Sentences with phrase «women start labour»

Around 80 - 90 % of women start labour with their membranes intact.

Not exact matches

Unlike what you see on television, a woman's water breaking as the sign that labour is starting only happens in approximately 5 % of cases.

Infants of women who were referred to secondary care during labour had a 3.66 times higher risk of delivery related perinatal death than did infants of women who started labour in secondary care (relative risk 3.66, 1.58 to 8.46)...

... [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.

I ended #WorldDoulaWeek the same way in which I started it; at a labouring woman's side.

'' Normal births» * for healthy women with low risk pregnancies by their planned place of birth at start of care in labour.

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.

Categorised by parity for all women and restricted to those without complicating conditions at start of care in labour

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.

Results for all women and restricted to those without complicating conditions at start of care in labour

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.

Before the analysis of the outcomes, the co-investigators and independent advisory group agreed to modify the analysis plan to include additional analyses of outcomes restricted to women without complicating conditions at the start of care in labour.

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.

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).

Disappointed by the medicalisation of birth and unnecessary intervention in hospitals, where labouring women were made to lie on their back, she started to advocate the use of movement and gravity to help labour and birth.

Data were analysed for all women and then for women without complications at the start of labour.

We focused on the 5418 women who intended to deliver at home at the start of labour.

The figure provides an overview of why women left care before labour and their intended place of birth at the start of labour.

The Labour Party has been a strong supporter of breastfeeding as it ensures a healthy start for infants, and promotes women's health.

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.

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).

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 ⇓).

Restriction of the analyses to low risk women without complicating conditions at the start of care in labour narrowed the cost differences between planned places of birth: total mean costs were # 1511 for an obstetric unit, # 1426 for an alongside midwifery unit, # 1405 for a free standing midwifery unit, and for # 1027 the home (table 2 ⇓).

Profiles of resource use, and their associated unit costs, for each planned place of birth are reported in detail in appendices 1 and 2 on bmj.com.25 The total mean costs per low risk woman planning birth in the various settings at the start of care in labour were # 1631 ($ 1950, $ 2603) for an obstetric unit, # 1461 ($ 1747, $ 2332) for an alongside midwifery unit, # 1435 ($ 1715, $ 2290) for a free standing midwifery unit, and # 1067 ($ 1274, $ 1701) for the home (table 1 ⇓).

This was replicated for women without complicating conditions at the start of care in labour.

Nearly a third of women who planned and started their labours at home ended up being transferred as complications arose — including for instance an abnormal fetal heart rate, or if the mother required more effective pain relief in the form of an epidural.

For this mixed up group of GD women a Cochrane review concluded: «There is insufficient evidence to clearly identify if there are differences in health outcomes for women with gestational diabetes and their babies when elective birth is undertaken compared to waiting for labour to start spontaneously or until 41 weeks» gestation if all is well.»

The intrapartum and neonatal mortality among women considered at low risk at start of labour, excluding deaths concerning life threatening congenital anomalies, was 1.7 deaths per 1000 planned home births, similar to risks in other studies of low risk home and hospital births in North America.

Compared with the start of May, women are now 7 points more likely to vote Labour than men, and 3 points less likely to vote Conservative.

At the Labour women's conference, taking place before the formal start of the full national event on Sunday, Mr Corbyn said his proposed review of party democracy would ensure wider support for his policies.

Compared with the start of May, women are now seven points more likely to vote Labour than men - and three points less likely to vote Conservative.

Women's Institute members excepted, at the start of the Labour years nearly every charity, businessman or other social leader was fearful of saying anything negative about Labour.

We will ensure there is universal childcare to give all children a good start in life, allowing greater sharing of caring responsibilities and removing barriers to women participating in the labour market.