«This is the first study with detailed, frequent and long - term follow - up to assess associations of dyspareunia
with obstetric risk factors.
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.
Having such an obvious
obstetric risk factor means giving birth in a nasty hospital
with machines and interventions and eebil nurses and OBs who will cut you open so they can get home to dinner.
Obstetric led (all antenatal appointments at hospital
with doctors and midwives - usually for multiples or other high
risk).
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.
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.
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
For healthy multiparous women
with a low
risk pregnancy, there are no differences in adverse perinatal outcomes between planned births at home or in a midwifery unit compared
with planned births in an
obstetric unit
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.
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 st
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 st
risk 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
For all low
risk women, bootstrapped estimates showed that planned birth in settings other than an
obstetric unit was associated
with cost savings and considerable stochastic uncertainty surrounding adverse perinatal outcomes.
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.
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.
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.
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.»
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.
«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.
However, because serious complications related to
obstetric anesthesia are so rare, there were too few complications in each category to identify
risk factors associated
with each complication.
(1) Similarly, ART singletons and ART twins also had comparable test scores, suggesting, say the investigators, that «the higher
obstetric risk» identified in ART pregnancies — and particularly in twins — «is not associated
with poorer academic performance in adolescence.»
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).
Nearly one half are potentially avoidable
with recognition and anticipation of
obstetric risk factors.