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Birth

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https://www.readbyqxmd.com/read/28481464/finding-the-breech-influence-of-breech-presentation-on-mode-of-delivery-based-on-timing-of-diagnosis-attempt-at-external-cephalic-version-and-provider-success-with-version
#1
Suzanne Andrews, Lawrence Leeman, Nicole Yonke
BACKGROUND: Breech presentation affects 3-4% of pregnancies at term and malpresentation is the primary indication for 10-15% of cesarean deliveries. External cephalic version is an effective intervention that can decrease the need for cesarean delivery; however, timely identification of breech presentation is required. We hypothesized that women with a fetus in a breech presentation that is diagnosed after 38 weeks' estimated gestational age have a decreased likelihood of external cephalic version attempted and an increased likelihood of cesarean delivery...
May 8, 2017: Birth
https://www.readbyqxmd.com/read/28474356/patients-preferences-for-labor-analgesic-counseling-a-qualitative-analysis
#2
Paloma Toledo, Javiera Pumarino, William A Grobman, Cynthia A Wong, Jane L Holl, Romana Hasnain-Wynia
BACKGROUND: The decision to use, or not use, neuraxial labor analgesia is complex, with both maternal and fetal considerations. Fears and concerns about neuraxial analgesia may influence analgesic decision-making. Little is known about patients' preferences for analgesic counseling. Therefore, the objectives of this qualitative study were to evaluate the sources of information used by patients, the timing and content of antepartum counseling about labor analgesia, and patients' preferences for such counseling...
May 5, 2017: Birth
https://www.readbyqxmd.com/read/28464510/perceptions-and-experiences-of-women-seeking-treatment-for-obstetric-fistula
#3
Shalini Singh, Tushita Thakur, Nomita Chandhiok, Manish Kumar Singh, Balwan Singh Dhillon
OBJECTIVE: To understand patients' perspectives on the causative factors and preventive measures of obstetric fistula; and the effect of fistula on the victims' psycho-social, sexual, and economic well being. METHODS: A questionnaire-based interview of 215 women with obstetric fistula admitted for treatment in 17 hospitals in India was carried out during 2010-2011. Responses of participants from poor, medium, and better performing states were categorized into pre-coded themes and compared...
May 2, 2017: Birth
https://www.readbyqxmd.com/read/28464342/labor-after-cesarean-delivery-managed-without-induction-or-augmentation-of-labor
#4
Kohei Nakamura, Shusaku Hayashi, Jun Sasahara, Yoko Okamoto, Keisuke Ishii, Nobuaki Mitsuda
BACKGROUND: This study aimed to describe the perinatal outcomes of women opting for vaginal birth after cesarean delivery (VBAC) managed without induction or augmentation of labor. METHODS: This was a retrospective cohort study of candidates for VBAC at a tertiary center in Japan from April 2003 to March 2012. Women with singleton gestations and one prior low-transverse cesarean delivery who intended VBAC at 36 weeks of gestation were identified as candidates for VBAC and included in the study...
May 2, 2017: Birth
https://www.readbyqxmd.com/read/28464319/birth-outcomes-for-women-using-free-standing-birth-centers-in-south-auckland-new-zealand
#5
David John Bailey
BACKGROUND: This study investigates maternal and perinatal outcomes for women with low-risk pregnancies laboring in free-standing birth centers compared with laboring in a hospital maternity unit in a large New Zealand health district. METHODS: The study used observational data from 47 381 births to women with low-risk pregnancies in South Auckland maternity facilities 2003-2010. Adjusted odds ratios with 95% confidence intervals were calculated for instrumental delivery, cesarean section, blood transfusion, neonatal unit admission, and perinatal mortality...
May 2, 2017: Birth
https://www.readbyqxmd.com/read/28432735/perinatal-outcomes-among-young-indigenous-australian-mothers-a-cross-sectional-study-and-comparison-with-adult-indigenous-mothers
#6
Malinda Steenkamp, Jacqueline Boyle, Sue Kildea, Vivienne Moore, Michael Davies, Alice Rumbold
BACKGROUND: The teenage pregnancy rate is high among Indigenous Australian women, yet little is known about their pregnancy outcomes. Moreover, against a background of extreme social disadvantage, the relative importance of age as a risk factor for adverse outcomes among Indigenous pregnancies is unclear. We compared perinatal outcomes for Indigenous teenagers (<20 years) with adult Indigenous women (20-34 years), and described outcomes in subgroups of teenagers. METHODS: Data were analyzed for 2421 singleton births to Indigenous women aged <35 years in Australia's Northern Territory from 2003 to 2005...
April 22, 2017: Birth
https://www.readbyqxmd.com/read/28421614/a-first-look-at-the-effects-of-long-inter-pregnancy-interval-and-advanced-maternal-age-on-perinatal-outcomes-a-retrospective-cohort-study
#7
Chunxiang Qin, Chunmei Mi, Aibin Xia, Wei-Ti Chen, Chunxia Chen, Ying Li, Yao Li, Wenhui Bai, Siyuan Tang
BACKGROUND: After China's One-child Policy was replaced with the Two-child Policy in 2013, the rate of second pregnancies with a longer inter-pregnancy interval (IPI) has suddenly increased in that country; however, the effect of long IPIs (≥49 months) on perinatal outcomes remains unreported. METHODS: This was a retrospective cohort study in China from July 2015 through June 2016. We used univariate and multivariate logistic regression models to test the associations among IPI, maternal age, and perinatal outcome (preterm delivery, term low birthweight, and small-for-gestational age)...
April 19, 2017: Birth
https://www.readbyqxmd.com/read/28332220/perspectives-on-risk-assessment-of-risk-profiles-and-outcomes-among-women-planning-community-birth-in-the-united-states
#8
Marit L Bovbjerg, Melissa Cheyney, Jennifer Brown, Kim J Cox, Lawrence Leeman
BACKGROUND: There is little agreement on who is a good candidate for community (home or birth center) birth in the United States. METHODS: Data on n=47 394 midwife-attended, planned community births come from the Midwives Alliance of North America Statistics Project. Logistic regression quantified the independent contribution of 10 risk factors to maternal and neonatal outcomes. Risk factors included: primiparity, advanced maternal age, obesity, gestational diabetes, preeclampsia, postterm pregnancy, twins, breech presentation, history of cesarean and vaginal birth, and history of cesarean without history of vaginal birth...
March 22, 2017: Birth
https://www.readbyqxmd.com/read/28322008/hospital-practices-to-promote-breastfeeding-the-effect-of-maternal-age
#9
Heather L Sipsma, Krista Jones, Nathan C Nickel
BACKGROUND: Breastfeeding rates are disproportionately low among young mothers in the United States. Although the use of hospital practices to promote breastfeeding is widely supported, the extent to which these practices help explain breastfeeding disparities by maternal age is unclear. Accordingly, we aimed to explore how maternal age may affect (1) receipt of hospital practices and (2) associations between these practices and exclusive breastfeeding. METHODS: Data were derived from participants (n = 1598) of Listening to Mothers III, a national survey administered to mothers of singleton births in United States hospitals from July 2011 to June 2012...
March 21, 2017: Birth
https://www.readbyqxmd.com/read/28321899/labor-induction-and-cesarean-delivery-a-prospective-cohort-study-of-first-births-in-pennsylvania-usa
#10
Kristen H Kjerulff, Laura B Attanasio, Joyce K Edmonds, Katy B Kozhimannil, John T Repke
BACKGROUND: Mode of delivery at first childbirth largely determines mode of delivery at subsequent births, so it is particularly important to understand risk factors for cesarean delivery at first childbirth. In this study, we investigated risk factors for cesarean delivery among nulliparous women, with focus on the association between labor induction and cesarean delivery. METHODS: A prospective cohort study of 2851 nulliparous women with singleton pregnancies who attempted vaginal delivery at hospitals in Pennsylvania, 2009-2011, was conducted...
March 21, 2017: Birth
https://www.readbyqxmd.com/read/28321896/does-tea-consumption-during-early-pregnancy-have-an-adverse-effect-on-birth-outcomes
#11
Jin-Hua Lu, Jian-Rong He, Song-Ying Shen, Xue-Ling Wei, Nian-Nian Chen, Ming-Yang Yuan, Lan Qiu, Wei-Dong Li, Qiao-Zhu Chen, Cui-Yue Hu, Hui-Min Xia, Suzanne Bartington, Kar Keung Cheng, Kin Bong Hubert Lam, Xiu Qiu
BACKGROUND: Tea, a common beverage, has been suggested to exhibit a number of health benefits. However, one of its active ingredients, caffeine, has been associated with preterm birth and low birthweight. We investigated whether tea consumption during early pregnancy is associated with an increased risk of preterm birth and abnormal fetal growth. METHODS: A total of 8775 pregnant women were included from the Born in Guangzhou Cohort Study. Tea consumption (type, frequency, and strength) during their first trimester and social and demographic factors were obtained by way of questionnaires administered during pregnancy...
March 21, 2017: Birth
https://www.readbyqxmd.com/read/28266081/informed-consent-and-refusal-in-obstetrics-a-practical-ethical%C3%A2-guide
#12
Andrew Kotaska
No abstract text is available yet for this article.
March 7, 2017: Birth
https://www.readbyqxmd.com/read/28198099/the-role-of-trust-in-centeringpregnancy-building-interpersonal-trust-relationships-in-group-based-prenatal-care-in-the-netherlands
#13
Liselotte Kweekel, Trudie Gerrits, Marlies Rijnders, Patrick Brown
BACKGROUND: CenteringPregnancy (CP) is a specific model of group-based prenatal care for women, implemented in 44 midwifery practices in The Netherlands since 2011. Women have evaluated CP positively, especially in terms of social support, and improvements have been made in birthweight and preterm-birth outcomes; however, there is limited understanding as to why. The purpose of this study was to examine the mechanisms that create trusting relationships within CP to better understand CP outcomes and effectiveness...
March 2017: Birth
https://www.readbyqxmd.com/read/28198098/birth-and-the-bush-untangling-the-debate-around-women-s-pubic-hair
#14
Natalie Jolly
No abstract text is available yet for this article.
March 2017: Birth
https://www.readbyqxmd.com/read/27859542/midwives-management-during-the-second-stage-of-labor-in-relation-to-second-degree-tears-an-experimental-study
#15
Malin Edqvist, Ingegerd Hildingsson, Margareta Mollberg, Ingela Lundgren, Helena Lindgren
INTRODUCTION: Most women who give birth for the first time experience some form of perineal trauma. Second-degree tears contribute to long-term consequences for women and are a risk factor for occult anal sphincter injuries. The objective of this study was to evaluate a multifaceted midwifery intervention designed to reduce second-degree tears among primiparous women. METHODS: An experimental cohort study where a multifaceted intervention consisting of 1) spontaneous pushing, 2) all birth positions with flexibility in the sacro-iliac joints, and 3) a two-step head-to-body delivery was compared with standard care...
March 2017: Birth
https://www.readbyqxmd.com/read/27779329/indications-for-cesarean-delivery-in-mexico-evaluation-of-appropriate-use-and-justification
#16
Juan Carlos Aranda-Neri, Leticia Suárez-López, Lisa M DeMaria, Dilys Walker
BACKGROUND: Cesarean delivery is one of the most widely used surgical interventions in Latin America and in many cases it is performed with no clear medical indication. Our objective was to analyze the relationship between reported indications for a cesarean and support for that indication in the clinical record in four Mexican hospitals, during the 2006-2007 period. METHODS: The data are from 604 (37.1%) women from a total of 1,625 who were admitted to the hospital in labor, and who gave birth through cesarean...
March 2017: Birth
https://www.readbyqxmd.com/read/28233929/the-challenge-of-defining-and-treating-anemia-and-iron-deficiency-in-pregnancy-a-study-of-new-zealand-midwives-management-of-iron-status-in-pregnancy-and-the-postpartum-period
#17
Esther Calje, Joan Skinner
BACKGROUND: Early recognition and management of low maternal iron status is associated with improved maternal, fetal, and neonatal outcomes. However, existing international guidelines for the testing and management of maternal iron-deficiency anemia are variable, with no national guideline for New Zealand midwives. Clinical management is complicated by normal physiological hemodilution, and complicated further by the effects of inflammation on iron metabolism, especially in populations with a high prevalence of obesity or infection...
February 24, 2017: Birth
https://www.readbyqxmd.com/read/28211155/utah-obstetricians-opinions-of-planned-home-birth-and-conflicting-nice-acog-guidelines-a-qualitative-study
#18
Emily Rainey, Sara Simonsen, Joseph Stanford, Kimberley Shoaf, Jami Baayd
BACKGROUND: The United Kingdom's National Institute for Health and Care Excellence (NICE) recently published recommendations that support planned home birth for low-risk women. The American College of Obstetricians and Gynecologists (ACOG) remains wary of planned home birth, asserting that hospitals and birthing centers are the safest birth settings. Our objective was to examine opinions of obstetricians in Salt Lake City, Utah about home birth in the context of rising home birth rates and conflicting guidelines...
February 17, 2017: Birth
https://www.readbyqxmd.com/read/28211102/effectiveness-of-vaginal-breech-birth-training-strategies-an-integrative-review-of-the-literature
#19
REVIEW
Shawn Walker, Eamonn Breslin, Mandie Scamell, Pam Parker
BACKGROUND: The safety of vaginal breech birth depends on the skill of the attendant. The objective of this review was to identify, synthesize, and report the findings of evaluated breech birth training strategies. METHODS: A systematic search of the following on-line databases: Medline, CINAHL Plus, PsychINFO, EBM Reviews/Cochrane Library, EMBASE, Maternity and Infant Care, and Pubmed, using a structured search strategy. Studies were included in the review if they evaluated the efficacy of a breech birth training program or particular strategies, including obstetric emergency training evaluations that reported differentiated outcomes for breech...
February 17, 2017: Birth
https://www.readbyqxmd.com/read/28198044/why-not-induce-everyone-at-39%C3%A2-weeks
#20
J Christopher Glantz
No abstract text is available yet for this article.
February 15, 2017: Birth
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