Sentences with phrase «planned cesarean delivery»

«Many studies have concluded that the shift to planned cesarean delivery has not improved breech outcomes.

For example, in one of the few randomized trials of approach to delivery, women with a breech presentation were randomized to undergo planned cesarean delivery or planned vaginal delivery, although there was crossover in both treatment arms (5).

In fact, four years later, the authors published follow - up results to the study, concluding, «planned cesarean delivery is not associated with a reduction in risk of death or neuro - developmental delay in children at 2 years of age.»

Not exact matches

There are actually many different ways in which labor and delivery can occur from a medicine - free natural birth, to something known as hypno - birth, all the way to a planned cesarean procedure.

His publications have been on the doctor - patient relationship, physician empathy, and more recently on ethical issues in clinical obstetrics, including cesarean delivery on maternal request (CDMR), birth plans, and home birth.

After the reclassification of transferred patients, the out - of - hospital rate of cesarean delivery (performed by a physician who was not the planned birth attendant) was 5.3 %.

You can include some preferences for a cesarean delivery in your birth plan, such as being able to view the birth or having your baby placed on your chest immediately after delivery.

Association between Planned Out - of - Hospital Birth and a Composite Neonatal Outcome and Cesarean Delivery, According to Subgroups.

Planned out - of - hospital birth remained strongly associated with decreased odds of induced labor (adjusted odds ratio, 0.11; 95 % CI, 0.09 to 0.12), cesarean delivery (adjusted odds ratio, 0.18; 95 % CI, 0.16 to 0.22), and other obstetrical procedures and increased odds of unassisted vaginal delivery (adjusted odds ratio, 5.63; 95 % CI, 4.84 to 6.55).

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.

In addition, much of the data compiled on vaginal delivery looks at «positive outcomes» alone (i.e. a planned vaginal delivery that ends up as a vaginal delivery) rather than «all planned vaginal delivery outcomes» (including those that result in emergency cesareans) and their subsequent mortalities or morbidities.

The planned home birth outcomes included much lower rates of epidural, episiotomy, and assisted delivery, and cesarean section.

A study in 2013 involving 106 participating centers in 25 countries came to the conclusion that, in a twin pregnancy of a gestational age between 32 weeks 0 days and 38 weeks 6 days, and the first twin is in cephalic presentation, planned Cesarean section does not significantly decrease or increase the risk of fetal or neonatal death or serious neonatal disability, as compared with planned vaginal delivery.

[39] In this study, 44 % of the women planned for vaginal delivery still ended up having Cesarean section for unplanned reasons such as pregnancy complications.

Furthermore, the recommendations state that a prior cesarean delivery is an absolute contraindication to planning a home birth due to the risks, including uterine rupture.

Before a vaginal breech delivery is planned, women should be informed that the risk of perinatal or neonatal mortality or short - term serious neonatal morbidity may be higher than if a cesarean delivery is planned, and the patient's informed consent should be documented.

Our aim was to improve on - time scheduled cesarean delivery start times.A multidisciplinary team (obstetrician - gynecologist, nursing, anesthesia, and hospital administration) met to review scheduled cesarean delivery data, identify logistic barriers to on - time starts, and develop a plan to improve cesarean delivery start times.

After identifying possible barriers to on - time starts, the following process was instituted: planned preoperative visit 1 - 2 days before scheduled cesarean delivery, mandatory submission of History & Physical and consent forms by the time of the preoperative visit, and initial preparation of the first scheduled patient for cesaren delivery by nighttime nursing before morning change of shift.

HMOs vary between pre-term and full term birth, vaginal deliveries and planned Cesarean births (reviewed in [20]-RRB-, and even between mothers with different types of «secretor» genes [21].

Childbirth education does appear to be able to reduce fear of childbirth.5 While one study found childbirth education associated with increased odds of vaginal delivery, this may be due to the high proportion of women with a planned repeat cesarean in the control group.6

Compared with women who planned a hospital birth with a midwife or physician in attendance, those who planned a home birth were significantly less likely to experience any of the obstetric interventions we assessed, including electronic fetal monitoring, augmentation of labour, assisted vaginal delivery, cesarean delivery and episiotomy (Table 3).

Data comparing the rates of VBAC, as well as maternal and neonatal outcomes, after TOLAC to those after planned repeat cesarean delivery can help guide obstetricians or other obstetric care providers and patients when deciding how to approach delivery in women with a prior cesarean delivery.

Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome.

Delivery decisions made during the first pregnancy after a cesarean delivery will likely affect plans in future pregDelivery decisions made during the first pregnancy after a cesarean delivery will likely affect plans in future pregdelivery will likely affect plans in future pregnancies.

Comparing outcomes from VBAC or repeat cesarean delivery after TOLAC with those from a planned repeat cesarean delivery is inappropriate because no one patient can be guaranteed VBAC, and the risks and benefits may be disproportionately associated with failed TOLAC.

Let me be very clear though, ACOG does not recommend planned VBAC attempt in women with three or more prior cesarean deliveries.

They offer the statistics of uterine rupture with two previous cesareans as 1.36 %, and ultimately state that provided the woman is fully informed of the increased risk and has undergone an individual risk assessment with her provider, then planned VBAC may be supported in women with two or more previous lower segment cesarean deliveries (NICE, 2015).

Significant predictors of exclusive breastfeeding to 6 months were baby's father support of exclusive breastfeeding (AOR 1.72; 95 % CI 1.01, 2.92), cesarean delivery (AOR 0.37; 95 % CI 0.17, 0.80) having no plans to return to work (AOR 4.26; 95 % CI 1.65, 10.99) and being middle income (185 to 345 % FPL) vs low income (< 185 % FPL)(AOR 0.56; 95 % CI 0.38, 0.87)(Table 3).

Other controls were: parity (primipara and multipara)[19, 29], maternal prenatal employment (yes / no)[12, 13], prenatal smoking (yes / no)[30, 31], delivery mode (vaginal, planned cesarean section, emergency cesarean section)[32, 33], and the father's support for exclusive breastfeeding (yes / no)[13, 16].

Empower yourself whether you are planning for an unmedicated labor, epidural anesthesia, or even a cesarean delivery.

The book examines: - why the research shows so little benefit for physiologic care and so little harm from medical - model management - what's behind the cesarean epidemic - what the research establishes as optimal care for initiating labor, facilitating labor progress, guarding maternal and fetal safety, birthing the baby, and promoting safety for mother and baby after the birth - the true, quantified risks of primary cesarean surgery, planned VBAC versus elective repeat cesarean, instrumental vaginal delivery, and regional analgesia - how the organization of the maternity care system adversely impacts care outcomes

Planned out - of - hospital birth also had a statistically significant association with higher rates for 5 - minute Apgar scores of less than 7, neonatal seizures, neonatal ventilator support, maternal blood transfusion, and unassisted vaginal delivery but with lower rates of both admission to neonatal intensive care units and obstetrical interventions, including induction and augmentation of labor, operative vaginal delivery, cesarean delivery, and severe perineal lacerations.

If a trial of labor is not successful, you will need to undergo a repeat cesarean delivery and will have more risk of complications than with a planned or elective repeat cesarean delivery.

While a rise in cesarean section (C - section) delivery rates due to breech presentation has improved neonatal outcome, 40 % of term breech deliveries in the Netherlands are planned vaginal deliveries.

(HealthDay)-- For women with a singleton pregnancy planning a repeat cesarean delivery, universal group B streptococci (GBS) screening is not cost - effective, according to a study published in the January issue of Obstetrics...

Doctors and hospitals who fail to properly diagnose illnesses in the mother, provide timely Cesarean sections, appropriately plan for delivery of babies who may be too large for vaginal delivery, or who don't detect problems like prolapsed umbilical cords may create conditions where the baby's brain is starved of oxygen, resulting in lifelong deficits in motor function and coordination.

Failure to plan a cesarean section in foreseeable circumstances (e.g., the baby was too large for a vaginal delivery) or to perform an emergency cesarean section in the presence of fetal distress

Premium — Obvious to state, the premium for the plans which cover your Cesarean delivery would be on the higher side.

For instance, Max Bupa's Heartbeat Gold Plan covers Cesarean deliveries after a waiting period of 2 years while Religare's special maternity plan Joy covers it after 9 monPlan covers Cesarean deliveries after a waiting period of 2 years while Religare's special maternity plan Joy covers it after 9 monplan Joy covers it after 9 months.

Other maternity coverages — Other than your Cesarean delivery, some health plans also provide coverage for complications during child - birth, pre-natal and post-natal expenses and ambulance costs.

Though some health plans cover Cesarean deliveries, there are certain points which should be kept in mind.

While a normal delivery may cost less, a Cesarean delivery rakes up the hospital bills and if you do not have a health insurance plan to pay for your bills, such costs would wipe out your savings in a jiffy.