The hospital's early recognition and treatment of sepsis resulted in a 30 % reduced risk
of adverse outcomes for sepsis and severe sepsis patients, such as death or discharge to hospice.
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.
Explain that if they plan birth at home there is a small increase in the risk
of an adverse outcome for the baby.
According to new research published in the Journal of Clinical Endocrinology and Metabolism, the current policy of limiting thyroid tests to women at high risk of thyroid disease overlooks most cases of thyroid disease during pregnancy, and undiagnosed, untreated thyroid disease in pregnancy carries a significant risk
of an adverse outcome for both mother and baby.
Not exact matches
Important factors that could cause actual results to differ materially from those reflected in such forward - looking statements and that should be considered in evaluating our outlook include, but are not limited to, the following: 1) our ability to continue to grow our business and execute our growth strategy, including the timing, execution, and profitability
of new and maturing programs; 2) our ability to perform our obligations under our new and maturing commercial, business aircraft, and military development programs, and the related recurring production; 3) our ability to accurately estimate and manage performance, cost, and revenue under our contracts, including our ability to achieve certain cost reductions with respect to the B787 program; 4) margin pressures and the potential
for additional forward losses on new and maturing programs; 5) our ability to accommodate, and the cost
of accommodating, announced increases in the build rates
of certain aircraft; 6) the effect on aircraft demand and build rates
of changing customer preferences
for business aircraft, including the effect
of global economic conditions on the business aircraft market and expanding conflicts or political unrest in the Middle East or Asia; 7) customer cancellations or deferrals as a result
of global economic uncertainty or otherwise; 8) the effect
of economic conditions in the industries and markets in which we operate in the U.S. and globally and any changes therein, including fluctuations in foreign currency exchange rates; 9) the success and timely execution
of key milestones such as the receipt
of necessary regulatory approvals, including our ability to obtain in a timely fashion any required regulatory or other third party approvals
for the consummation
of our announced acquisition
of Asco, and customer adherence to their announced schedules; 10) our ability to successfully negotiate, or re-negotiate, future pricing under our supply agreements with Boeing and our other customers; 11) our ability to enter into profitable supply arrangements with additional customers; 12) the ability
of all parties to satisfy their performance requirements under existing supply contracts with our two major customers, Boeing and Airbus, and other customers, and the risk
of nonpayment by such customers; 13) any
adverse impact on Boeing's and Airbus» production
of aircraft resulting from cancellations, deferrals, or reduced orders by their customers or from labor disputes, domestic or international hostilities, or acts
of terrorism; 14) any
adverse impact on the demand
for air travel or our operations from the outbreak
of diseases or epidemic or pandemic outbreaks; 15) our ability to avoid or recover from cyber-based or other security attacks, information technology failures, or other disruptions; 16) returns on pension plan assets and the impact
of future discount rate changes on pension obligations; 17) our ability to borrow additional funds or refinance debt, including our ability to obtain the debt to finance the purchase price
for our announced acquisition
of Asco on favorable terms or at all; 18) competition from commercial aerospace original equipment manufacturers and other aerostructures suppliers; 19) the effect
of governmental laws, such as U.S. export control laws and U.S. and foreign anti-bribery laws such as the Foreign Corrupt Practices Act and the United Kingdom Bribery Act, and environmental laws and agency regulations, both in the U.S. and abroad; 20) the effect
of changes in tax law, such as the effect
of The Tax Cuts and Jobs Act (the «TCJA») that was enacted on December 22, 2017, and changes to the interpretations
of or guidance related thereto, and the Company's ability to accurately calculate and estimate the effect
of such changes; 21) any reduction in our credit ratings; 22) our dependence on our suppliers, as well as the cost and availability
of raw materials and purchased components; 23) our ability to recruit and retain a critical mass
of highly - skilled employees and our relationships with the unions representing many
of our employees; 24) spending by the U.S. and other governments on defense; 25) the possibility that our cash flows and our credit facility may not be adequate
for our additional capital needs or
for payment
of interest on, and principal
of, our indebtedness; 26) our exposure under our revolving credit facility to higher interest payments should interest rates increase substantially; 27) the effectiveness
of any interest rate hedging programs; 28) the effectiveness
of our internal control over financial reporting; 29) the
outcome or impact
of ongoing or future litigation, claims, and regulatory actions; 30) exposure to potential product liability and warranty claims; 31) our ability to effectively assess, manage and integrate acquisitions that we pursue, including our ability to successfully integrate the Asco business and generate synergies and other cost savings; 32) our ability to consummate our announced acquisition
of Asco in a timely matter while avoiding any unexpected costs, charges, expenses,
adverse changes to business relationships and other business disruptions
for ourselves and Asco as a result
of the acquisition; 33) our ability to continue selling certain receivables through our supplier financing program; 34) the risks
of doing business internationally, including fluctuations in foreign current exchange rates, impositions
of tariffs or embargoes, compliance with foreign laws, and domestic and foreign government policies; and 35) our ability to complete the proposed accelerated stock repurchase plan, among other things.
These risks and uncertainties include, among others: the unfavorable
outcome of litigation, including so - called «Paragraph IV» litigation and other patent litigation, related to any
of our products or products using our proprietary technologies, which may lead to competition from generic drug manufacturers; data from clinical trials may be interpreted by the FDA in different ways than we interpret it; the FDA may not agree with our regulatory approval strategies or components
of our filings
for our products, including our clinical trial designs, conduct and methodologies and,
for ALKS 5461, evidence
of efficacy and adequacy
of bridging to buprenorphine; clinical development activities may not be completed on time or at all; the results
of our clinical development activities may not be positive, or predictive
of real - world results or
of results in subsequent clinical trials; regulatory submissions may not occur or be submitted in a timely manner; the company and its licensees may not be able to continue to successfully commercialize their products; there may be a reduction in payment rate or reimbursement
for the company's products or an increase in the company's financial obligations to governmental payers; the FDA or regulatory authorities outside the U.S. may make
adverse decisions regarding the company's products; the company's products may prove difficult to manufacture, be precluded from commercialization by the proprietary rights
of third parties, or have unintended side effects,
adverse reactions or incidents
of misuse; and those risks and uncertainties described under the heading «Risk Factors» in the company's most recent Annual Report on Form 10 - K and in subsequent filings made by the company with the U.S. Securities and Exchange Commission («SEC»), which are available on the SEC's website at www.sec.gov.
We regularly assess the likelihood
of adverse outcomes resulting from these examinations to determine the adequacy
of our provision
for income taxes.
I counter: To insist the general risk pool (etc) pay
for your first birth without medical resources present, in spite
of the fact that same risk pool will still be responsible
for caring
for any
adverse outcomes due to lack
of medical resources is hypocritical beyond belief.
Helping adolescent males to delay fatherhood may also be important from a child health perspective: research that controlled
for maternal age and other key factors found teenage fatherhood associated with an increased risk
of adverse pregnancy
outcomes, including preterm birth, low birth weight and neonatal death (Chen et al, 2007).
Tough summarizes key research, such as the
Adverse Childhood Experience Study, a project
of the Centers
for Disease Control and Kaiser Permanente, which revealed a stunning correlation between traumatic childhood events and negative adult
outcomes.
For healthy nulliparous women with a low risk pregnancy, the risk of an adverse perinatal outcome seems to be higher for planned births at home, and the intrapartum transfer rate is high in all settings other than an obstetric u
For healthy nulliparous women with a low risk pregnancy, the risk
of an
adverse perinatal
outcome seems to be higher
for planned births at home, and the intrapartum transfer rate is high in all settings other than an obstetric u
for planned births at home, and the intrapartum transfer rate is high in all settings other than an obstetric unit
For healthy women with low risk pregnancies, the incidence
of adverse perinatal
outcomes is low in all birth settings
«Women with planned home birth had lower rates
of all
adverse maternal
outcomes, albeit not significantly so
for nulliparous women.»
Regulating it, using better trained practitioners and proper guidelines
for risking - out and transfer definitely would reduce the rate
of adverse outcomes.
For nulliparous women, there is some evidence that planning birth at home is associated with a higher risk
of an
adverse perinatal
outcome.
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.
Discontinuation
of epidural analgesia late in labour
for reducing the
adverse delivery
outcomes associated with epidural analgesia.
Tanaka K, Yamada H, Minami M, Kataoka S, Numazaki K, Minakami H, Tsutsumi H. «Screening
for vaginal shedding
of cytomegalovirus in healthy pregnant women using real - time PCR: correlation
of CMV in the vagina and
adverse outcome of pregnancy.»
A 2014 study that examines nearly 17,000 courses
of midwife - led care confirms that among low - risk women, home births result in low rates
of interventions without an increase in
adverse outcomes for babies and mothers alike.
The tradeoff between the additional physical safety conferred by a hospital setting in the case
of an
adverse outcome, and the emotional comfort
of being in a familiar environment, is sufficient
for her.
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.
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.
Rates
of obstetrical intervention are high in U.S. hospitals, and we found large absolute differences in the risks
of these interventions between planned out -
of - hospital births and in - hospital births.38 In contrast, serious
adverse fetal and neonatal
outcomes are infrequent in all the birth settings we assessed, and the absolute differences in risk that we observed between planned birth locations were correspondingly small;
for example, planned out -
of - hospital births were associated with an excess
of less than 1 fetal death per 1000 deliveries in multivariate and propensity - score - adjusted analyses.
For example, the Dutch home - birth system (in which home birth is common and adverse outcomes are rare) includes formal collaborative agreements between out - of - hospital and in - hospital providers, clear and mutually agreed - upon stratification of risk, and protocols for the transfer of care.35, 36 The process of devising evidence - based guidelines for U.S. home births is under way
For example, the Dutch home - birth system (in which home birth is common and
adverse outcomes are rare) includes formal collaborative agreements between out -
of - hospital and in - hospital providers, clear and mutually agreed - upon stratification
of risk, and protocols
for the transfer of care.35, 36 The process of devising evidence - based guidelines for U.S. home births is under way
for the transfer
of care.35, 36 The process
of devising evidence - based guidelines
for U.S. home births is under way
for U.S. home births is under way.37
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 analyses adjusted
for maternal race and ethnic group, age, parity, and medical conditions associated with greater risk, the associations between planned location
of delivery and most
adverse outcomes and obstetrical procedures remained significant (Table 4).
«Planned home births result in low rates
of interventions without an increase in
adverse outcomes for mothers and babies,» Simkins boasts.
We used multiple regression to estimate the differences in total cost between the settings
for birth and to adjust for potential confounders, including maternal age, parity, ethnicity, understanding of English, marital status, BMI, index of multiple deprivation score, parity, and gestational age at birth, which could each be associated with planned place of birth and with adverse outcomes.12 For the generalised linear model on costs, we selected a γ distribution and identity link function in preference to alternative distributional forms and link functions on the basis of its low Akaike's information criterion (AIC) statist
for birth and to adjust
for potential confounders, including maternal age, parity, ethnicity, understanding of English, marital status, BMI, index of multiple deprivation score, parity, and gestational age at birth, which could each be associated with planned place of birth and with adverse outcomes.12 For the generalised linear model on costs, we selected a γ distribution and identity link function in preference to alternative distributional forms and link functions on the basis of its low Akaike's information criterion (AIC) statist
for potential confounders, including maternal age, parity, ethnicity, understanding
of English, marital status, BMI, index
of multiple deprivation score, parity, and gestational age at birth, which could each be associated with planned place
of birth and with
adverse outcomes.12
For the generalised linear model on costs, we selected a γ distribution and identity link function in preference to alternative distributional forms and link functions on the basis of its low Akaike's information criterion (AIC) statist
For the generalised linear model on costs, we selected a γ distribution and identity link function in preference to alternative distributional forms and link functions on the basis
of its low Akaike's information criterion (AIC) statistic.
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 paucity
of evidence
for the longer term consequences
of adverse events and other health
outcomes after birth
for both mother and baby remains and further research to generate combined QALY estimates
for the linked mother - baby dyad should be a priority
for research in this specialty.
The results overall confirm the substantial health benefits
of breastfeeding: it protects against a spectrum
of adverse health
outcomes for children, and breastfeeding mothers also gain from having breastfed.
Adverse neonatal
outcomes including death were determined by place
of birth and attendant type
for in - hospital CNM, in - hospital «other» midwife, home certified nurse midwife, home «other» midwife, and free - standing birth center CNM deliveries.
Because negatively reactive temperament is relatively stable, it is proposed to have implications
for more
adverse, persistent
outcomes than the transitory condition
of colic.
Finally, because
of the persistence
of negative reactivity
for some infants more
adverse outcomes are likely, particularly if the parental environment is non-supportive.
Similarly, in a secondary analysis
of 1,862 women enrolled in an early versus delayed pushing trial, a longer duration
of active pushing was not associated with
adverse neonatal
outcomes, even in women who pushed
for more than 3 hours (28).
This review suggests that women who received midwife - led continuity models
of care were less likely to experience intervention and more likely to be satisfied with their care with at least comparable
adverse outcomes for women or their infants than women who received other models
of care.
Enabling women to breastfeed is also a public health priority because, on a population level, interruption
of lactation is associated with
adverse health
outcomes for the woman and her child, including higher maternal risks
of breast cancer, ovarian cancer, diabetes, hypertension, and heart disease, and greater infant risks
of infectious disease, sudden infant death syndrome, and metabolic disease (2, 4).
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.
As
for whether there were bad
outcomes —
OF COURSE the midwife would find out if there had been an
adverse outcome.
It is based on plenty
of cases where membranes were ruptured
for more than 24 hrs, labour didn't progress and DESPITE foetal monitoring suggesting all was well there was an
adverse outcome - usually chorioamnionitis, foetal sepsis or HIE.
In today's peer - reviewed Journal
of Midwifery & Women's Health (JMWH), a landmark study confirms that among low - risk women, planned home births result in low rates
of interventions without an increase in
adverse outcomes for mothers and babies.
The last study is a British one, which accounted
for socioeconomic factors, age, parity, smoking and BMI and still found an elevated risk
of adverse maternal
outcome for African and Carribean women.
«among low - risk women, planned home births result in low rates
of interventions without an increase in
adverse outcomes for mothers and babies.»
A comparison
of adverse neonatal
outcomes did not identify increased risk
for babies born at home as part
of the HBDP.
Maternal demographic and obstetric variables listed in Table 1 were examined
for their role as confounders
of associations with the prevalence
of selected
adverse outcomes using unconditional logistic regression.
Adverse outcomes were selected
for multivariate analysis on the basis
of clinical importance and sufficient numbers
of outcomes with which to undertake a multivariate analysis.
The rates
of some
adverse outcomes were too low
for us to draw statistical comparisons, and ongoing evaluation
of home birth is warranted.
Overall, we did not find any increased likelihood
for any
adverse outcome for women or their infants associated with having been randomised to a midwife - led continuity model
of care.
The safety
of the nicotine patch therapy during pregnancy was assessed by monitoring
for these
adverse pregnancy events and birth
outcomes.
«Our research indicates that insertion
of cervical pessary at around 22 weeks in both randomly selected women pregnant with twins and in patients with a short cervix
of less than 25 millimeters does not reduce the rate
of spontaneous early preterm birth, perinatal death,
adverse neonatal
outcome, or need
for neonatal therapy.»