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Baby out with the bath water

Elizabeth R Cluett, Ethel Burns, Anna Cuthbert
BACKGROUND: Water immersion during labour and birth is increasingly popular and is becoming widely accepted across many countries, and particularly in midwifery-led care settings. However, there are concerns around neonatal water inhalation, increased requirement for admission to neonatal intensive care unit (NICU), maternal and/or neonatal infection, and obstetric anal sphincter injuries (OASIS). This is an update of a review last published in 2011. OBJECTIVES: To assess the effects of water immersion during labour and/or birth (first, second and third stage of labour) on women and their infants...
May 16, 2018: Cochrane Database of Systematic Reviews
Ellen Peters, Brittany Shoots-Reinhard
No abstract text is available yet for this article.
June 2018: Health Psychology Review
Albeir Y Mousa, Mark C Bates, Mike Broce, Joseph Bozzay, Ramez Morcos, Ali F AbuRahma
Renal artery stenosis may play a significant role in the pathogenesis of secondary hypertension, renal dysfunction, and flash pulmonary edema. Currently correction of renal arterial inflow stenosis is reserved for resistant hypertension patients who have failed maximal medical therapy, have worsening renal function and/or unexplained proximal congestive failure. With the recent advances in minimally invasive percutaneous stent placement techniques, open surgical revascularization has been largely replaced by renal artery stenting...
December 2017: Vascular
Catherine Vandepitte, Max Kuroda, Sam van Boxstael, Admir Hadzic
No abstract text is available yet for this article.
July 2017: Regional Anesthesia and Pain Medicine
Davide Capodanno, Dominick J Angiolillo
No abstract text is available yet for this article.
June 12, 2017: JACC. Cardiovascular Interventions
Mehdi H Shishehbor, Baran Aksut, Emilio Poggio, Stuart M Flechner
No abstract text is available yet for this article.
April 1, 2017: Vascular Medicine
Mario Vega, Sangita Jindal
No abstract text is available yet for this article.
January 2017: Journal of Assisted Reproduction and Genetics
Mouaffaa Tello, Feras Zaiem, Mary Catherine Tolcher, Mohammad Hassan Murad
Acting on results that are not statistically significant is challenging for clinicians. Such results are often interpreted as evidence of lack of association or as useless evidence. We provide a framework for interpreting and applying non-significant results at the point of care using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.
October 2016: Evidence-based Medicine
Robert W Emery, Christopher C Krogh
No abstract text is available yet for this article.
July 2016: Journal of Thoracic and Cardiovascular Surgery
Mureo Kasahara, Jean de Ville de Goyet
No abstract text is available yet for this article.
December 2015: Pediatric Transplantation
Henry Jampel, Jeffrey Kalenak
No abstract text is available yet for this article.
September 2015: Ophthalmology
J F Lemaître, C Vanpé, F Plard, C Pélabon, J M Gaillard
No abstract text is available yet for this article.
June 2015: Biology Letters
Ravin Mistry, David Walker
Perioperative β-blocker therapy has been advocated to reduce cardiac mortality and morbidity in high-risk cardiac patients undergoing non-cardiac surgery. Core data that supported this intervention and informed international societal guidelines has recently been withdrawn. A subsequent meta-analysis of the remaining data reporting excess mortality has re-opened the debate about the utility of β-blocker therapy in the perioperative period. Criticism of remaining trial designs and new insights into the protective mechanisms of β-blocker therapy in critical illness raise important questions that should now be addressed by a further robust, high-quality randomised control trial...
December 2014: Clinical Medicine: Journal of the Royal College of Physicians of London
Ian A Greer
No abstract text is available yet for this article.
February 2015: Evidence-based Medicine
Said Hachimi-Idrissi, Joline Goossens, Arthur Raymond Hubert van Zanten
No abstract text is available yet for this article.
October 2014: Internal and Emergency Medicine
Michele Loi
This paper articulates a careful and detailed objection to the moral permissibility of postnatal abortion. Giubilini and Minerva (2012) claim that if being unable to nurture one's newborn child without significant burdens to oneself, family or society, is a proper moral ground for the demand that the life of a fetus be terminated, then 'after-birth abortion should be considered a permissible option for women who would be damaged by [rearing the child or] giving up their newborns for adoption.' It will be shown that the permissibility of postnatal abortion does not follow from the argument's premises, in particular, the premise that the newborn is not a person in the morally relevant sense...
September 2013: Monash Bioethics Review
Nurdan Fettah, Dilek Dilli, Serdar Beken, Aysegul Zenciroglu, Nurullah Okumuş
BACKGROUND: Near drowning is the term for survival after suffocation caused by submersion in water or another fluid. Pulmonary insufficiency may develop insidiously or suddenly because of near drowning. AIM: We want to present a newborn case of acute respiratory distress syndrome caused by near drowning. CASE: A 26-day-old boy was brought to the emergency department because of severe respiratory distress. Two hours before admission, the baby suddenly slipped out his mother's hands and fell in the bathtub full of water while bathing...
March 2014: Pediatric Emergency Care
G O Udigwe, O F Emelumadu, I B Udigwe
BACKGROUND: Women all over the world engage in some forms of postpartum practices aimed at keeping mother and child healthy. Although some of the practices are beneficial, some are of no value while some are out rightly harmful. The objective of this study was to determine the prevailing postpartum practices engaged in by Igbo women of South Eastern Nigeria. The above knowledge could be used to reinforce the beneficial ones while discouraging the harmful ones. METHODS: This is a questionnaire survey of mothers attending infant welfare clinic of our hospital augmented by in-depth interviews of patients, nurses and nurse midwives...
October 2013: West African Journal of Medicine
M Camilleri, A Acosta
Ghrelin is the endogenous ligand for the growth hormone secretagogue-1a receptor and is a potential target for treatment of gastroparesis. This viewpoint assesses the potential role of ghrelin agonists in the treatment of gastroparesis through a review of the early phase, randomized, controlled trials of ghrelin agonists in patients with diabetes and, either, delayed gastric emptying at the time of the trial or symptoms at the time of the trial, and prior documentation of delayed gastric emptying of solids...
November 2013: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
Chrystal Jaye, Zara Mason, Dawn Miller
A rapid decline in the number of general practitioners practicing obstetrics followed legislative changes in New Zealand during the early 1990s that changed the maternity care landscape. The resulting repositioning of maternity care professions has seen medical dominance give way to midwifery dominance in the maternity marketplace. Drawing on our research, we suggest that current and former general practitioner obstetricians harbor grievances relating to (1) the loss of obstetrics from the 'cradle to grave' philosophy of general practice, and (2) policies encouraging competition between maternity care providers...
2013: Medical Anthropology
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