evidence
comparing the risk
of rare but serious
adverse perinatal
outcomes in these settings
The strengths
of the study include the ability to
compare outcomes by the woman's planned place
of birth at the start
of care in labour, the high participation
of midwifery units and trusts in England, the large sample size and statistical power to detect clinically important differences in
adverse perinatal
outcomes, the minimisation
of selection bias through achievement
of a high response rate and absence
of self selection bias due to non-consent, the ability to
compare groups that were similar in terms
of identified clinical risk (according to current clinical guidelines) and to further increase the comparability
of the groups by conducting an additional analysis restricted to women with no complicating conditions identified at the start
of care in labour, and the ability to control for several important potential confounders.
This was a systematic review
of cohort and case - control studies that
compared rates
of any
adverse pregnancy
outcome (such as miscarriages, preterm delivery, intrauterine growth restriction, major congenital malformations and long - term developmental
outcomes) between women who experienced NVP and women who did not.
We categorized out -
of - hospital and in - hospital births in Oregon according to the intended place
of delivery and in
comparing outcomes found that the risks for some
adverse neonatal
outcomes were increased among planned out -
of - hospital births.
Labor induction has been increasing since the early 1990s, 1 and the rate is running at about 20 % for pregnancies at term.2, 3 Induction
of labor
compared with spontaneous labor is associated with
adverse maternal
outcomes, including at least a doubling in the caesarean delivery rate, 4,5 25 — 50 % increase in instrumental vaginal delivery rate, 3,5 higher postpartum hemorrhage rate, 5 and prolonged labor.5 Neonates born after induced labor are more likely to have low Apgar score and low umbilical cord blood pH. 5
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).
The author examined the safety
of CNM attended home deliveries
compared with certified nurse midwife in - hospital deliveries in the United States as measured by the risk
of adverse infant
outcomes among women with term, singleton, vaginal deliveries.
These findings follow earlier research by Janssen that demonstrated that planned home births resulted in fewer interventions and similar rates
of adverse newborn
outcomes compared to planned hospital births among women who met the criteria for home births.
Our study showed that planned home birth attended by a registered midwife was associated with very low and comparable rates
of perinatal death and reduced rates
of obstetric interventions and
adverse maternal
outcomes compared with planned hospital birth attended by a midwife or physician.
A novel strategy to screen pregnant women for malaria with rapid diagnostic tests and treat the test - positive women with effective antimalarials does not lower the risk
of adverse pregnancy
outcomes compared with treating all pregnant women with the malaria preventive sulfadoxine - pyrimethamine (SP) in sub-Saharan Africa, according to an open label randomized trial published this week in PLOS Medicine by Feiko ter Kuile,
of the Liverpool School
of Tropical Medicine, and colleagues.
This data was then
compared with patients»
outcomes, including heart attack or the occurrence
of major
adverse cardiac events within 30 days.
«Our study finds that our assumptions
of «care neutrality» may be wrong and that, among adults undergoing major surgery, complete handover
of intraoperative anesthesia care
compared with no handover was associated with a higher risk
of adverse postoperative
outcomes.
Main
Outcome Measure Self - reported suicide attempts,
compared by number
of adverse childhood experiences, including emotional, physical, and sexual abuse; household substance abuse, mental illness, and incarceration; and parental domestic violence, separation, or divorce.
Compared to non-LD peers, youth with LD frequently report feelings of loneliness, stress, depression and suicide, among other psychiatric symptoms.15, 16 For example, in the National Longitudinal Study of Adolescent Health, the LD sample was twice as likely to report a suicide attempt in the past year.16 Longitudinal research on risk - taking indicates that, compared to non-LD peers, adolescents with LD engage more frequently in various risk behaviours.17 Therefore, the presence of LD in childhood appears to confer a general risk for adverse outcomes throughout adolescence and into ad
Compared to non-LD peers, youth with LD frequently report feelings
of loneliness, stress, depression and suicide, among other psychiatric symptoms.15, 16 For example, in the National Longitudinal Study
of Adolescent Health, the LD sample was twice as likely to report a suicide attempt in the past year.16 Longitudinal research on risk - taking indicates that,
compared to non-LD peers, adolescents with LD engage more frequently in various risk behaviours.17 Therefore, the presence of LD in childhood appears to confer a general risk for adverse outcomes throughout adolescence and into ad
compared to non-LD peers, adolescents with LD engage more frequently in various risk behaviours.17 Therefore, the presence
of LD in childhood appears to confer a general risk for
adverse outcomes throughout adolescence and into adulthood.
Results revealed several
adverse outcomes for children
of PPD mothers as
compared to community sample children: children whose mothers had PPD showed lower ego - resiliency, lower peer social competence, and lower school adjustment.
Parental ADHD problems were associated with a range
of adverse clinical
outcomes in children with no difference in effects for mothers with ADHD problems
compared to fathers with ADHD problems.