Women who planned to give birth in a birth centre or at home were significantly more likely to have a normal labour and birth compared
with women in the labour ward group.
Not exact matches
He'd like to increase military spending, sign free trade deals
with other Asian countries, make it easier for companies to hire and fire workers, change immigration laws, get more
women in the
labour force and much more.
The percentage of
women between the ages of 25 and 54
with full - time jobs rose from 58 %
in 2000 to 63 %
in 2007, as
women entered the
labour force as never before, causing family incomes to rise.
In Bangladesh, workers, mostly women, work long hours for minimum wages that labour advocacy groups say keep those workers trapped in poverty and with few or no rights to organize to improve condition
In Bangladesh, workers, mostly
women, work long hours for minimum wages that
labour advocacy groups say keep those workers trapped
in poverty and with few or no rights to organize to improve condition
in poverty and
with few or no rights to organize to improve conditions.
The fiscal plan tabled Tuesday
in the House of Commons was packed
with billions of dollars worth of new investments, including measures to increase the
labour - force participation of
women.
«
Women with children are often excluded from full participation
in the
labour market due to challenges
in balancing work and family life, or they work part - time, which often means lower wages and fewer benefits, including lack of a pension, paid vacation and sick leave, as well as less job stability,» the document states.
Labouring the point she quips: «For example, you could target executive
women under the age of 30
with no children,
in middle management but who are seeking a promotion.»
Marco was arrested for being «too Catholic», and Natalia volunteered to go
with a group of
women rounded up for forced
labour; both died
in concentration camps.
On average too, the latent phase of the first stage of
labour was shorter
in women who consumed date fruit compared
with the non-date fruit consumers (510 min vs 906 min, p = 0.044).
... [T] here was a significant excess of the primary outcome
in births planned at home compared
with those planned
in obstetric units
in the restricted group of
women without complicating conditions at the start of care
in labour.
Infants of pregnant
women at low risk had a significantly higher risk of delivery related perinatal death (relative risk 2.33, 1.12 to 4.83), compared
with infants of
women at high risk whose
labour started
in secondary care under the supervision of an obstetrician.
Low risk
women in primary care at the onset of
labour with planned home birth had lower rates of severe acute maternal morbidity, postpartum haemorrhage, and manual removal of placenta than those
with planned hospital birth.
One other possible disadvantage is the degree of pain relief; for some, the idea of giving birth
in the water means a tranquil, relaxing environment and a lack of pain, however the reality is that
labour is a painful experience and although water may soothe pain, contractions will still be very painful and some
women may be disappointed
with the degree of pain relief offered by water.
So, after a 20 hour
labour with pethidine and the stitch - up from hell (1 1/4 hours of stitching
with a local anaesthetic that didn't work, and no epidural available because it was «out of hours» -
women in that situation are not seen as a high priority for pain relief!)
Women bring these books into hospital with them when they are in labour, women turn to them after they have had little sleep, women listen to their friends as they tell them, «you NEED this
Women bring these books into hospital
with them when they are
in labour,
women turn to them after they have had little sleep, women listen to their friends as they tell them, «you NEED this
women turn to them after they have had little sleep,
women listen to their friends as they tell them, «you NEED this
women listen to their friends as they tell them, «you NEED this book!
«
In the subgroup of
women with spontaneous onset of
labour and vaginal deliveries, after controlling for other obstetric and demographic factors, epidural analgesia but not narcotic analgesia was significantly associated
with reduced breastfeeding duration (adjusted hazard ratio 1.44, 95 % confidence interval 1.04 - 1.99).»
In Scotland, where wide variations in surgical deliveries have been found between units, four evidence based recommendations have been prioritised: clinicians and women should regard trial of labour as the norm after a previous caesarean; offering external cephalic version to women at term if their baby is breech; monitoring and regularly reviewing caesarean data with support for staff; and one to one midwifery care for all women in labour.20 The National Childbirth Trust — a UK parents organisation — is concerned about medicalisation and erosion of midwifery skills and confidenc
In Scotland, where wide variations
in surgical deliveries have been found between units, four evidence based recommendations have been prioritised: clinicians and women should regard trial of labour as the norm after a previous caesarean; offering external cephalic version to women at term if their baby is breech; monitoring and regularly reviewing caesarean data with support for staff; and one to one midwifery care for all women in labour.20 The National Childbirth Trust — a UK parents organisation — is concerned about medicalisation and erosion of midwifery skills and confidenc
in surgical deliveries have been found between units, four evidence based recommendations have been prioritised: clinicians and
women should regard trial of
labour as the norm after a previous caesarean; offering external cephalic version to
women at term if their baby is breech; monitoring and regularly reviewing caesarean data
with support for staff; and one to one midwifery care for all
women in labour.20 The National Childbirth Trust — a UK parents organisation — is concerned about medicalisation and erosion of midwifery skills and confidenc
in labour.20 The National Childbirth Trust — a UK parents organisation — is concerned about medicalisation and erosion of midwifery skills and confidence.
'' Normal births» * for healthy
women with low risk pregnancies by their planned place of birth at start of care
in labour.
Conclusions: Low risk
women in primary care at the onset of
labour with planned home birth had lower rates of severe acute maternal morbidity, postpartum haemorrhage, and manual removal of placenta than those
with planned hospital birth.
The strength of this association was increased when the sample was restricted to
women with no complicating conditions at the start of care
in labour (adjusted odds ratio 2.80, 1.59 to 4.92).
For the restricted sample of
women without any complicating conditions at the start of care
in labour, the odds of a primary outcome event were higher for births planned at home compared
with planned obstetric unit births (adjusted odds ratio 1.59, 95 % confidence interval 1.01 to 2.52) but there was no evidence of a difference for either freestanding or alongside midwifery units compared
with obstetric units.
Objective To compare perinatal outcomes, maternal outcomes, and interventions
in labour by planned place of birth at the start of care
in labour for
women with low risk pregnancies.
Transfers during
labour or immediately after birth among healthy
women with low risk pregnancies by their planned place of birth at start of care
in labour.
All
women attended by an NHS midwife during
labour in their planned place of birth, for any amount of time, were eligible for inclusion
with the exception of
women who had an elective caesarean section or caesarean section before the onset of
labour, presented
in preterm
labour (< 37 weeks» gestation), had a multiple pregnancy, or who were «unbooked» (that is, received no antenatal care).
The study was a prospective cohort study
with planned place of birth at the start of care
in labour as the exposure (home, freestanding midwifery unit, alongside midwifery unit, or obstetric unit).12
Women were included
in the group
in which they planned to give birth at the start of care
in labour regardless of whether they were transferred during
labour or immediately after birth.
How much does an insurance company have to shell out after some years have gone by for treating fecal and / or urinary incontinence or prolapses
in these
women with their marathon
labours and untreated perineal tears?
There were marked differences between planned places of birth
in the proportion of
women with complicating conditions identified by the attending midwife at the start of care
in labour (table 1 ⇑).
There was no difference overall between birth settings
in the incidence of the primary outcome (composite of perinatal mortality and intrapartum related neonatal morbidities), but there was a significant excess of the primary outcome
in births planned at home compared
with those planned
in obstetric units
in the restricted group of
women without complicating conditions at the start of care
in labour.
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 guide
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 guide
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.
Qualitative findings from interviews and focus group discussions
with labour ward staff imply that providers do not necessarily know
women's preferences, and are hesitant
in allowing
women to be mobile because of concern over their safety and the restrictive ward environment.
The proportion of
women with a «normal birth» (birth without induction of
labour, epidural or spinal analgesia, general anaesthesia, forceps or ventouse delivery, caesarean section, or episiotomy9 10) varied from 58 % for planned obstetric unit births to 76 %
in alongside midwifery units, 83 %
in freestanding midwifery units, and 88 % for planned home births; the adjusted odds of having a «normal birth» were significantly higher
in all three non-obstetric unit settings (table 5 ⇓).
The strengths of the study include the ability to compare outcomes by the
woman's planned place of birth at the start of care
in labour, the high participation of midwifery units and trusts
in England, the large sample size and statistical power to detect clinically important differences
in adverse perinatal outcomes, the minimisation of selection bias through achievement of a high response rate and absence of self selection bias due to non-consent, the ability to compare groups that were similar
in terms of identified clinical risk (according to current clinical guidelines) and to further increase the comparability of the groups by conducting an additional analysis restricted to
women with no complicating conditions identified at the start of care
in labour, and the ability to control for several important potential confounders.
Characteristics of healthy
women with low risk pregnancies by their planned place of birth at start of care
in labour.
The overall test for interaction (heterogeneity) was of borderline statistical significance for all
women (P = 0.06), and was significant for
women with no complicating conditions at the start of care
in labour (P = 0.03).
The
labour and birth unfold slowly and it's such an honour to support not just the
woman in the birth of her first baby but also
in actually becoming a mother for the first time... I like to see first time couples from very early on
in pregnancy and I work closely
with them all through their pregnancy helping to dismiss all the nonsense that most people think
labour and birth is about and support them
in preparing for what will actually happen.
It makes absolute sense that
women would chose to
labour with their mother or sister
in addition to their husband or partner.
«
With close monitoring in active labour, if an abnormality were to arise with the woman, the fetus or the progression of labour, transfer into the hospital can be arranged,» Hatherall s
With close monitoring
in active
labour, if an abnormality were to arise
with the woman, the fetus or the progression of labour, transfer into the hospital can be arranged,» Hatherall s
with the
woman, the fetus or the progression of
labour, transfer into the hospital can be arranged,» Hatherall says.
Laboring and delivering
in water is associated
with a reduction
in length of
labour and perineal trauma for baby, and a reduction
in analgesia requirements for all
women.
Planned birth at home
in low risk
women without complicating conditions at the start of care
in labour was associated
with significant cost savings and a significant decrease
in adverse perinatal outcomes avoided.
When I did query what was going on (having unfortunately gone along
with some the bonkers instructions because it tallied slightly
with what I had read — don't try and get a
woman who has been
in labour all night, is exhausted and wants to sleep to walk down a corridor lads, it sounds stupid and it is stupid) I was asked to move to the end of the room (the implication being I would be asked to leave if I asked any more questions).
My experience was so awful, I trained as a doula to try to provide
women and partners
with the emotional support that I needed and didn't get
in labour.
In further analyses restricted to women without complicating conditions at the start of care in labour, the adjusted odds of adverse perinatal outcomes were higher for births planned at home compared with those planned in obstetric units (adjusted odds ratio 1.59, 95 % confidence interval 1.01 to 2.52
In further analyses restricted to
women without complicating conditions at the start of care
in labour, the adjusted odds of adverse perinatal outcomes were higher for births planned at home compared with those planned in obstetric units (adjusted odds ratio 1.59, 95 % confidence interval 1.01 to 2.52
in labour, the adjusted odds of adverse perinatal outcomes were higher for births planned at home compared
with those planned
in obstetric units (adjusted odds ratio 1.59, 95 % confidence interval 1.01 to 2.52
in obstetric units (adjusted odds ratio 1.59, 95 % confidence interval 1.01 to 2.52).
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 uni
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 uni
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 uni
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 uni
in a free standing midwifery unit, or
in an alongside midwifery unit compared with planned births in an obstetric uni
in an alongside midwifery unit compared
with planned births
in an obstetric uni
in an obstetric unit.
Governments should enact imaginative legislation protecting the breastfeeding rights of working
women and establishing means for its enforcement
in accordance
with international
labour standards.
This includes essential care during childbirth and
in the postnatal period for every mother and baby, including antenatal steroid injections (given to pregnant
women at risk of preterm
labour to strengthen the babies» lungs), kangaroo mother care (when the baby is carried by the mother
with skin - to - skin contact and frequent breastfeeding), and antibiotics to treat newborn infections.
Overall, they conclude: «Low risk
women in primary care
with planned home birth at the onset of
labour had a lower rate of severe acute maternal morbidity, postpartum haemorrhage, and manual removal of placenta than those
with planned hospital birth.
The midwife is recognised as a responsible and accountable professional who works
in partnership
with women to give the necessary support, care and advice during pregnancy,
labour and the postpartum period, to conduct births on the midwife's own responsibility and to provide care for the newborn and the infant.
I feel that
women and their partners do much better
with privacy and intimacy during the birth process and that, my role is to sometimes protect that privacy and intimacy first of all by educating them that that might be really important and to talk about you know the effect both positive and negative about um, support during that time can be or even just letting people know hey, we're
in labour, the Facebook kind of thing but you know keep it quiet, keep it down, don't fritter the energy away by drawing other people to it or drawing the expectation that something's happening rather than just letting something evolve... I think guarding the space by keeping the space as calm and quiet and private as possible is key and giving people tools to do that during the prenatal time to deal
with over eager family members or friends.