As a final stage of development, two authors (VS and CR) assessed usability and feasibility by using the ResQu Index in a systematic review on maternal and perinatal outcomes related to place of birth for women at low risk
of obstetric complications in high - income countries.
Multiparous women were more likely to choose a hospital birth if they belonged to an ethnic minority; had a non-optimal body mass (Quetelet index outside the range 18.8 - 24.2; P < 0.05); had a history
of obstetric complications, preterm birth, or instrumental delivery; or had received medication (including vitamins and iron) in pregnancy (table 2).
4 5 Others have advocated home birth for women at high risk
of obstetric complications, 6 7 and trends to abandon risk assessment for home birth are apparent in both Australia8 and the United States.9
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.
Gianna: The Catholic Healthcare Center for Women» named after Saint Gianna Beretta Molla, an Italian doctor, wife, and mother, who, when faced with
complications while pregnant, refused to have an abortion at great risk to her own life» provides women gynecological and
obstetric care that is fully committed to the USCCB's Directives for Catholic Healthcare Services and fully respects both the dignity
of women and the sanctity
of human life.
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 addition, another pregnancy
complication that has only recently attracted the attention
of the medical community is
obstetric cholestasis or intrahepatic cholestasis
of pregnancy (ICP).
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.
Incremental cost effectiveness ratios and net benefit statistics for normal birth outcome in women at low risk
of complications according to planned place
of birth: home, freestanding midwifery unit (FMU), or alongside midwifery unit (AMU) with
obstetric unit (OU) as reference
They are more likely to have medical conditions such as polycystic ovary syndrome (PCOS) and diabetes, and to experience
obstetric complications and caesarean birth than women
of normal weight [28, 59].
In this study
of the cost effectiveness
of alternative planned places
of birth in England in women at low risk
of complications before the onset
of labour, we found that the cost
of intrapartum and after birth care, and associated related
complications, was less for births planned at home, in a free standing midwifery unit, or in an alongside midwifery unit compared with planned births in an
obstetric unit.
What is most worrying is that this association was adjusted for maternal age, demographic factors, and underlying
obstetric complications and therefore reflects the additional risk
of the procedure itself.
June 2017 — Since the first edition was published in 2000, Managing
complications in pregnancy and childbirth has been translated into several languages and today is used widely in training for and the provision
of emergency
obstetric care.
Because lactation is an integral part
of reproductive physiology, all obstetrician — gynecologists and other
obstetric care providers should develop and maintain knowledge and skills in anticipatory guidance, physical assessment and support for normal breastfeeding physiology, and management
of common
complications of lactation.
Because lactation is an integral part
of reproductive physiology, all obstetrician — gynecologists and other
obstetric care providers should develop and maintain skills in anticipatory guidance, support for normal breastfeeding physiology, and management
of common
complications of lactation.
Obstetric complications in general increase the risk
of postpartum depression.
Postpartum depression is the most under - diagnosed
obstetric complication in the U.S. (Earls, 2010) Because the burden
of depression and other mental health distress is so high for mothers and their children, and because it is often overlooked, PSI believes that there is a tremendous need for universal screening
of all pregnant and postpartum women.
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.
In some countries (e.g. Canada and the Netherlands), the midwifery scope
of practice is limited to the care
of women experiencing uncomplicated pregnancies, while in other countries (e.g. United Kingdom, France, Australia and New Zealand), midwives provide care to women who experience medical and
obstetric complications in collaboration with medical colleagues.
For pregnant women who are at low risk
of complications giving birth, the risk
of newborn death and maternal
complications is similar for
obstetric deliveries by family physicians and obstetricians, according to a large study published in CMAJ (Canadian Medical Association Journal).
The control
of excess weight, especially through lifestyle interventions, should be mandatory not only for improving reproductive and
obstetric outcomes, but also for reducing costs derived from the greater consumption
of drugs in IVF, failed treatments, maternal and neonatal
complications, and metabolic and non-metabolic diseases in the offspring.»
Preterm birth, a delivery before 37 weeks
of gestation, is one
of the most serious
obstetric complications affecting around 15 million pregnancies worldwide with more than one million newborn deaths each year due to
complications of prematurity.
«This technology has the potential to allow just about every woman who is prevented from having children because
of her age to have the choice to bear her own genetic offspring,» said Grifo, who insists that the fetuses were developing normally and were done in by unrelated
obstetric complications.
Since more than half
of maternal deaths in sub-Saharan Africa are due to
obstetric complications, it is critical to ensure that women with life - threatening
complications can access the emergency
obstetric care that can save their life and that
of their baby.
The risk
of complications with a VBAC is less than 1 percent (similar to the rate
of other
obstetric emergencies, like cord prolapse).
In short,
Obstetric Cholestasis is a rare pregnancy
complication caused by a build - up
of bile acids in the bloodstream.
As many
of you may already know, I delivered Roman 18 days earlier than his originally anticipated arrival due to a pregnancy
complication called
Obstetric Cholestasis.
These findings, coupled with high rates
of adolescent pregnancy and
obstetric complications, highlighted the need to redouble efforts around sexual and reproductive health, the authors said
[32] Other perinatal events, such as maternal stress [33] and
obstetric complications [34] may also impact upon the severity
of the expression
of the inherited genetic vulnerability.
Screening in home visit settings isn't going to solve the problem here in California or anywhere in the U.S.. All women deserve to be informed about the most common
complication of pregnancy by their
obstetric provider (90 %
of births are managed by Ob / Gyns, the other 10 % by family practice doctors or nurse midwives).