American Journal of Obstetrics and Gynecology, Journal Year: 2023, Volume and Issue: 230(3), P. e12 - e13
Published: Nov. 23, 2023
Language: Английский
Journal of Perinatal Medicine, Journal Year: 2025, Volume and Issue: unknown
Published: Feb. 6, 2025
Language: Английский
Citations
1
Nursing Open, Journal Year: 2024, Volume and Issue: 11(4)
Published: April 1, 2024
Abstract Aim Different clinical practice guidelines include recommendations on how to prevent and repair obstetric perineal trauma, as well the use of episiotomy. To evaluate variability in midwives' professional practices for preventing repairing factors that may be associated with restrictive Design Observational cross‐sectional study. Methods Three hundred five midwives completed an anonymous questionnaire developed by authors distributed across various midwifery scientific societies. The main outcomes measured were frequencies adopting specific related injury prevention repair, episiotomy technique (<10%). Odds ratios (OR) adjusted odds (aOR) 95% confidence intervals estimated. Results Intrapartum massage was not normally used 253 (83%) midwives, 186 (61%) applied compresses soaked warm water perineum. Regarding episiotomy, there a great deal variability, noting 129 (42.3%) adopted this procedure, 125 (41%) performed it between 10% 20%, while 51 (16.7%) more than 20% cases. In addition, 165 (54.1%) followed incision angle 60º. Concerning tears, 155 (50.8%) usually sutured first‐degree tears 273 (89.5%) always second‐degree tears. Midwives attending home births (aOR = 6.5; CI: 2.69–15.69), working at teaching hospital 3.69; 1.39–9.84), ones who recently their training 3.58; 1.46–8.79) significantly likely adopt Conclusions There is significant Spanish Moreover, births, hospitals having recent training. Patient or Public Contribution No patient public contribution.
Language: Английский
Citations
3
Journal of Perinatal Medicine, Journal Year: 2024, Volume and Issue: 52(6), P. 575 - 585
Published: May 16, 2024
In recent years, the US has seen a significant rise in rate of planned home births, with 60 % increase from 2016 to 2023, reaching total 46,918. This trend positions as leading developed country terms birth prevalence. The American College Obstetricians and Gynecologists (ACOG) suggests stringent criteria for selecting candidates but these guidelines have not been adopted by midwives poor outcomes including increased rates neonatal morbidity mortality. paper explores motivations behind choosing births despite known risks. Studies highlight factors such desire more natural experience, previous negative hospital experiences, influence COVID-19 pandemic on perceptions safety. We provide new insights into why women choose incorporating Nobel laureate Daniel Kahneman's theories decision-making, suggesting that cognitive biases may significantly decisions. work provides framework understanding how heuristics can lead underestimation risks overemphasis personal experiences. also recommendations ("nudges according Richard Thaler") help ensure access clear, balanced information about births. development this publication was assisted OpenAI's ChatGPT-4, which facilitated synthesis literature, interpretation data, manuscript drafting. collaboration underscores potential integrating advanced computational tools academic research, enhancing efficiency depth our analyses.
Language: Английский
Citations
3
Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(4), P. 1181 - 1181
Published: Feb. 11, 2025
Background: Although home births provide personal and intimate experiences, they pose potential risks that may be better managed in hospital settings. The safety of birth remains highly debated, with no consensus on its or adverse events, adoption varies widely across the world. In Italy, Italian Society Neonatology opposed this practice, resulting one lowest rates Europe (approximately 0.1% total births). This study evaluated impact planned neonatal health, a focus severe complications requiring intervention pediatric emergency department (PED). Methods: Cases were collected from patients admitted to IRCCS Istituto Giannina Gaslini Children's Hospital between January 2022 December 2024. analysis focused neonates born at home, who required care for life-threatening conditions. Results: We identified five cases, an incidence approximately 0.65 per 10,000 PED visits complication rate 15-30% all births. Factors contributing unfavorable outcomes include lack advanced medical equipment, timely diagnostics, comprehensive postpartum screening. Thus, while proponents argue can more comfortable personalized experience, concerns about associated persist. Conclusions: aims highlight necessity adopting hospital-level protocols births, particularly during critical first 48 h life, mitigate ensure optimal outcomes.
Language: Английский
Citations
0
American Journal of Obstetrics and Gynecology, Journal Year: 2024, Volume and Issue: 231(2), P. e70 - e71
Published: March 26, 2024
Language: Английский
Citations
3
BMC Pregnancy and Childbirth, Journal Year: 2024, Volume and Issue: 24(1)
Published: May 15, 2024
In the United States there are roughly three million births a year, ranging from cesarean to natural births. A major aspect of birthing process is related healing environment, and how that helps or harms for mother child. Using theoretical framework, Theory Supportive Care Settings (TSCS), this study aimed explore what necessary have safe sacred environment mothers.
Language: Английский
Citations
2
American Journal of Obstetrics and Gynecology, Journal Year: 2024, Volume and Issue: 230(3), P. S653 - S661
Published: March 1, 2024
Language: Английский
Citations
1
Birth, Journal Year: 2024, Volume and Issue: 51(3), P. 659 - 666
Published: May 23, 2024
Abstract Background Many studies reporting neonatal outcomes in birth centers include births with risk factors not acceptable for center care using the evidence‐based CABC criteria. Accurate comparisons of by setting low‐risk patients are needed. Methods Data from public Natality Detailed File 2018 to 2021 were used. Logistic regression, including adjusted and unadjusted odds ratios, compared (chorioamnionitis, Apgar scores, resuscitation, intensive care, seizures, death) between hospitals. Covariates included maternal diabetes, body mass index, age, parity, demographic characteristics. Results The sample 8,738,711 (8,698,432 (99.53%) hospitals 40,279 (0.46%) centers). There no significant differences deaths (aOR 1.037; 95% CI [0.515, 2.088]; p ‐value 0.918) or seizures 0.666; [0.315, 1.411]; 0.289). Measures morbidity either significantly different less likely occur chorioamnionitis 0.032; [0.020, 0.052]; < 0.001), score 4 0.814, [0.638, 1.039], 0.099), 7 1.075, [0.979, 1.180], 0.130), ventilation >6 h 0.349; [0.281,0.433], admission 0.356; [0.328, 0.386], 0.001). Birth had higher assisted <6 as 1.373; [1.293, 1.457], Conclusion Neonatal freestanding Chorioamnionitis, scores 4, centers.
Language: Английский
Citations
0
Cureus, Journal Year: 2024, Volume and Issue: unknown
Published: April 4, 2024
Introduction: The rates of home birth have been increasing; reliance on social media as a source medical advice and support for patients has also increasing. This is the first study that directly evaluates birthing people's perceptions, attitudes, about planned births expressed in public posts comments two popular platforms - Reddit TikTok. Methods: Posts each platform were searched from January 2017 through July 2022 using terms "home birth" vs. hospital birth". Included United States written English, with at least 10 upvotes or likes. Up to five themes collected per post comment categorized supportive, opposing, neutral. Institutional Review Board (IRB) determined project did not include human subjects. Results: Collectively, 777 47,452 evaluated inclusion; 257 2,408 met inclusion criteria analysis. In posts, 69% supported, 20% opposed, 11% neutral toward (n = 257). Similarly, comments, 53% 28% 19% 2,408). Supportive included concerns safety delivery reassurance safety, enhanced patient control deliveries, positive personal stories reinforcing birth, excessive interventions preparing birth. Opposing risks negligence those attempting it, does offer women control, greater financial costs can be lifesaving. Conclusion: These results help physicians recognize some women's what information they may find guiding them formulate their plans. Overall, this helps goal balancing need respect autonomy.
Language: Английский
Citations
0
Journal of Perinatal Medicine, Journal Year: 2024, Volume and Issue: unknown
Published: Sept. 14, 2024
Abstract “ Those who cannot remember the past are condemned to repeat it. ” This maxim underscores importance of historical awareness in medicine, particularly for obstetricians and gynecologists (ObGyns). ObGyns significantly impact societal health through their care pregnant women, fetuses, newborns, uniquely positioning them advocate initiatives with lasting benefits. Despite its importance, history medicine is underrepresented medical curricula, missing opportunities foster critical thinking ethical decision-making. In today’s climate threatened reproductive rights, vaccine misinformation, harmful ideologies, it imperative champion comprehensive education. The relation issues – such as racism, discrimination, genocides, pandemics, wars provides valuable context addressing challenges like maternal mortality, hesitancy, issues. Understanding milestones notable breaches, Tuskegee Study thalidomide tragedy, informs better practices safeguards patient rights. Technological advancements hygiene, antibiotics, vaccines, prenatal have revolutionized field, yet contemporary must remain vigilant about lessons learned from successes. Integrating knowledge into training enhances clinical proficiency responsibility, fostering innovation improving outcomes. By reflecting on achievements impacts, current future can advance ensuring ethically sound approaches care. paper highlights crucial role shaping modern ObGyn practices, advocating integration education address considerations.
Language: Английский
Citations
0