Sentences with phrase «of obstetric risk»

Nearly one half are potentially avoidable with recognition and anticipation of obstetric risk factors.

The study aimed to investigate the contribution of obstetric risk factors, including mode of delivery and perineal trauma to postpartum dyspareunia.

Not exact matches

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.

I work in a major high risk obstetric setting, I see the screw ups, particularly new doctors make with the lives of both mother and baby.

[The Coroner] said midwife Fiona Hallinan had indirectly contributed to the baby's death by failing to tell the mother of the risks of home birth which had «sustained the misguided views of the mother, contributed to her disregarding the advice provided by obstetric medical clinicians and facilitated in her a level of confidence that she may safely proceed to home birth».

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.

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.

The higher risk obstetric wards were also really lovely, with communal sitting rooms for post-partum women and the offer of iPod players, electric tealight «candles», electric oil burners, etc. the ob wards were definitely more «sterile» than the FBCs, but at the end of the day you're staying in a hospital, not a five star hotel.

We collected data on 79774 eligible women, of whom 64538 were low risk, from 142 (97 %) of the 147 trusts providing home birth services, 53/56 (95 %) of freestanding midwifery units, 43/51 (84 %) of alongside midwifery units, and a sample of 36 obstetric units (figure ⇓).

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 unit

The target sample size was at least 57000 women overall: 17000 planned home births, 5000 planned alongside midwifery unit births, 5000 planned freestanding midwifery unit births, and 30000 planned obstetric unit births (of which we estimated 20000 would be low risk).

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.

Among 64 538 low - risk women, of whom more than 16 000 planned a homebirth at the onset of labour, no difference was found in the adjusted odds between obstetric units and other birthplaces, including homebirth.

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

But who needs to make good sound decisions based on at least a basic understanding of your own physiology, birth, and the interventions involved, and their risks and benefits, when you could sit in an echo chamber all day and blame obstetric intervention and read the same five books to each other?

* 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.

3) Episiotomy Parameters Linked to Risk for Injury During Birth Emma Hitt, PhD Authors and Disclosures March 8, 2012 — Increased depth and length of episiotomy, as well as increased distance from the midline to incision point, are associated with decreased risk for obstetric anal sphincter injuries (OASIS), according to a new stRisk for Injury During Birth Emma Hitt, PhD Authors and Disclosures March 8, 2012 — Increased depth and length of episiotomy, as well as increased distance from the midline to incision point, are associated with decreased risk for obstetric anal sphincter injuries (OASIS), according to a new strisk for obstetric anal sphincter injuries (OASIS), according to a new study.

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

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 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 ⇓).

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.

Since the early 1990s, government policy on maternity care in England has moved towards policies designed to give women with straightforward pregnancies a choice of settings for birth.1 2 In this context, freestanding midwifery units, midwifery units located in the same building or on the same site as an obstetric unit (hereafter referred to as alongside midwifery units), and home birth services have increasingly become relevant to the configuration of maternity services under consideration in England.3 The relative benefits and risks of birth in these alternative settings have been widely debated in recent years.4 5 6 7 8 9 10 Lower rates of obstetric interventions and other positive maternal outcomes have been consistently found in planned births at home and in midwifery units, but clear conclusions regarding perinatal outcome have been lacking.

Restriction of the analyses to low risk women without complicating conditions at the start of care in labour narrowed the cost differences between planned places of birth: total mean costs were # 1511 for an obstetric unit, # 1426 for an alongside midwifery unit, # 1405 for a free standing midwifery unit, and for # 1027 the home (table 2 ⇓).

For reasons explained in the cohort study report, obstetric units contained more women in whom complicating conditions were an unexpected observation, which suggests that the risk profile of low risk women varied between the settings.

Profiles of resource use, and their associated unit costs, for each planned place of birth are reported in detail in appendices 1 and 2 on bmj.com.25 The total mean costs per low risk woman planning birth in the various settings at the start of care in labour were # 1631 ($ 1950, $ 2603) for an obstetric unit, # 1461 ($ 1747, $ 2332) for an alongside midwifery unit, # 1435 ($ 1715, $ 2290) for a free standing midwifery unit, and # 1067 ($ 1274, $ 1701) for the home (table 1 ⇓).

Kenneth K. Chen, MD, is the director of the Division of Obstetric and Consultative Medicine and co-director of the Integrated Program for High Risk Pregnancy at Women & Infants Hospital.

These significantly increased risks of neonatal mortality in home births must be disclosed by all obstetric practitioners to all pregnant women who express an interest in such births.

The risk status of a pregnancy was defined using a mixture of maternal International Classification of Disease (ICD) codes [19] and individual fields in the SMMIS database, and was based on a 2007 clinical guideline from the National Institute for Health and Clinical Excellence (NICE) which contained lists of medical and obstetric conditions which indicate increased risk of negative pregnancy outcomes [20].

Obstetric complications in general increase the risk of postpartum depression.

«women of African descent are at higher risk of obstetric problems compared to other ethnic group»

Dr Tuteur's point was that women of African descent are at higher risk of obstetric problems compared to other ethnic groups, that 1 in 6 women giving birth in the US is of African descent, and that this may explain disparity of outcome to some extent.

A planned home birth might be associated with fewer medical interventions, but in general, home births are associated with an increased risk of obstetric emergencies when compared with delivery in a medical facility.

In the subgroup analysis in which we excluded women whose labour was induced by outpatient administration of prostaglandins, amniotomy or both (118 [4.1 %] of women in the home - birth group, 344 [7.2 %] of those who planned a midwife - attended hospital birth and 778 [14.6 %] of those who planned a physician - attended hospital birth), the relative risks of obstetric interventions and adverse maternal and neonatal outcomes did not change significantly.

Midwifery care is funded by the provincial Ministry of Health and is accessible to all women in the province who meet the standards for low obstetric risk (Box 1).

Ecorazzi agrees with the claim of «scare tactics,» noting that the AMA resolution states that women who choose to birth at home put themselves at risk of «maternal hemorrhage, shoulder dystocia, eclampsia or other obstetric emergencies,» adding «nothing like taking away choices from people — or scaring the hell out of them into going your way.»

Good candidates for planned TOLAC are those women in whom the balance of risks (as low as possible) and chances of success (as high as possible) are acceptable to the patient and obstetrician or other obstetric care provider.

Australia is a society that has embraced the introduction of high technology across all aspects of life including childbirth, a situation reflected in the number of healthy Australian women who elect private obstetric services in the absence of clinical risk [3].

Lets compare the risk of rupture, 0.7 % in most studies, which is not always catastrophic, to the risk of other obstetric emergencies.

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.

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).

Given the study's findings, Amos Grunebaum, M.D. and Frank Chervenak, M.D., the main authors of the study, said that obstetric practitioners have an ethical obligation to disclose the increased absolute and relative risks associated with planned home birth to expectant parents who express an interest in this delivery setting, and to recommend strongly against it.

However, studies performed in Western settings suggest that a high standard of obstetric care can reduce such risks.

«Although signs suggest that obstetric interventions are being used too readily in developed countries, the lower rates we saw among First Nations mothers are of concern when coupled with the known increased risk of adverse perinatal and infant outcomes,» writes Corinne Riddell, PhD candidate, Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Québec, with coauthors.

«This is the first study with detailed, frequent and long - term follow - up to assess associations of dyspareunia with obstetric risk factors.

According to a scientist from Perth, Australia (where one of the first studies of mothers with schizophrenia and their offspring has recently been completed), studies have identified obstetric events that can increase the risk of schizophrenia in the offspring by 2 - to 7-fold.

The risk of complications with a VBAC is less than 1 percent (similar to the rate of other obstetric emergencies, like cord prolapse).

Odessa, Texas About Blog Procare Women's Clinic offers a complete spectrum of obstetric and gynecological services, from routine exams and counseling to the management of high - risk pregnancy and minimally invasive surgery.