Our objective was to evaluate the effects of psychosocial stressors and alcohol abuse
on birth outcomes in HIV - infected women.
This analytical report published by Inter-American Development Bank (IDB) attempts to identify the climatic effect
on birth outcomes in Brazil.
«Climate Change Impacts
on Birth Outcomes in Brazil».
A study published in the Annals of Human Biology by Carlos Varea and colleagues investigates the impact of the economic crisis
on birth outcomes in Spain; specifically detailing temporal changes (from 2003 - 2012) in underweight at birth, birth weight being an important indicator of health outcomes throughout the life course.
Not exact matches
In the cost - effectiveness analysis (GiveWell estimate of Living Goods cost effectiveness (November 2014)-RRB-, in all Sheets except for «U5MR (Jake's assumptions),» we use 5q0, or the probability of a child dying before his or her 5th birthday expressed in deaths per 1,000 live births assuming constant mortality rates throughout childhood, instead of the under - 5 mortality rate (under 5 deaths per person per year), because the original report on the RCT we received from Living Goods reported outcomes in terms of 5q
In the cost - effectiveness analysis (GiveWell estimate of Living Goods cost effectiveness (November 2014)-RRB-,
in all Sheets except for «U5MR (Jake's assumptions),» we use 5q0, or the probability of a child dying before his or her 5th birthday expressed in deaths per 1,000 live births assuming constant mortality rates throughout childhood, instead of the under - 5 mortality rate (under 5 deaths per person per year), because the original report on the RCT we received from Living Goods reported outcomes in terms of 5q
in all Sheets except for «U5MR (Jake's assumptions),» we use 5q0, or the probability of a child dying before his or her 5th birthday expressed
in deaths per 1,000 live births assuming constant mortality rates throughout childhood, instead of the under - 5 mortality rate (under 5 deaths per person per year), because the original report on the RCT we received from Living Goods reported outcomes in terms of 5q
in deaths per 1,000 live
births assuming constant mortality rates throughout childhood, instead of the under - 5 mortality rate (under 5 deaths per person per year), because the original report
on the RCT we received from Living Goods reported
outcomes in terms of 5q
in terms of 5q0.
In a very real sense the
birth of God,
on our planet at least, awaits the
outcome of our own human decision for entropy or emergence.
As Merleau - Ponty puts the matter
in terms of
birth, «it committed a whole future, not as a cause determines its effect, but as a situation, once created, inevitably leads
on to some
outcome» (PP 407).
«Research tells us that involving dads
in scans and building
on that contact to support their hands -
on involvement through pregnancy,
birth and beyond, we can improve
outcomes for children and make families stronger.
Because the number of home
births in the U.S. is small, the inclusion of prenatal stillbirths, congenital anomalies and unplanned, unattended home
births in the «home midwife» category is likely to have an appreciable effect
on the negative
outcomes examined here.
My proposal was an attempt to add
in a utilitarian ethic (mandatory use of seat belts and car seats is based
on a utilitarian ethic imposed
on autonomy) to assure the best
outcome for those who prefer home
birth.
There may be a few more bad
outcomes in the homebirth groups depending
on how you look at the data, but when you consider the number of
births we are looking at, the absolute number is so very few that the argument is a little ridiculous.»
On the other hand, even a small percentage of misclassified
outcomes in the home
birth category have a dramatic impact.
In reality, only a very small proportion of home birth transports actually do result in such an adverse outcome, and thus essentially have a negligible effect on hospital outcome
In reality, only a very small proportion of home
birth transports actually do result
in such an adverse outcome, and thus essentially have a negligible effect on hospital outcome
in such an adverse
outcome, and thus essentially have a negligible effect
on hospital
outcomes.
Midwives of WA Spring Conference: Michael Klein, MD, Part 1: Midwives and Home
Birth in British Columbia — History and
Outcomes, Part 2: Confusion
on the Maternity Floor: How Can We See
Birth So Differently?
Research based
on the death rates of mothers and babies during labour and death or poor
outcomes for babies
in the first month after
birth, and how those rates have changed over the last 200 years, since 1) Hospitals, 2) milk substitutes
They continue to work together
in Task Forces
on strategic initiatives that will increase access to safe, respectful, affordable maternity care; improve inter-professional education; and enable patient - responsive and population - specific research
on maternal choice, experience and
outcomes related to
birth place.
The workshop featured presentations from invited speakers and discussions to highlight research findings that advance our understanding of the effects of maternal care services
in different types of institutional settings
on maternal labor, clinical and other
birth procedures, and
birth outcomes.
The resulting 9 Common Ground Statements describe a maternity care environment that respects a woman's autonomy, reduces health disparities, supports cross-professional collaboration and communication, promotes physiologic
birth, expands research that includes the woman
in defining the elements of «safety», and accurately assesses the effects of
birth place
on outcomes and experience.
This risk is overlooked when considering safe
outcomes for
birth based
on birth site, which is an incredible oversight considering the U.S. Department of Health and Human Services» has recently concluded that 9.5 % of all deaths each year
in the U.S. stems from a medical error.
Primary care trusts will play a key role
in commissioning services that contribute to improving public health, encourage partnership working and user involvement, and emphasise normality.33 Further research is needed
on the factors that maximise normal
births and healthy
outcomes for mothers and babies,
in the short and longer term.
Even diving into a fraction of this list will have you feeling empowered and prepared for conception, pregnancy, postpartum and parenting... It includes resources
on improving and even ensuring ensuring healthier pregnancy and
birth outcomes than the status quo, and preventing and healing from
birth trauma so prevalent
in the modern world!
The current limited and conflicting evidence
on the
outcomes of homebirths versus hospital
births with midwives
in attendance generates both a need and justification for a review of the available evidenced - based literature.
Women planning
birth in a midwifery unit and multiparous women planning
birth at home experience fewer interventions than those planning
birth in an obstetric unit with no impact
on perinatal
outcomes.
Secondly, we used propensity score methods to explore more fully the effect
on the primary
outcome of imbalances
in the baseline characteristics of women
in different
birth settings (see appendix 6
on bmj.com).15
The relative benefits and risks of
birth in different settings have been widely debated
in recent years.1 2 3 4 5 6 7 A problem when trying to evaluate the effect of
birth setting
on perinatal
outcomes has been the use of actual place of
birth rather than planned place of
birth to define comparison groups.
When the analysis was restricted to units or trusts with a response rate of at least 85 %, the higher odds of the primary
outcome for nulliparous women
in the planned home
birth group remained, and the strength of this association increased (appendix 5
on bmj.com).
Most studies of homebirth
in other countries have found no statistically significant differences
in perinatal
outcomes between home and hospital
births for women at low risk of complications.36, 37,39 However, a recent study
in the United States showed poorer neonatal
outcomes for
births occurring at home or
in birth centres.40 A meta - analysis
in the same year demonstrated higher perinatal mortality associated with homebirth41 but has been strongly criticised
on methodological grounds.5, 42 The Birthplace
in England study, 43 the largest prospective cohort study
on place of
birth for women at low risk of complications, analysed a composite
outcome, which included stillbirth and early neonatal death among other serious morbidity.
She continued «Even something as simple as a slight change
in our thinking about having a baby
in Ireland will have a positive impact
on birth outcomes.
The aim of our study was to determine firstly, whether a retrospective linked data study was a viable alternative to such a design using routinely collected data
in one Australian state and secondly, to report
on the
outcomes and interventions for women (and their babies) who planned to give
birth in a hospital labour ward,
birth centre or at home.
Oregon now has the most complete, accurate data of any US state
on outcomes of
births planned to occur
in the mother's home or an out - of - hospital
birth center.
Personally, I find it rather ironic that you're lecturing the blog author
on the rigor of language, when, faced with the need to support the claims made by a documentary that has faced absolutely no real standards of intellectual rigor or merit (the kind of evidence you apparently find convincing), you have so far managed to produce a study with a sample size too small to conclude anything, a review paper that basically summarized well known connections between vaginal and amniotic flora and poor
outcomes in labor and
birth before attempting to rescue what would have been just another OB review article with a few attention grabbing sentences about long term health implications, and a review article published
in a trash journal.
The goal of the
Birth by the Numbers website is to present accurate, up - to - date information
on childbirth practices and
outcomes in the United States and other countries.
Maternal and perinatal
outcomes amongst low risk women giving
birth in water compared to six
birth positions
on land.
We also calculated
outcome rates before reclassification to determine the effect of misclassification
in standard vital statistics data, including prior U.S. studies
on place of
birth.
Based
on those numbers, one may think, «Well, if we are investing so much more
in our
births and medical system, the
outcome for mother and baby must be favorable.»
Moreover, robust evidence
on the cost effectiveness of
birth in alternative settings is a priority, as was highlighted by the recent National Institute for Health and Clinical Excellence (NICE) clinical guidance
on intrapartum care.11 The Birthplace
in England research programme was designed to fill gaps
in research evidence about the processes and
outcomes associated with different settings for
birth in the NHS
in England.
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) statistic.
Assessing the impact of a new
birth centre
on choice and
outcome of maternity care
in an inner city area.
When we analysed the effects of planned place of
birth on maternal
outcomes, all shifts to non-obstetric unit settings were associated with significant cost savings and significant improvements
in terms of maternal morbidity avoided (table 5 ⇓) or additional normal
birth (table 6 ⇓).
Switching from planned
birth in an obstetric unit to midwifery units was
on average cost saving and associated with a non-significant decrease
in adverse perinatal
outcomes.
A woman choosing place of
birth is autonomous if she receives all relevant information
on available choices, risks and benefits, is capable of understanding and processing the information and choosing place of
birth in the absence of coercion, provided she intends no harm to others and is accountable for the
outcome.
For the purposes of this economic evaluation, the forms were initially used
in a related study funded by the National Institute of Health Research (NIHR) research for patient benefit programme «assessing the impact of a new
birth centre
on choice and
outcome of maternity care
in an inner city area,» which will be reported
in full elsewhere, comparing the costs of care
in a free standing midwifery unit with care
in an obstetric unit
in the same trust.16 The data collected included details of staffing levels, treatments, surgeries, diagnostic imaging tests, scans, drugs, and other resource inputs associated with each stage of the pathway through intrapartum and after
birth care.
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 ⇓).
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 lackin
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 lackin
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 lackin
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 lackin
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 lackin
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 lackin
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 lackin
in planned
births at home and
in midwifery units, but clear conclusions regarding perinatal outcome have been lackin
in midwifery units, but clear conclusions regarding perinatal
outcome have been lacking.
Most trials of prenatal home visiting have produced disappointing effects
on pregnancy
outcomes such as
birth weight and gestational age, 9,16,17 although one program of prenatal and infancy home visiting by nurses has reduced prenatal tobacco use
in two trials18, 19 and has reduced pregnancy - induced hypertension
in a large sample of African - Americans.20
This was expected based
on the results of the pregnancy
outcome study from which these women were selected, ie, women with exposure to fluoxetine late
in pregnancy were more likely to have lower
birth weight infants and were also more likely to breastfeed while continuing to use the medication.
Partner support and impact
on birth outcomes among teen pregnancies
in the United States.
Persistent beneficial effects of breast milk ingested
in the neonatal intensive care unit
on outcomes of extremely low
birth weight infants at 30 months of age.
The study, published
in the Journal of Midwifery & Women's Health
on Thursday, looked at the home
birth outcomes for roughly 17,000 women as recorded
in the Midwives Alliance of North America data collection system between 2004 and 2009.
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.