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https://www.readbyqxmd.com/read/27648568/indigenous-ethnicity-and-low-maternal-education-are-associated-with-delayed-diagnosis-and-mortality-in-infants-with-congenital-heart-defects-in-panama
#1
Franz Castro, Julio Zúñiga, Gladys Higuera, María Carrión Donderis, Beatriz Gómez, Jorge Motta
BACKGROUND: This is the first study in Panama and Central America that has included indigenous populations in an assessment of the association between socioeconomic variables with delayed diagnosis and mortality due to congenital heart defects (CHD). METHODS: A retrospective observational study was conducted. A sample calculation was performed and 954 infants born from 2010 to 2014 were randomly selected from clinical records of all Panamanian public health institutions with paediatric cardiologists...
2016: PloS One
https://www.readbyqxmd.com/read/27594344/from-hospital-to-home-australian-midwives-experiences-of-transitioning-into-publicly-funded-homebirth-programs
#2
Rebecca Coddington, Christine Catling, Caroline S E Homer
BACKGROUND: Over the past two decades, 14 publicly-funded homebirth models have been established in Australian hospitals. Midwives working in these hospitals now have the opportunity to provide homebirth care, despite many having never been exposed to homebirth before. The transition to providing homebirth care can be daunting for midwives who are accustomed to practising in the hospital environment. AIM: To explore midwives' experiences of transitioning from providing hospital to homebirth care in Australian public health systems...
September 1, 2016: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/27506199/factors-influencing-place-of-delivery-for-pastoralist-women-in-kenya-a-qualitative-study
#3
Tanya Caulfield, Pamela Onyo, Abbey Byrne, John Nduba, Josephat Nyagero, Alison Morgan, Michelle Kermode
BACKGROUND: Kenya's high maternal mortality ratio can be partly explained by the low proportion of women delivering in health facilities attended by skilled birth attendants (SBAs). Many women continue to give birth at home attended by family members or traditional birth attendants (TBAs). This is particularly true for pastoralist women in Laikipia and Samburu counties, Kenya. This paper investigates the socio-demographic factors and cultural beliefs and practices that influence place of delivery for these pastoralist women...
2016: BMC Women's Health
https://www.readbyqxmd.com/read/27473380/perineal-injuries-and-birth-positions-among-2992-women-with-a-low-risk-pregnancy-who-opted-for-a-homebirth
#4
Malin Edqvist, Ellen Blix, Hanne K Hegaard, Olöf Ásta Ólafsdottir, Ingegerd Hildingsson, Karen Ingversen, Margareta Mollberg, Helena Lindgren
BACKGROUND: Whether certain birth positions are associated with perineal injuries and severe perineal trauma (SPT) is still unclear. The objective of this study was to describe the prevalence of perineal injuries of different severity in a low-risk population of women who planned to give birth at home and to compare the prevalence of perineal injuries, SPT and episiotomy in different birth positions in four Nordic countries. METHODS: A population-based prospective cohort study of planned home births in four Nordic countries...
July 29, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27321715/choosing-an-out-of-hospital-birth-centre-exploring-women-s-decision-making-experiences
#5
Rebecca J Wood, Javier Mignone, Maureen I Heaman, Kristine J Robinson, Kerstin Stieber Roger
OBJECTIVE: the primary objective for this study was to explore women's experiences of choosing to plan a birth at an out-of-hospital birth centre. We sought to understand how women make the choice to plan for an out-of-hospital birth and the meaning that women ascribe to this decision-making process. DESIGN, SETTING, AND PARTICIPANTS: a qualitative phenomenological study was conducted in Winnipeg, Canada with a sample of seventeen post partum women who represent the socio-demographic characteristics of the actual users of the Birth Centre in Winnipeg...
August 2016: Midwifery
https://www.readbyqxmd.com/read/27198561/trams-trains-planes-and-automobiles-logistics-of-conducting-a-statewide-audit-of-medical-records
#6
Margaret Flood, Wendy Pollock, Susan McDonald, Mary-Ann Davey
OBJECTIVE: This paper reports on the logistics of conducting a validation study of a routinely collected dataset against medical records at hospitals to inform planning of similar studies. METHOD: A stratified random sample of 15 hospitals and two homebirth practitioners was included. Site visits were arranged following consent. In addition to the validation of perinatal data, information was collected regarding logistics. RESULTS: Records at 14 metropolitan and rural hospitals up to 500 km from the research centre, and two homebirth practitioners, were audited...
May 15, 2016: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/27187582/neonatal-mortality-of-planned-home-birth-in-the-united-states-in-relation-to-professional-certification-of-birth-attendants
#7
Amos Grünebaum, Laurence B McCullough, Birgit Arabin, Robert L Brent, Malcolm I Levene, Frank A Chervenak
INTRODUCTION: Over the last decade, planned home births in the United States (US) have increased, and have been associated with increased neonatal mortality and other morbidities. In a previous study we reported that neonatal mortality is increased in planned home births but we did not perform an analysis for the presence of professional certification status. PURPOSE: The objective of this study therefore was to undertake an analysis to determine whether the professional certification status of midwives or the home birth setting are more closely associated with the increased neonatal mortality of planned midwife-attended home births in the United States...
2016: PloS One
https://www.readbyqxmd.com/read/27179383/under-scrutiny-midwives-experience-of-intrapartum-transfer-from-home-to-hospital-within-the-context-of-a-planned-homebirth-in-western-australia
#8
Colleen Ball, Yvonne Hauck, Lesley Kuliukas, Lucy Lewis, Dorota Doherty
BACKGROUND: Women's experience of homebirth has been a focus of research, with limited international research and no Australian evidence of the experiences of midwives in relation to their experience of intrapartum transfers within the context of a planned homebirth. OBJECTIVE: To explore the experience of Western Australian midwives involved in an intrapartum transfer from home to hospital. METHODS: A descriptive phenomenological study was conducted...
June 2016: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
https://www.readbyqxmd.com/read/27176156/apgar-score-of-0-and-seizure-serious-neurologic-dysfunction-in-home-births-of-patients-with-prior-cesarean-delivery-2
#9
Amos Grunebaum, Frank A Chervenak
INTRODUCTION: There has been an increase of vaginal births after cesarean (VBAC) among planned home births. The objective of this study was to evaluate the risks of Apgar score of zero and seizure or serious neurologic dysfunction for newborns of patients delivering at home with a VBAC. METHODS: Retrospective cohort analysis of the 2007-2013 CDC birth certificate data for infants at term (37 weeks and over) with a birthweights over 2,499 grams, and mothers with a prior cesarean delivery (pCD)...
May 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27120931/-not-available
#10
A Dussart, J De Buyst, C Djeunang, M Janssens, M-F Müller, E Strebelle, K Mathe, S Infantino, G Malfilâtre
This is the clinical history of a term baby born at home who presents a severe hyperbilirubinémia. The medical monitoring was assessed by a private midwife according to parental choice. On the third day of life, the newborn presented an icterus and was exposed to natural daylight in the familial greenhouse under the midwife recommandations. On that day, no laboratory test precised the bilirubin level. On the fifth day, a blood sampling revealed a very high blood bilirubinémia (31 mg/dl or 527 mmol/L), the baby is refered to our NICU and underwent an exchange transfusion...
January 2016: Revue Médicale de Bruxelles
https://www.readbyqxmd.com/read/27073584/the-pratt-pouch-provides-a-three-fold-access-increase-to-antiretroviral-medication-for-births-outside-health-facilities-in-southern-zambia
#11
Alexander P Dahinten, Robert A Malkin
INTRODUCTION: Modern day antiretroviral therapy allows HIV+ pregnant women to lower the likelihood of viral transmission to their infants before, during, and after birth from 20-45% to less than 5%. In developing countries, where non-facility births may outnumber facility births, infant access to safe antiretroviral medication during the critical first three days after birth is often limited. A single-dose, polyethylene pouch ("Pratt Pouch") addresses this challenge by allowing the medication to be distributed to mothers during antenatal care...
2016: Open Biomedical Engineering Journal
https://www.readbyqxmd.com/read/27060397/publicly-funded-home-birth-in-victoria-australia-exploring-the-views-and-experiences-of-midwives-and-doctors
#12
Helen McLachlan, Heather McKay, Rhonda Powell, Rhonda Small, Mary-Ann Davey, Fiona Cullinane, Michelle Newton, Della Forster
OBJECTIVE: to explore midwives' and doctors' views and experiences of publicly-funded homebirthing models. DESIGN: cross-sectional survey implemented two years after the introduction of publicly-funded homebirthing models. SETTING: two public hospitals in Victoria, Australia. PARTICIPANTS: midwives and doctors (obstetric medical staff). MAIN OUTCOME MEASURES: midwives' and doctors' views regarding reasons women choose home birth; and views and experiences of a publicly-funded home birth program, including intrapartum transfers...
April 2016: Midwifery
https://www.readbyqxmd.com/read/27055760/women-s-motivations-for-having-unassisted-childbirth-or-high-risk-homebirth-an-exploration-of-the-literature-on-birthing-outside-the-system
#13
Lianne Holten, Esteriek de Miranda
OBJECTIVE: to identify and analyze literature exploring women׳s motivations to 'birth outside the system'. DESIGN: scoping review and thematic analysis of (mostly) qualitative studies. FINDINGS: fifteen studies of women choosing an unassisted birth, homebirth in countries where homebirth was not integrated into the maternity care system, or a midwife-attended high-risk homebirth were identified from Sweden, USA, Australia, Canada and Finland...
July 2016: Midwifery
https://www.readbyqxmd.com/read/27046264/how-women-with-high-risk-pregnancies-perceive-interactions-with-healthcare-professionals-when-discussing-place-of-birth-a-qualitative-study
#14
Suzanne Lee, Susan Ayers, Des Holden
OBJECTIVES: to investigate women's perceptions of interactions with obstetricians and midwives during high risk pregnancies. The intention was to examine differences and similarities between women planning to give birth at home or in hospital. DESIGN: qualitative study using semi-structured interviews. Setting Maternity department in a hospital in South East England. PARTICIPANTS: twenty-six women with high risk pregnancies, at least 32 weeks pregnant...
July 2016: Midwifery
https://www.readbyqxmd.com/read/27040523/risk-perception-and-choice-of-place-of-birth-in-women-with-high-risk-pregnancies-a-qualitative-study
#15
Suzanne Lee, Susan Ayers, Des Holden
Objective To examine the perception of risk among a group of women with high risk pregnancies who were either planning to give birth in hospital, or at home despite medical advice to the contrary. The intention was to consider differences and similarities between the groups to examine how perception of risk relates to choice of place of birth. Design Qualitative study using semi-structured interviews. Setting Maternity department in a hospital in South East England. Participants Twenty-six women with high risk pregnancies, at least 32 weeks pregnant...
July 2016: Midwifery
https://www.readbyqxmd.com/read/26984582/decision-making-regarding-place-of-birth-in-high-risk-pregnancy-a-qualitative-study
#16
Suzanne Lee, Susan Ayers, Des Holden
INTRODUCTION: Women consider factors including safety and the psychological impact of their chosen location when deciding whether to give birth in hospital or at home. The same is true for women with high-risk pregnancies who may plan homebirths against medical advice. This study investigated women's decision-making during high-risk pregnancies. Half the participants were planning hospital births and half were planning homebirths. METHODS: A qualitative study using semi-structured interviews set in a hospital maternity department in the UK...
2016: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/26947090/-changes-in-the-situation-in-out-of-hospital-birth-and-the-role-of-midwives-in-hungary
#17
REVIEW
Felícia Vincze, Ibolya Lipienné Krémer
The rate of homebirth decreased significantly by the 20th century, however, the practice has never disappeared. The Hungarian government issued a regulation of out-of-hospital birth in 2011, then allowed midwives to provide prenatal care for low-risk mothers in 2014. These were great steps toward the midwifery model of care. In this study the authors gathered the statistics of three licensed Hungarian out-of-hospital service providers. Despite the low number of cases, the data confirm that the rate of hospital transports in Hungary is quite similar to those found in other countries...
March 13, 2016: Orvosi Hetilap
https://www.readbyqxmd.com/read/26915671/feasibility-of-pulse-oximetry-screening-for-critical-congenital-heart-defects-in-homebirths
#18
M J Cawsey, S Noble, F Cross-Sudworth, A K Ewer
BACKGROUND: Pulse oximetry has been shown to be a valuable additional screening test for detecting critical congenital heart defects in newborns. The feasibility of homebirth screening by the attending midwife has not been reported previously. AIM: Routine pulse oximetry screening of homebirths at 2 h of age was introduced in a UK tertiary maternity service in January 2014. The process and outcomes were evaluated. METHODS: Retrospective review of the clinical record of all babies undergoing pulse oximetry screening performed following homebirths over a 16-month period was undertaken...
July 2016: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/26902746/passivity-being-with-and-being-there-care-during-birth
#19
Tanja Staehler
This paper examines how to best be with women during birth, based on a phenomenological description of the birth experience. The first part of the paper establishes birth as an uncanny experience, that is, an experience that is not only entirely unfamiliar, but even unimaginable. The way in which birth happens under unknowable circumstances (in terms of when, how, with whom…) creates a set of anxieties on top of the fundamental anxiety that emerges from the existential paradox by which it does not seem possible for a body to give birth to another body...
September 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/26891444/costing-alternative-birth-settings-for-women-at-low-risk-of-complications-a-systematic-review
#20
REVIEW
Vanessa Scarf, Christine Catling, Rosalie Viney, Caroline Homer
BACKGROUND: There is demand from women for alternatives to giving birth in a standard hospital setting however access to these services is limited. This systematic review examines the literature relating to the economic evaluations of birth setting for women at low risk of complications. METHODS: Searches of the literature to identify economic evaluations of different birth settings of the following electronic databases: MEDLINE, CINAHL, EconLit, Business Source Complete and Maternity and Infant care...
2016: PloS One
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