«New Trends in Hypothermia Treatment for Newborns Suffering from Acute Hypoxic Encephalopathy,» American Conference Institute's 13th Annual Advanced Forum
on Obstetric Malpractice Claims (Distinguished Co-Chair), June 2014
«Preparing and Presenting Your Witnesses,» American Conference Institute's 14th Annual Advanced Forum
on Obstetric Malpractice Claims (Distinguished Co-Chair), Philadelphia Union League, June 2015
15Committee
on Obstetric Practice (2010) Moderate caffeine consumption during pregnancy.
Committee
on Obstetric Practice.
As many have incorrectly used fetal distress and birth asphyxia as interchangeable terms, the Committee
on Obstetric Practice of the American Congress of Obstetricians and Gynecologists (ACOG) has expressed concern regarding the use of the two terms.
ACOG's Committee
on Obstetric Practice has also stated that the term birth asphyxia should no longer be used as it is too vague of a diagnosis for medical use.
Breastfeeding Expert Work Group Mission Statement: ACOG's Breastfeeding Expert Work Group will assist ACOG, specifically the Committee
on Obstetric Practice and other committees as appropriate, by providing expertise in breastfeeding medicine and use that expertise to develop and promote breastfeeding tools and initiatives for providers and patients at all levels of the community.
There have been numerous studies of breastfeeding in the UK, most of which have adopted a quantitative approach, and they have largely focused
on obstetric or socio - demographic factors in the decision to breastfeed.
The ACOG Committee
on Obstetric Practice has reaffirmed that the term «fetal distress» is imprecise and nonspecific and has asked that the anesthesiology community be made aware that this term should not be used.
American College of Obstetricians and Gynecologists Committee
on Obstetric Practice.
Committee
on Obstetric Practice This Committee Opinion was developed by the American College of Obstetricians and Gynecologists» Committee
on Obstetric Practice and Breastfeeding Expert Work Group.
The ACOG Committee
on Obstetric Practice's opinion on planned home birth (2011) noted that although the Committee believes that hospitals and birthing centers are the safest setting for birth, it respects the right of a woman to make a medically informed decision about delivery.
O'Sullivan, G., Liu, B., Hart, D., Seed, P., & Shennan, A. (2009) Effect of food intake during labour
on obstetric outcome: Randomized controlled trial.
ACOG Committee
on Obstetric Practice.
Note: This article was reviewed by Joseph R. Wax, MD, chairman of the Committee
on Obstetric Practice for the American College of Obstetricians and Gynecologists, and a maternal - fetal medicine specialist at the Maine Medical Center in Portland.
The majority of our maternity care is based
on an obstetric medical care model, which means consultant obstetricians lead the care and policies, not midwives.
If she is to blame for mistakes others made - then any infant death could be blamed
on the Obstetric institutions that are teaching doctors like yourself!
Not exact matches
They were confirmed in the textbooks
on embryology and
obstetric gynecology — and as he pointed out, they had been set forth quite amply in the brief.
When I opened my private practice I was co-located in a midwifery office, the midwives I worked with attracted many women with history of traumatic birth seeking better care and I ended up taking
on many clients with traumatic stress symptoms in a subsequent pregnancies and reporting experiences of
obstetric violence and / or triggering memories and flashbacks from childhood or earlier life abuses.
But not all birth trauma is the result of
obstetric violence — some of it is the result of the brain washing NCB perpetrates
on pregnant women.
From 2003 through 2007, her quarterly column
on Current Resources for Evidence - Based Practice appeared simultaneously in Journal of Midwifery and Women's Health and Journal of
Obstetric, Gynecologic and Neonatal Nursing.
A woman's right to choose a full range of providers and settings for pregnancy and birth was recently affirmed in a position statement
on midwifery by the Association of Women's Health,
Obstetric and Neonatal Nurses (AWHONN).
In the early days mothers rely heavily
on the advice and support of hospital midwives and
obstetric staff, but after moving into the community other factors come into play that will determine breastfeeding success.
In Spain,
obstetric care includes routine enemas, pubic shaving, and episiotomy, procedures that are not evidence based and which ignore the WHO's guidelines
on the care of women in labour.
According to the paper's author James L. Schwayder, MD, JD,
obstetric lawsuits center
on errors of omission or commission.
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 ⇓).
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.
Setting England: all NHS trusts providing intrapartum care at home, all freestanding midwifery units, all alongside midwifery units (midwife led units
on a hospital site with an
obstetric unit), and a stratified random sample of
obstetric units.
Transfer in labour was also common (14 %), but
on no occasion was
obstetric intervention required in the first hour after transfer; women transferred appreciated having spent part of their labour at home
The Womanly Art Of Breastfeeding by La Leche League International Three in a Bed by Deborah Jackson Pregnancy and Childbirth by Sheila Kitzinger Reading Birth & Death: a History Of
Obstetric Thinking by Jo Murphy - Lawless Impact Of Birthing, Practices
On Breastfeeding: Protecting the Mother and Baby Continuum by Mary Kroeger and Linda Smith The American Way Of Birth by Jessica Mitford Communicating Midwifery by Caroline Flint Preparing For Birth With Yoga: Exercises For Pregnancy and Childbirth by Janet Balaskas Pregnancy and Childbirth by Miriam Stoppard Pregnancy to Parenthood by Linda Goldberg New Pregnancy and Birth Book by Miriam Stoppard Who's Having Your Baby?
Ina May Gaskin's C - section statistics over 40 years: 1.7 % American hospital C - section statistics: 32 % not including routine episiotomy and so
on... Oh yes, I know who I would trust for my child's birth... And if the price of an intact body and a peaceful birth was «gentle stimulation» I would accept it with no hesitation... Of course I live in France where
obstetric violence is the norm and home birth nearly considered as criminal by the establishment, but where puritanism is long gone (thank God)... You may remove this post as you did for my previous one... It's OK we've got lots of you this side of the Atlantic telling us what's good or bad for us and we trust them less and less.
Legislation and government should not have the authority to breach human rights — particularly in the face of
obstetric experts who know better and, even more importantly, in the face of a woman and her family who have made an informed decision
on how and where they want their baby to be born.
His entire analysis rests
on the assumption that hospitals make more money for C - sections, but there is no set rate for reimbursement for
obstetric care.
Obstetric care takes more of a medicalised approach to childbirth and its popularity is based
on the cultural assumption that birth is dangerous unless closely medically managed, and that women do not have the capacity or inclination to birth without medical intervention.
«We are calling
on the HSE to revisit the homebirth memorandum of understanding so that the scheme is a seamless process for women, ensuring their security and peace of mind while also allowing our midwifery professionals to decide the criteria under which women should be referred for
obstetric care.
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?
This also exemplifies why we can't simply blame the relative high US maternal mortality rate
on the cesarean rate, or the rate of
obstetric interventions.
The choices are usually based
on whether you have private health insurance as this will determine whether you are entitled to private
obstetric care.
Second, the central premise, that
obstetric interventions are safer
on the macro level but cause long term microscopic health problems is obviously nothing more than nonsense.
Obstetric doctors recommend that pregnant women avoid sleeping
on their back because this position can impede...
Back in the early 19th century, Dr. Semmelweiss was derided by his peers for hypothesizing
on why more women were dying in the
obstetric clinic than in the one run by midwives.
Articles
on childbirth and obstetrics «On Pregnancy» (ok as is) «On Childbirth» (ok as is) «Childbirth» (Sagesbirth4) «Culture and Birth: The Technocratic Imperative» -LCB- ok as is -RCB- «The Rituals of American Hospital Birth» -LCB- ok as is -RCB- «Obstetric Training as a Rite of Passage» (ok as is -RCB- «The Technocratic Body: American Childbirth as Cultural Expression» -LCB- ok as is -RCB- «The Technocratic Model of Birth» -LCB- TechMod -RCB- «The Technocratic, Humanistic, and Holistic Models of Birth» -LCB- ok as is -RCB- «Anthropology and -LSB-..
on childbirth and obstetrics «
On Pregnancy» (ok as is) «On Childbirth» (ok as is) «Childbirth» (Sagesbirth4) «Culture and Birth: The Technocratic Imperative» -LCB- ok as is -RCB- «The Rituals of American Hospital Birth» -LCB- ok as is -RCB- «Obstetric Training as a Rite of Passage» (ok as is -RCB- «The Technocratic Body: American Childbirth as Cultural Expression» -LCB- ok as is -RCB- «The Technocratic Model of Birth» -LCB- TechMod -RCB- «The Technocratic, Humanistic, and Holistic Models of Birth» -LCB- ok as is -RCB- «Anthropology and -LSB-..
On Pregnancy» (ok as is) «
On Childbirth» (ok as is) «Childbirth» (Sagesbirth4) «Culture and Birth: The Technocratic Imperative» -LCB- ok as is -RCB- «The Rituals of American Hospital Birth» -LCB- ok as is -RCB- «Obstetric Training as a Rite of Passage» (ok as is -RCB- «The Technocratic Body: American Childbirth as Cultural Expression» -LCB- ok as is -RCB- «The Technocratic Model of Birth» -LCB- TechMod -RCB- «The Technocratic, Humanistic, and Holistic Models of Birth» -LCB- ok as is -RCB- «Anthropology and -LSB-..
On Childbirth» (ok as is) «Childbirth» (Sagesbirth4) «Culture and Birth: The Technocratic Imperative» -LCB- ok as is -RCB- «The Rituals of American Hospital Birth» -LCB- ok as is -RCB- «
Obstetric Training as a Rite of Passage» (ok as is -RCB- «The Technocratic Body: American Childbirth as Cultural Expression» -LCB- ok as is -RCB- «The Technocratic Model of Birth» -LCB- TechMod -RCB- «The Technocratic, Humanistic, and Holistic Models of Birth» -LCB- ok as is -RCB- «Anthropology and -LSB-...]
L. Rajan, «The Impact of
Obstetric Procedures and Analgesia / Anaesthesia During Labour and Delivery
on Breast Feeding,» Midwifery 10, no. 2 (1994): 87 — 103.
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.
Perinatal events can result in associated longer term health and broader societal costs, as shown by the size of damages paid in
obstetric litigation cases, which represent a substantial cost to the NHS.27 Follow - up over weeks or longer to monitor recovery, or a future assessment of the outcomes for mothers and babies at a later date, would act as a vehicle for estimating costs and consequences beyond the perinatal period and shed more light
on long term cost effectiveness.
The generalised linear model
on costs showed that, even after adjustment for clinical and sociodemographic confounders, planned birth in settings other than
obstetric units remained cost saving compared with the reference category of the
obstetric unit: savings averaged # 134, # 130, and # 310 for planned births in alongside midwifery units, free standing midwifery units, and at home, respectively (P < 0.001)(see appendix 3
on bmj.com).
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.
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 lacking.