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midwives vs physicians birth complications

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https://www.readbyqxmd.com/read/29944777/birth-outcomes-of-women-using-a-midwife-versus-women-using-a-physician-for-prenatal-care
#1
Yiska Loewenberg Weisband, Mark Klebanoff, Maria F Gallo, Abigail Shoben, Alison H Norris
INTRODUCTION: Few studies have compared midwife-led and physician-led care in the United States. Our objective was to compare the frequency of birth interventions and maternal and neonatal outcomes between women who received prenatal care from a midwife and those who received care from a physician, among women who were low risk when they initiated prenatal care. METHODS: We performed a retrospective cohort study of women giving birth at a large public hospital who had at least one prenatal visit before 20 weeks' gestation in the years 2012 through 2015...
June 26, 2018: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/23281859/maternal-position-and-other-variables-effects-on-perineal-outcomes-in-557-births
#2
Inge Meyvis, Bart Van Rompaey, Karine Goormans, Steven Truijen, Sabine Lambers, Eveline Mestdagh, Wilhelm Mistiaen
BACKGROUND: Damage to the perineum is common after vaginal delivery, and it can be caused by laceration, episiotomy, or both. This study investigated the effects of maternal position (lateral vs lithotomy) and other variables on the occurrence of perineal damage. METHODS: A retrospective study included the examination of hospital records from 557 women. The effects of demographic characteristics, gravidity, parity, duration of pregnancy, reason for admission, and mode of labor on perineal outcomes were investigated through univariate (independent sample t test, chi-square test) and multivariate analysis (logistic regression analysis)...
June 2012: Birth
https://www.readbyqxmd.com/read/18804317/need-for-and-consequences-of-episiotomy-in-vaginal-birth-a-critical-approach
#3
Sari Räisänen, Katri Vehviläinen-Julkunen, Seppo Heinonen
OBJECTIVE: to describe and explain the short-term effects of lateral episiotomy, and determine the factors associated with more/less common use of episiotomy. DESIGN: prospective cross-sectional survey using a postal questionnaire. SETTING: the study was conducted at two university hospitals and one regional hospital in Finland between October and December 2006. The hospitals were chosen using cluster sampling. The sample consisted of 1000 vaginal births, and data were collected using questionnaires which were completed by midwives or student midwives...
June 2010: Midwifery
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