Sentences with phrase «out of a hospital setting»

After several years of clinical lactation experience in and out of the hospital setting, it was then in 2009 I was able to sit for the International Board Of Lactation Examiners, thereby earning the credential as an IBCLC (International Board Certified Lactation Consultant).

You should take a good look at her resume, and determine if any of those skills will mean anything in an out of hospital setting.

If all low risk women were being cared for by midwives in out of hospital settings, we would see better outcomes, healthier mamas and babies, and women would be able to tell their birth story with confidence that they had control.

For example, they can help you develop a birth plan, offer pain - relieving prenatal massage during labor, guide you through breathing exercises and visualizations, or let you know about better birthing positions, both in and out of a hospital setting, and give post-birth coaching too.

Not exact matches

Because this scenario showcases a slew of problems that are endemic to our modern healthcare system — from the utter lack of bacterial control in clinical settings and the associated infections that result... to a process that shuttles vulnerable patients in and out of emergency rooms for piecemeal diagnosis and treatment... to overcrowded, overburdened hospitals that still mindlessly cling to patient - management processes that haven't worked for decades.

Fun Fact: Spear and Hasson sold the first 1,000 sets of scrubs out of their car outside of Cedars Sinai hospital during the shift change at 7 a.m. and 7 p.m.

Family connections may be a source of a lot of pain or anger, and because of the way our legals system is set up, at every turn on «your way out», legal forms demand «next of kin», hospitals demand «next of kin» — no kidding the poor dying person has no choice but to think of family.

Gyan, who enjoyed a successful stint at the Stadium of Light but is best known for his exploits at the 2010 World Cup, was set to lead his team out for the crucial group stage clash, but is likely to sit this one despite having been released from hospital after just one night because the disease was caught so early.

Standards outlined by the AAP for care of the neonate are possible in an out - of - hospital settings, including homebirth, although because homebirth practices do not have an accreditation body similar to the American Association of Birth Centers there is no way to assure that any particular homebirth midwife or practice provides any certain standard of care.

This is because the vast majority of stillbirths delivered in the hospital are known to be antepartum and not intrapartum.29, 30, 31 On the other hand, in out - of - hospital settings, most antepartum deaths in planned home births would be transferred to the hospital.

Moreover, in out - of - hospital settings, there is likely less antepartum testing and no continuous electronic intrapartum fetal monitoring, both of which may have affected adverse outcomes.

Reports out of LA indicate that the Carters plan on setting up an actual hospital - grade delivery room in their home, complete with neonatal unit and full medical staff on hand.

The CPM is the only midwifery credential that requires knowledge about and experience in out - of - hospital settings.

Exemplary best practice guidelines have been developed for transfer from home or out of hospital birth settings to the hospital (Home Birth Summit, 2014; Maine Center for Disease Control and Prevention, 2014).

This exact point is the focus of Penny's doctoral work, as she too is concerned about the level of care provided neonates in the out - of - hospital setting.

If multiple strong, well - done studies came out and showed that home birth under a specific set of circumstances was exactly as safe as a hospital birth, you would see people here change their minds and support that.

This can make for a very uncomfortable and long labor process and increase the odds of transferring to a hospital from a planned out - of - hospital setting.

That being said, certain hazards do exist however, in all settings, whether childbirth occurs in or out of the hospital; and there are risks unique to each setting.

When I finally got around to sifting through the package of papers that I'd been given while in hospital, I found one that set out in no uncertain terms that co-sleeping is never safe.

I found the workshop rather ill - informed on the risks of taking VBAC clients in out - of - hospital birth centers, instead the push from the AABC, as well as the CNM workshop leader was to advocate for VBAC in low - resource settings, such as their accredited birth centers.

This initiative set out to put an end to free supplies of infant formula that companies were giving to hospitals.

While the NICE guidelines make it clear that women should be free to choose the birth setting they are most comfortable with, they point out that the risks of over-intervention in the hospital may outweigh the risks of under - intervention at a birth center or at home for the majority of expecting mothers.

Out - of - hospital births were also associated with a higher rate of unassisted vaginal delivery and lower rates of obstetrical interventions and NICU admission than in - hospital births, findings that corroborate the results of earlier studies.3 - 5 These associations follow logically from the more conservative approach to intervention that characterizes the midwifery model of care8, 19 and from the fact that obstetrical interventions are either rare (e.g., induction of labor) 20 or unavailable (e.g., cesarean delivery, whether at home or at a birth center) outside the hospital setting.

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.

In 2012, the home birth rate in Oregon was 2.4 %, which was the highest rate of any state; another 1.6 % of women in Oregon delivered at birth centers.11 Before licensure became mandatory in 2015, Oregon was one of two states in which licensure was not required for the practice of midwifery in out - of - hospital settings.12 Although the 2003 revision of the U.S. Standard Certificate of Live Birth distinguishes planned home births from unplanned home births, at the national level there is still no way to disaggregate hospital births that were intended to occur at a hospital and those that had not been intended to occur at a hospital.

We assessed perinatal morbidity and mortality, maternal morbidity, and obstetrical procedures according to the planned birth setting (out of hospital vs. hospital).

To assess the robustness of the results of our regression analysis, we performed covariate adjustment with derived propensity scores to calculate the absolute risk difference (details are provided in the Supplementary Appendix, available with the full text of this article at NEJM.org).14, 15 To calculate the adjusted absolute risk difference, we used predictive margins and G - computation (i.e., regression - model — based outcome prediction in both exposure settings: planned in - hospital and planned out - of - hospital birth).16, 17 Finally, we conducted post hoc analyses to assess associations between planned out - of - hospital birth and outcomes (cesarean delivery and a composite of perinatal morbidity and mortality), which were stratified according to parity, maternal age, maternal education, and risk level.

Perinatal mortality was higher with planned out - of - hospital birth than with planned in - hospital birth, but the absolute risk of death was low in both settings.

With this second aim, we used new data on planned birth setting to improve the interpretation of studies in which investigators could not disaggregate in - hospital births that had been planned to be out - of - hospital births from births that had been planned to be in - hospital births.

GBS can easily be managed in the out - of - hospital setting.

They evaluated perinatal morbidity and mortality, maternal morbidity, and obstetrical procedures according to the planned birth setting (out of hospital versus hospital).

The authors concluded that perinatal mortality was higher with planned out - of - hospital birth than with planned in - hospital birth, but the absolute risk of death was low in both settings.

Today, Anne has extensive training and clinical experience in women's health and maternity care, in both in - hospital and out - of - hospital settings, including water birth.

We arranged for the grandparents to take care of our two children, and Kramer and I set out for the hospital.

Wouldn't it be great if your newborn came home from the hospital with a set of instructions and rules that spelled out exactly when you need to call the pediatrician?

«These seniors were supposed to stay out of the hospital since the procedures were performed in the ambulatory setting, but they were admitted to the hospital within 30 days,» said corresponding study author Dr. Gildasio De Oliveira Jr. «Age was the biggest factor associated with readmission and complications.

So a team of US researchers, led by Dr Stavros Memtsoudis at Hospital for Special Surgery, Weill Cornell Medical College, and Dr Jashvant Poeran at Mount Sinai School of Medicine, both in New York, set out to determine the effectiveness and safety of tranexamic acid in a large sample of US patients undergoing total hip or knee replacement surgery.

A prospective study from Massachusetts Eye and Ear, Brigham and Women's Hospital (BWH) / Harvard Medical School (HMS), and Harvard School of Public Health (HSPH) set out to evaluate the association between the intake of these vitamins and EG.

Arguing that «this high degree of complexity both in terms of immunological outcomes and underlying mechanisms, necessitates that HDAC inhibitors be studied in a context that is matched to their intended utility,» Brad Jones, from the Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard, Boston, USA, and colleagues set out to test whether the three drugs affected the ability of CTL to eliminate HIV - infected target cells.

Taking a cue from AIDS researchers, who use simian immunodeficiency virus in monkeys as a model for HIV infection, Fred Wang of Brigham and Women's Hospital and Harvard Medical School in Boston set out to find a primate version of EBV.

The new findings come a year after a 2015 study by the same investigative team that compared these interventions in children who had experienced a cardiac arrest in the out - of - hospital setting.

Taking a cue from a recently issued set of recommendations by the Institute of Medicine for optimizing cardiac arrest care, Dr. Bobrow and his team propose three concrete steps communities and the nation can take to improve survival from out - of - hospital cardiac arrest (OHCA) above the current level of six percent:

Using standard legal research methods, Beletsky and his collaborators systematically searched legal databases to determine whether naloxone administration in the out - of - hospital setting has been the grounds for a lawsuit.

The researchers have shared their findings with a group that is developing a clinical bulletin designed to inform health care providers about the practice of water birth in both hospital and out - of - hospital settings.

Among their recommendations for health policymakers and caregivers are the need to engage community - based care «receivers» earlier in the transition process, to adopt a palliative care approach with patients and their families that sets realistic care goals, and to focus not only on preventing hospitalization, but also on making out - of - hospital transitions easier.

(a) A three - page Royal Free Hospital discharge summary, dated 21 May 1997, addressed to a professor of medicine at the University of California, Irving, copied to Andrew Wakefield, and supplied to me by the father, setting out a history, test results and clinical findings for the child;

But people get it after taking antibiotics because it kills off so much of the healthy bacteria that small levels of C. diff can proliferate, or if you've been on antibiotic recently and then within the hospital setting where there's plenty of C. diff, the C. diff now proliferates out of control because all of the healthy kind of gatekeeper bacteria that would normally keep things suppressed are not around, the C. diff proliferates and has been very resistant to antibiotics.

In the current study, Dr. Emilo Ros of the lipid clinic, endocrinology and nutrition service at Hospital Clinic, Barcelona, and colleagues set out to establish a stronger link between the Mediterranean diet and better cognitive function.

As Dr. Samuel E. Gandy, a professor of neurology and psychiatry at the Icahn School of Medicine at Mount Sinai Hospital in New York, explained, there was a long and persuasive body of research laying out the Alzheimer's pathway: Plaques form and set off the formation of tangled threadlike tau proteins.

Situated back in her home, Ann forces a difficult promise out of Georges — «Please never take me back to the hospital» — setting in motion the slouch towards pain and decay that comprises the remainder of the narrative.