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Patricia A Janssen, Jozette J C Stienen, Rollin Brant, Gillian E Hanley
BACKGROUND: To determine if maternal characteristics measurable upon admission to hospital predict cesarean among low-risk spontaneously laboring nulliparous women. METHODS: We undertook a secondary analysis of data from a clinical trial of early labor support for nulliparous women carrying a singleton fetus in cephalic presentation at 37-41 weeks of gestation in British Columbia, Canada. Study participants did not have any discernible risk factors for cesarean at the onset of labor...
October 17, 2016: Birth
Andrew Symon, Jean Rankin, Hazel Sinclair, Geraldine Butcher, Lesley Smith, Rhona Gordon, Lynda Cochrane
BACKGROUND: Alcohol-related mortality and morbidity among women has increased over recent decades, especially in areas of higher deprivation. Pre-pregnancy alcohol use is associated with continued consumption in pregnancy. We assessed whether general population alcohol consumption patterns were reflected among pregnant women in two Scottish areas with different deprivation levels. METHODS: Cross-sectional study in two health boards (HB1, lower deprivation levels, n = 274; HB2, higher deprivation levels, n = 236), using face-to-face 7-day Retrospective Diary estimation of peri-conceptual and mid-pregnancy alcohol consumption...
September 12, 2016: Birth
Jennifer M Nelson, Ruowei Li, Cria G Perrine, Kelley S Scanlon
BACKGROUND: Exclusive breastfeeding is recommended for the first 6 months of life. However, many barriers to breastfeeding exist. We examine public opinions about the benefits of breastfeeding and the infant health risks associated with formula feeding. METHODS: A national public opinion survey was conducted in 2013. Participants indicated their level of agreement with four breastfeeding-related statements. Except for the last one, all statements were positively worded with agreement representing positive opinions toward breastfeeding...
August 28, 2016: Birth
Mary T Paterno, Kathleen McElroy, Mary Regan
BACKGROUND: In many United States hospitals, electronic fetal monitoring (EFM) is used continuously during labor for all patients regardless of risk status. Application of EFM, particularly at labor admission, may trigger a chain of interventions resulting in increased risk for cesarean birth among low-risk women. The goal of this review was to summarize evidence on use of EFM during low-risk labors and identify gaps in research. METHODS: We conducted a scoping review of studies published in English since 1996 that addressed the relationship between EFM use and cesarean among low-risk women...
August 27, 2016: Birth
Karolina Petrovska, Nicole P Watts, Christine Catling, Andrew Bisits, Caroline S E Homer
OBJECTIVE: The aim of this study was to explore the experiences of women who planned a vaginal breech birth. METHOD: An online survey was developed consisting of questions regarding women's experiences surrounding planned vaginal breech birth. The survey was distributed between April 2014 and January 2015 to closed membership Facebook groups that had a consumer focus on vaginal breech birth. RESULTS: In total, 204 unique responses to the survey were obtained from women who had sought the option of a vaginal breech birth in a previous pregnancy...
August 22, 2016: Birth
Xin Y Foo, Ristan M Greer, Sailesh Kumar
BACKGROUND: The aim of this study was to evaluate the influence of maternal body mass index on intrapartum and neonatal outcomes at one of the largest maternity hospitals in Australia. METHODS: A retrospective cross-sectional study of 55,352 term singleton deliveries at the Mater Mothers' Hospital in Brisbane, Australia, was conducted. The study cohort was stratified into six groups based on the World Health Organization's body mass index classification. The normal body mass index category was the reference group for all comparisons...
August 8, 2016: Birth
Holly P Kennedy, Eleanor Doig, Stephanie Tillman, Amanda Strauss, Beth Williams, Christian Pettker, Jessica Illuzzi
BACKGROUND: One in three women will deliver by cesarean, a procedure that can be life saving, but which also carries short- and long-term risks. There is growing interest in preventing primary cesarean deliveries, while optimizing the health of the mother and infant. The primary aim of this study was to use participatory action strategies and ethnographic interview data collected from diverse stakeholders in birth (caregivers, women, policymakers) about facilitators and barriers to the achievement of primary vaginal birth in first-time mothers in hospital settings...
August 8, 2016: Birth
Kellie Thiessen, Nathan Nickel, Heather J Prior, Ankona Banerjee, Margaret Morris, Kristine Robinson
No abstract text is available yet for this article.
September 2016: Birth
Daphne McRae, Kathrin Stoll, Patricia Janssen
No abstract text is available yet for this article.
September 2016: Birth
Daniel W Skupski, Alessandro Ghidini
No abstract text is available yet for this article.
September 2016: Birth
Adejoke B Ayoola, Gail L Zandee, Yenupini J Adams
BACKGROUND: The purpose of this study was to examine women's knowledge of female reproduction-anatomy, hormones and their functions, ovulation, the menstrual cycle and its associated reproductive changes, conception, and signs of pregnancy. METHODS: A survey was completed by 125 women of childbearing age as part of a larger "Women's Health Promotion Program." Descriptive statistics, mainly univariate and bivariate analyses were conducted using STATA 13. RESULTS: The women in the study were ages 18-51 years, 52...
September 2016: Birth
Mimmi Koukkula, Ilmo Keskimäki, Päivikki Koponen, Mulki Mölsä, Reija Klemetti
BACKGROUND: The tradition of female genital mutilation/cutting (FGM/C) has spread in Europe as a result of immigration. Although it is known to have negative health impacts, the exact prevalence of FGM/C and its health effects in Finland are unknown. This study explores the prevalence of FGM/C, the sociodemographic characteristics associated with it, and its health effects among women of Somali and Kurdish origin in Finland. METHODS: Data were obtained from the Migrant Health and Well Being Study carried out in 2010-2012...
September 2016: Birth
Roxana Knobel, Maíra L S Takemoto, Carla B Andreucci, Pedro Docusse, Danette W McKinley, Eliana Amaral
BACKROUND: Cesarean rates in Brazil have reached over 50 percent of all births. Multiple factors have been studied aiming to explain these rates. Mode of delivery preferences among university students may provide insights into strategies to reduce those numbers. METHODS: A cross-sectional study was conducted enrolling students who attended Health Sciences and Human Sciences undergraduate programs in 2013. Participants answered a semi-structured questionnaire about which mode of delivery they considered the "best" (less risky and more beneficial) and the "preferred" mode (the one they would choose for themselves or their partners)...
September 2016: Birth
Lisa Merry, Sonia Semenic, Theresa W Gyorkos, William Fraser, Anita J Gagnon
BACKGROUND: Research has yielded little understanding of factors associated with high cesarean rates among migrant women (i.e., women born abroad). The objective of this study was to identify medical, migration, social, and health service predictors of unplanned cesareans among low-risk migrant women from low- and middle-income countries (LMICs). METHODS: We used a case-control research design. The sampling frame included migrant women from LMICs living in Canada less than 8 years, who gave birth at one of three Montreal hospitals between March 2014 and January 2015...
September 2016: Birth
Doris Fok, Izzuddin M Aris, Jiahui Ho, Sok Bee Lim, Mei Chien Chua, Wei Wei Pang, Seang-Mei Saw, Kenneth Kwek, Keith M Godfrey, Michael S Kramer, Yap Seng Chong
BACKGROUND: Confinement (restrictions placed on diet and practices during the month right after delivery) represents a key feature of Asian populations. Few studies, however, have focused specifically on ethnic differences in confinement practices. This study assesses the confinement practices of three ethnic groups in a multi-ethnic Asian population. METHODS: Participants were part of a prospective birth cohort study that recruited 1,247 pregnant women (57.2% Chinese, 25...
September 2016: Birth
Jennifer Leone, Jackie Mostow, David Hackney, Priyanka Gokhale, Jeffrey Janata, Marjorie Greenfield
BACKGROUND: The incidence of planned home birth is increasing in the United States. The American College of Obstetricians and Gynecologists acknowledges a woman's right to make an informed choice about place of delivery, including home birth. This exploratory study measures obstetricians' attitudes, experiences, and knowledge about planned home birth, identifies associations between these factors, and compares obstetricians' responses in Ohio to those in Arizona and New Mexico. METHODS: A survey about attitudes, experiences, and knowledge of planned home birth was distributed to obstetricians in Ohio, Arizona, and New Mexico...
September 2016: Birth
Susan Hellerstein, Sarah Feldman, Tao Duan
BACKGROUND: China has one of the highest cesarean delivery rates in the world, with most cesareans done without indication. METHODS: Observation of how perinatal care is delivered in a range of Shanghai hospitals was done to gain insight into the 50 percent cesarean delivery rate. A mixed methods approach combined a descriptive structured survey of obstetric services with standardized interview with obstetricians and qualitative observation of obstetric services in six different Shanghai obstetric facilities...
September 2016: Birth
Kelsey R Mirkovic, Cria G Perrine, Kelley S Scanlon
BACKGROUND: Despite the benefits of breastfeeding, rates in the United States are low. Shorter maternity leave is associated with lower initiation and shorter durations of breastfeeding; however, little is known about how paid maternity leave may influence breastfeeding rates. METHODS: We used data from the 2006-2010 U.S. National Survey of Family Growth on the most recent birth to employed women who delivered a child within the previous 5 years. Separate multivariable logistic regression models were used to describe the associations between paid leave duration (0, 1-5, 6-11, ≥ 12 weeks, maternity leave not taken) and three outcomes: 1) breastfeeding initiation, 2) 6-month duration, and 3) 6-month duration among initiators...
September 2016: Birth
Helen K White, Andrée le May, Elizabeth R Cluett
BACKGROUND: Research is yet to identify effective and safe interventions to increase the vaginal birth after cesarean (VBAC) rate. This research aimed to compare intended and actual VBAC rates before and after implementation of midwife-led antenatal care for women with one previous cesarean birth and no other risk factors in a large, tertiary maternity hospital in England. METHODS: This was a retrospective, comparative cohort study. Data were collected from the medical records of women with one previous lower segment cesarean delivery and no other obstetric, medical, or psychological complications who gave birth at the hospital before (2008) and after (2011) the implementation of midwife-led antenatal care...
September 2016: Birth
Richard M Simon, Katherine M Johnson, Jessica Liddell
BACKGROUND: This paper examines the separate effects of the perceived amount, source, and quality of support during labor and delivery on women's positive and negative evaluations of their birth experiences. METHODS: Data come from the Listening to Mothers I and II (LTM) surveys (n = 2,765). Women's perception of support was regressed separately onto indices of positive and negative words that women associated with their labor and delivery. RESULTS: The total number of support sources, type of support person, and quality of support all impacted women's birth evaluations across different regression models, controlling for demographics, birth interventions, and other birth characteristics...
September 2016: Birth
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