Birth outcomes for women using free ‐standing birth centers in South Auckland, New Zealand
ConclusionsLabor in South Auckland free‐standing birth centers was associated with significantly lower maternal intervention and complication rates than labor in the hospital maternity unit and was not associated with increased perinatal morbidity. (Source: Birth)
Source: Birth - May 2, 2017 Category: OBGYN Authors: David John Bailey Tags: ORIGINAL ARTICLE Source Type: research
Labor induction and cesarean delivery: A prospective cohort study of first births in Pennsylvania, USA
ConclusionsIncreased risk of cesarean delivery after labor induction among nulliparous women is attributable mainly to lower cervical dilatation at hospital admission and higher rates of labor complications. (Source: Birth)
Source: Birth - March 20, 2017 Category: OBGYN Authors: Kristen H. Kjerulff, Laura B. Attanasio, Joyce K. Edmonds, Katy B. Kozhimannil, John T. Repke Tags: ORIGINAL ARTICLE Source Type: research
Hospital practices to promote breastfeeding: The effect of maternal age
ConclusionsHospital practices to promote breastfeeding may be differentially implemented by maternal age. Encouraging teenage mothers to room‐in with their babies may be particularly important for reducing breastfeeding disparities. Pacifier use among babies of teenage mothers requires further exploration. (Source: Birth)
Source: Birth - March 20, 2017 Category: OBGYN Authors: Heather L. Sipsma, Krista Jones, Nathan C. Nickel Tags: ORIGINAL ARTICLE Source Type: research
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
ConclusionsResults support the need for interventions to increase timely diagnosis of breech presentation as well as improved patient counseling and use of experienced providers for external cephalic version. (Source: Birth)
Source: Birth - March 1, 2017 Category: OBGYN Authors: Suzanne Andrews, Lawrence Leeman, Nicole Yonke Tags: ORIGINAL ARTICLE Source Type: research
Patients' preferences for labor analgesic counseling: A qualitative analysis
ConclusionsWomen prefer to be counseled about labor analgesia by their obstetric providers, as they have an established relationship. Patients would prefer the counseling to occur during pregnancy, before the onset of labor. However, given the frequent use of the Internet, the content and quality of online materials should also be evaluated. (Source: Birth)
Source: Birth - March 1, 2017 Category: OBGYN Authors: Paloma Toledo, Javiera Pumarino, William A. Grobman, Cynthia A. Wong, Jane L. Holl, Romana Hasnain ‐Wynia Tags: ORIGINAL ARTICLE Source Type: research
Perceptions and experiences of women seeking treatment for obstetric fistula
ConclusionPoor awareness regarding delivery care among the women indicates a need for increasing birth preparedness in the community. Patients’ perceptions of poor quality of care in facilities need to be addressed urgently. Psychological evaluation and counseling should be offered to fistula patients, to help them cope with adverse psycho‐social and economic circumstances. The results of this study may provide insights for prevention and management of fistula, and may help to improve patient care and services. (Source: Birth)
Source: Birth - March 1, 2017 Category: OBGYN Authors: Shalini Singh, Tushita Thakur, Nomita Chandhiok, Manish Kumar Singh, Balwan Singh Dhillon Tags: ORIGINAL ARTICLE Source Type: research
Perinatal outcomes among young Indigenous Australian mothers: A cross ‐sectional study and comparison with adult Indigenous mothers
DiscussionYoung maternal age is not a risk factor for adverse perinatal outcomes among Indigenous women. Rather, they are having babies in disadvantaged circumstances within a system challenged to support them socially and clinically. (Source: Birth)
Source: Birth - March 1, 2017 Category: OBGYN Authors: Malinda Steenkamp, Jacqueline Boyle, Sue Kildea, Vivienne Moore, Michael Davies, Alice Rumbold Tags: ORIGINAL ARTICLE Source Type: research
A first look at the effects of long inter ‐pregnancy interval and advanced maternal age on perinatal outcomes: A retrospective cohort study
ConclusionLong IPI is a significant contributor to preterm delivery and term low birthweight. Health care providers need to pay close attention to preterm delivery prevention and fetal growth during prenatal care for second pregnancies where the mothers have long IPIs. (Source: Birth)
Source: Birth - March 1, 2017 Category: OBGYN Authors: Chunxiang Qin, Chunmei Mi, Aibin Xia, Wei ‐Ti Chen, Chunxia Chen, Ying Li, Yao Li, Wenhui Bai, Siyuan Tang Tags: ORIGINAL ARTICLE Source Type: research
Perspectives on risk: Assessment of risk profiles and outcomes among women planning community birth in the United States
DiscussionThe outcomes of labor after cesarean in women with previous vaginal deliveries indicates that guidelines uniformly prohibiting labor after cesarean should be reconsidered for this subgroup. Breech presentation has the highest rate of adverse outcomes supporting management of vaginal breech labor in a hospital setting. (Source: Birth)
Source: Birth - March 1, 2017 Category: OBGYN Authors: Marit L. Bovbjerg, Melissa Cheyney, Jennifer Brown, Kim J. Cox, Lawrence Leeman Tags: ORIGINAL ARTICLE Source Type: research
Does tea consumption during early pregnancy have an adverse effect on birth outcomes?
ConclusionsWe did not identify a consistent association between frequency of tea consumption or tea strength and adverse birth outcomes among Chinese pregnant women with low tea consumption. Our findings suggest that occasional tea drinking during pregnancy is not associated with increased risk of preterm birth or abnormal fetal growth. Given the high overall number of annual births in China, our findings have important public health significance. (Source: Birth)
Source: Birth - February 28, 2017 Category: OBGYN Authors: 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, Tags: ORIGINAL ARTICLE Source Type: research
Informed consent and refusal in obstetrics: A practical ethical guide
(Source: Birth)
Source: Birth - February 28, 2017 Category: OBGYN Authors: Andrew Kotaska Tags: COMMENTARY Source Type: research
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
This study describes how midwives in one New Zealand area diagnose and treat anemia and iron deficiency, in the absence of established guidelines.
MethodsData on demographics, laboratory results, and documented clinical management were retrospectively collected from midwives (n=21) and women (n=189), from September to December 2013. Analysis was predominantly descriptive. A secondary analysis of iron status and body mass index (BMI) was undertaken.
ResultsA total of 46% of 186 women, with hemoglobin testing at booking, did not have ferritin tested; 86% (of 385) of ferritin tests were not concurrently tested with C‐reacti...
Source: Birth - February 24, 2017 Category: OBGYN Authors: Esther Calje, Joan Skinner Tags: ORIGINAL ARTICLE Source Type: research
Utah obstetricians ’ opinions of planned home birth and conflicting NICE/ACOG guidelines: A qualitative study
ConclusionPhysician objectivity may be limited by biases against home birth, which stem from limited familiarity with published evidence, negative experiences with home‐to‐hospital transfers, and distrust of home birth providers in a health care system not designed to support home birth. (Source: Birth)
Source: Birth - February 17, 2017 Category: OBGYN Authors: Emily Rainey, Sara Simonsen, Joseph Stanford, Kimberley Shoaf, Jami Baayd Tags: ORIGINAL ARTICLE Source Type: research
Effectiveness of vaginal breech birth training strategies: An integrative review of the literature
ConclusionsAs a result of the heterogeneity of the studies available, and the lack of evidence concerning neonatal or maternal outcomes, no conclusive practice recommendations can be made. However, the studies reviewed suggest that vaginal breech birth training may be enhanced by reflection, repetition, and experienced clinical support in practice. Further evaluation studies should prioritize clinical outcome data. (Source: Birth)
Source: Birth - February 16, 2017 Category: OBGYN Authors: Shawn Walker, Eamonn Breslin, Mandie Scamell, Pam Parker Tags: SYSTEMATIC REVIEW Source Type: research
Likelihood of cesarean delivery after applying leading active labor diagnostic guidelines
ConclusionMany nulliparous women are admitted to the hospital before active labor onset. These women are significantly more likely to have a cesarean delivery. Diagnosing active labor before admission or before intervention to speed labor may be one component of a multi‐faceted approach to decreasing the primary cesarean rate in the United States. The NICE diagnostic guideline is more inclusive than Friedman or ACOG/SMFM guidelines and its use may be the most clinically useful for safely lowering cesarean rates. (Source: Birth)
Source: Birth - February 15, 2017 Category: OBGYN Authors: Jeremy L. Neal, Nancy K. Lowe, Julia C. Phillippi, Sharon L. Ryan, Amy M. Knupp, Mary S. Dietrich, Stephen F. Thung Tags: ORIGINAL ARTICLE Source Type: research
