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Intrapartum care

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https://www.readbyqxmd.com/read/29149182/comparison-between-public-and-private-sectors-of-care-and-disparities-in-adverse-neonatal-outcomes-following-emergency-intrapartum-cesarean-at-term-a-retrospective-cohort-study
#1
Woonji Jang, Christopher Flatley, Ristan M Greer, Sailesh Kumar
BACKGROUND: Perinatal outcomes may be influenced by a variety of factors including maternal demographics and medical condition as well as socio-economic status. The evidence for disparities in health outcomes stratified by type of care (public or private) is lacking. The aim of this study was to investigate short term neonatal outcomes following category 1 and 2 emergency cesareans at term between publicly and privately funded women at a single major tertiary centre in Australia. Category 1-immediate threat to life (maternal or fetal); Category 2-maternal or fetal compromise that is not immediately life-threatening...
2017: PloS One
https://www.readbyqxmd.com/read/29148566/factors-that-influence-the-provision-of-intrapartum-and-postnatal-care-by-skilled-birth-attendants-in-low-and-middle-income-countries-a-qualitative-evidence-synthesis
#2
REVIEW
Susan Munabi-Babigumira, Claire Glenton, Simon Lewin, Atle Fretheim, Harriet Nabudere
BACKGROUND: In many low- and middle-income countries women are encouraged to give birth in clinics and hospitals so that they can receive care from skilled birth attendants. A skilled birth attendant (SBA) is a health worker such as a midwife, doctor, or nurse who is trained to manage normal pregnancy and childbirth. (S)he is also trained to identify, manage, and refer any health problems that arise for mother and baby. The skills, attitudes and behaviour of SBAs, and the extent to which they work in an enabling working environment, impact on the quality of care provided...
November 17, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29144977/birthplace-in-australia-processes-and-interactions-during-the-intrapartum-transfer-of-women-from-planned-homebirth-to-hospital
#3
Deborah Fox, Athena Sheehan, Caroline Homer
OBJECTIVE: the aim of the study was to explore the views and experiences of women, midwives and obstetricians on the intrapartum transfer of women from planned homebirth to hospital in Australia. DESIGN: a Constructivist Grounded Theory approach was taken, to conceptualise the social interactions and processes grounded in the data. SETTING: urban and regional areas in four states of south-eastern Australia. PARTICIPANTS: semi-structured qualitative interviews were conducted with 36 women, midwives and obstetricians who had experienced an intrapartum homebirth transfer within three years prior to the interview...
November 2, 2017: Midwifery
https://www.readbyqxmd.com/read/29143647/modelling-stillbirth-mortality-reduction-with-the-lives-saved-tool
#4
Hannah Blencowe, Victoria B Chou, Joy E Lawn, Zulfiqar A Bhutta
BACKGROUND: The worldwide burden of stillbirths is large, with an estimated 2.6 million babies stillborn in 2015 including 1.3 million dying during labour. The Every Newborn Action Plan set a stillbirth target of ≤12 per 1000 in all countries by 2030. Planning tools will be essential as countries set policy and plan investment to scale up interventions to meet this target. This paper summarises the approach taken for modelling the impact of scaling-up health interventions on stillbirths in the Lives Saved tool (LiST), and potential future refinements...
November 7, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29132336/study-protocol-the-labor-progression-study-laps-does-the-use-of-a-dynamic-progression-guideline-in-labor-reduce-the-rate-of-intrapartum-cesarean-sections-in-nulliparous-women-a-multicenter-cluster-randomized-trial-in-norway
#5
Stine Bernitz, Rebecka Dalbye, Pål Øian, Jun Zhang, Torbjørn Moe Eggebø, Ellen Blix
BACKGROUND: The increasing rate of intrapartum cesarean sections is subject of attention and concern as it is associated with adverse outcomes. Labor dystocia is one of the most frequent indications for cesarean sections even though there is no consensus on criteria for labor dystocia. Traditionally the progression of labor follows guidelines based on Friedman's curve from the mid 1950s. In 2010 Zhang presented a new labor curve and a dynamic guideline for labor progression based on contemporary research...
November 13, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29132325/level-causes-and-risk-factors-of-stillbirth-a-population-based-case-control-study-from-chandigarh-india
#6
Ariarathinam Newtonraj, Manmeet Kaur, Madhu Gupta, Rajesh Kumar
BACKGROUND: Globally, India ranks first in the absolute number of stillbirths. Hence, the level, causes, and risk factors of stillbirths were estimated to facilitate designing of prevention strategy. METHODS: Capture and recapture method was used to identify 301 stillbirths from 1st July 2013 to 31st August 2014 in Chandigarh Union Territory of India. Verbal autopsies (n = 181) were done at household level to identify causes of stillbirths. Risk factors were determined using case-control approach...
November 13, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29131385/rural-community-birth-maternal-and-neonatal-outcomes-for-planned-community-births-among-rural-women-in-the-united-states-2004-2009
#7
Elizabeth Nethery, Wendy Gordon, Marit L Bovbjerg, Melissa Cheyney
BACKGROUND: Approximately 22% of women in the United States live in rural areas with limited access to obstetric care. Despite declines in hospital-based obstetric services in many rural communities, midwifery care at home and in free standing birth centers is available in many rural communities. This study examines maternal and neonatal outcomes among planned home and birth center births attended by midwives, comparing outcomes for rural and nonrural women. METHODS: Using the Midwives Alliance of North America Statistics Project 2...
November 13, 2017: Birth
https://www.readbyqxmd.com/read/29124625/maternal-health-behaviors-and-outcomes-in-a-nomadic-tibetan-population
#8
Corrina Moucheraud, Lhusham Gyal, Kunchok Gyaltsen, Lumo Tsering, Subasri Narasimhan, Jessica Gipson
Introduction Despite significant global improvements in maternal health, large disparities persist. In China, rural women and women who live in western regions experience lower rates of maternal healthcare utilization and higher rates of maternal mortality than women elsewhere in the country. This paper examines maternal health care-seeking among nomadic Tibetan women in rural western China, a particularly understudied group. Methods Secondary data analysis was conducted with survey data collected in 2014 in Qinghai Province, China...
November 9, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29103903/predictors-of-breastfeeding-exclusivity-and-duration-in-a-hospital-without-baby-friendly-hospital-initiative-accreditation-a-prospective-cohort-study
#9
Michelle O'Connor, Jyai Allen, Jennifer Kelly, Yu Gao, Sue Kildea
AIM: The aim of this study was to investigate the maternity care factors associated with exclusive breastfeeding duration at three months and six months postpartum in a setting without BFHI accrediation. METHODS: A prospective cohort design. Participants from one tertiary maternity hospital were eligible if they intended to exclusively breastfeed, had birthed a live, term baby; were breastfeeding at recruitment; were rooming-in with their baby; were healthy and well; and understood English...
November 2, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29099823/-standardization-of-data-collection-in-midwifery-care-a-literature-review
#10
Barbara Burlon, Fabio D'Agostino, Sofia Colaceci, Antonello Cocchieri, Ercole Vellone, Maurizio Zega, Rosaria Alvaro
INTRODUCTION: midwifery records currently do not systematically collect data regarding midwifery care provided. Midwifery Minimum Data Sets (MMDS) have been developed to perform uniform and standardized data collection. AIM: to describe features, purposes and use of MMDSs in obstetrical care. METHOD: a literature review was conducted using Medline, CINAHL and Scopus databases. The following key words were used: "data set", "midwifery" and "maternity care...
July 2017: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/29094431/rate-of-intrapartum-cesarean-section-and-related-factors-in-older-nulliparous-women-at-term
#11
Haruka Muto, Keisuke Ishii, Takahiro Nakano, Shusaku Hayashi, Yoko Okamoto, Nobuaki Mitsuda
AIM: The aim of this study was to determine the effect of maternal age on emergency cesarean section (CS) during labor, and to identify the independent risk factors for emergency CS. METHODS: This was a retrospective cohort study using data from 2009 to 2014 from a tertiary perinatal care center in Japan. Inclusion criteria were maternal age ≥ 35 years, nulliparous singleton pregnancy at term and a cephalic presentation without indication of elective CS at onset of labor...
November 2, 2017: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/29082442/intrapartum-group-b-streptococcus-screening-in-the-labor-ward-by-xpert%C3%A2-gbs-real-time-pcr
#12
C Plainvert, F El Alaoui, A Tazi, C Joubrel, O Anselem, M Ballon, A Frigo, C Branger, L Mandelbrot, F Goffinet, C Poyart
Group B Streptococcus (GBS) is the leading cause of neonatal infections in industrialized countries. Intrapartum antibiotic prophylaxis (IAP) given to colonized parturients is a key step for the prevention of neonatal early-onset infection. We compared the performances of Xpert® GBS polymerase chain reaction (PCR) (Cepheid, Sunnyvale, CA, USA) as a point-of-care system in labor wards to standard culture for intrapartum GBS detection. Pregnant women with a GBS-positive antenatal screening were prospectively included...
October 29, 2017: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/29071130/scaling-up-quality-improvement-intervention-for-perinatal-care-in-nepal-neperiqip-study-protocol-of-a-cluster-randomised-trial
#13
Ashish Kc, Anna Bergström, Dipak Chaulagain, Olivia Brunell, Uwe Ewald, Abhishek Gurung, Leif Eriksson, Helena Litorp, Johan Wrammert, Erik Grönqvist, Per-Anders Edin, Claire Le Grange, Bikash Lamichhane, Parashuram Shrestha, Amrit Pokharel, Asha Pun, Chahana Singh, Mats Målqvist
INTRODUCTION: Nepal Perinatal Quality Improvement Project (NePeriQIP) intends to scale up a quality improvement (QI) intervention for perinatal care according to WHO/National guidelines in hospitals of Nepal using the existing health system structures. The intervention builds on previous research on the implementation of Helping Babies Breathe-quality improvement cycle in a tertiary healthcare setting in Nepal. The objective of this study is to evaluate the effect of this scaled-up intervention on perinatal health outcomes...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29038182/protocol-for-a-scoping-review-to-identify-and-map-the-global-health-personnel-considered-skilled-attendants-at-birth-in-low-and-middle-income-countries-between-2000-and-2015
#14
Amy J Hobbs, Ann-Beth Moller, Liliana Carvajal-Aguirre, Agbessi Amouzou, Doris Chou, Lale Say
INTRODUCTION: Despite progress towards the Millennium Development Goals (MDG), maternal mortality remains high in countries where there are shortages of skilled personnel able to manage and provide quality care during pregnancy and childbirth. The 'percentage of births attended by skilled health personnel' (SAB, skilled attendants at birth) was a key indicator for tracking progress since the MDGs and is part of the Sustainable Development Goal agenda. However, due to contextual differences between and within countries on the definition of SAB, a lack of clarity exists around the training, competencies, and skills they are qualified to perform...
October 15, 2017: BMJ Open
https://www.readbyqxmd.com/read/29016486/salpingectomy-for-sterilization-change-in-practice-in-a-large-integrated-health-care-system-2011-2016
#15
C Bethan Powell, Amy Alabaster, Sarah Simmons, Christine Garcia, Maria Martin, Sally McBride-Allen, Ramey D Littell
OBJECTIVE: To evaluate the utilization rate of salpingectomy for cesarean deliveries and postpartum and interval tubal sterilization procedures. METHODS: This is a retrospective cohort study using the electronic medical record to identify women older than 18 years of age undergoing surgical sterilization from June 2011 to May 2016 in an integrated health care system. The primary objective is to describe the change in utilization rate of salpingectomy for tubal sterilization procedures over time and after a systemwide practice recommendation was issued in 2013...
November 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28994352/the-impact-of-a-multi-level-maternal-health-programme-on-facility-delivery-and-capacity-for-emergency-obstetric-care-in-zambia
#16
Elizabeth G Henry, Donald M Thea, Davidson H Hamer, William DeJong, Kebby Musokotwane, Kenneth Chibwe, Godfrey Biemba, Katherine Semrau
In 2012, Saving Mothers, Giving Life (SMGL), a multi-level health systems initiative, launched in Kalomo District, Zambia, to address persistent challenges in reducing maternal mortality. We assessed the impact of the programme from 2012 to 2013 using a quasi-experimental study with both household- and health facility-level data collected before and after implementation in both intervention and comparison areas. A total of 21,680 women and 75 non-hospital health centres were included in the study. Using the difference-in-differences method, multivariate logistic regression, and run charts, rates of facility-based birth (FBB) and delivery with a skilled birth provider were compared between intervention and comparison sites...
October 10, 2017: Global Public Health
https://www.readbyqxmd.com/read/28990982/futuristic-look-at-genetic-and-birth-defect-diagnoses-and-treatments
#17
Anthony R Gregg
One aim of prenatal care is to provide information to prospective parents. The information provided encompasses prenatal care, intrapartum and postpartum care. Learning the genetic constitution of the parents pre-conception or the ongoing pregnancy allows parents to make decisions and set expectations. Offering screening and diagnostic testing has been the main in satisfying the desire for prenatal genetic information. With rapid advances in genomics and genome sequencing, screening during an ongoing pregnancy may become obsolete...
December 2017: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28985725/factors-influencing-the-clinical-decision-making-of-midwives-a-qualitative-study
#18
Darie O A Daemers, Evelien B M van Limbeek, Hennie A A Wijnen, Marianne J Nieuwenhuijze, Raymond G de Vries
BACKGROUND: Although midwives make clinical decisions that have an impact on the health and well-being of mothers and babies, little is known about how they make those decisions. Wide variation in intrapartum decisions to refer women to obstetrician-led care suggests that midwives' decisions are based on more than the evidence based medicine (EBM) model - i.e. clinical evidence, midwife's expertise, and woman's values - alone. With this study we aimed to explore the factors that influence clinical decision-making of midwives who work independently...
October 6, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28981668/should-i-stay-or-should-i-go-consistency-and-switching-of-delivery-locations-among-new-mothers-in-39-sub-saharan-african-and-south-southeast-asian-countries
#19
Lenka Benova, David Macleod, Emma Radovich, Caroline A Lynch, Oona M R Campbell
The objective of this article is to assess the extent and determinants of switching delivery location between women's first and second deliveries. We used Demographic and Health Survey data from 39 low- and middle-income countries on delivery locations from >30 000 women who had their first two deliveries in the 5-year survey recall period. Each delivery was characterized as occurring at home or in a health facility, facilities were classified as public- or private-sector. The extent of switching was estimated for each country, region and overall...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28981196/are-associations-reported-in-cohort-studies-as-robust-as-they-appear
#20
Cande V Ananth, Alexander M Friedman
Some data suggests that babies born to women in Australian public hospitals, largely cared for by midwives either alone or jointly with the woman's general practitioner, tend to die more often than those born in private hospitals where intrapartum care is provided by obstetricians. To test this finding with refined statistical methods, a study by Adams et al. (BJOG 2017;xx:xx-xx)<comment> Note for typesetter: Please update reference when assigned to an issue.</comment> in this issue of BJOG contrasts perinatal mortality rates among women that delivered in public versus private obstetrician-led hospitals in Brisbane, Australia...
October 5, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
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