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Background
Some women decline recommended care during pregnancy and birth. This can cause friction between client and provider.
Methods
A designated outpatient clinic was started for women who decline recommended care in pregnancy. All women who attended were analyzed retrospectively. The clinic used a systematic multidisciplinary approach. During the first visit, women told their stories and explained...
Background
A recent Center for Medicare and Medicaid Innovation report evaluated the four‐year Strong Start for Mothers and Newborns Initiative, which sought to improve maternal and newborn outcomes through exploration of three enhanced, evidence‐based care models. This paper reports the socio‐demographic characteristics, care processes, and outcomes for mothers and newborns engaged in care with...
Background
Late stillbirth, which occurs ≥28 weeks’ gestation, affects 1.3‐8.8 per 1000 births in high‐income countries. Of concern, most occur in women without established risk factors. Identification of potentially modifiable risk factors that relate to maternal behaviors remains a priority in stillbirth prevention research. This study aimed to investigate, in an international cohort, whether maternal...
Background
Medicaid pays for approximately half of United States births, yet little research has explored Medicaid beneficiaries’ perspectives on their maternity care. Typical maternity care in the United States has been criticized as too medically focused while insufficiently addressing psychosocial risks and patient education. Enhanced care strives for a more holistic approach.
Methods
The perspectives...
Background
Overweight and obesity are related to maternal and infant physical health, such as gestational diabetes, preeclampsia, and macrosomia. The purpose of this meta‐analysis was to assess the effect of physical exercise on maternal and infant outcomes in overweight and obese pregnant women.
Methods
Two researchers independently searched Cochrane Library, Embase, PubMed, Web of Science, and...
Background
Rising cesarean rates call for studies on which subgroups of women contribute to the rising rates, both in countries with high and low rates. This study investigated the cesarean rates and contributing groups in Iceland using the Robson 10‐group classification system.
Methods
This study included all births in Iceland from 1997 to 2015, identified from the Icelandic Medical Birth Registry...
Background
Prenatal smoking cessation has substantial health benefits for mothers and offspring, but concerns about weight gain may be a barrier to quitting. We quantified gestational weight gain associated with biochemically confirmed smoking cessation.
Methods
Data originated from a randomized controlled cessation trial: Smoking Cessation in Pregnancy project (1987‐1991). We calculated gestational...
Background
Hospitals that provide maternity care can play an important role in providing or directing mothers to postdischarge breastfeeding support, which improves breastfeeding duration especially when providing multiple support modes. This study described 2007‐2015 national trends in postdischarge breastfeeding supports among United States maternity care hospitals.
Methods
Data were from the...
Introduction
A birth doula provides continuous informational, physical, and emotional support during pregnancy, labor, and immediately postpartum. Existing data on the benefits of doulas, especially for low‐resource, high‐need patients, do not address how and why individual practitioners decide to recommend this model of care. This project aims to describe best practices of integrating doulas into...
Background
Admission in early labor is associated with increased likelihood of cesarean birth, but the context in which this occurs is unclear. Previous research has explored the relationship between dilatation at admission and the use of single intrapartum interventions; however, the majority of women in the United States receive multiple intrapartum interventions. The objective of this study was...
Background
Obstetric anal sphincter injuries lead frequently to short‐ and long‐term consequences for the mother, including perineal pain, genital prolapse, and sexual problems. The aim of the study was to evaluate whether the implementation of an intervention program in the second stage of labor involving altered perineal support techniques reduced severe perineal trauma.
Methods
All women reaching...
Background
Out‐of‐hospital births have been increasing in the United States, although past studies have found wide variations between states. Our purpose was to examine trends in out‐of‐hospital births, the risk profile of these births, and state differences in women’s access to these births.
Methods
National birth certificate data from 2004 to 2017 were analyzed. Newly available national data...
Background
The association between active maternal smoking and congenital malformations is well established, but little is known about the association between secondhand smoke and congenital malformations. Moreover, studies regarding the association between congenital malformations and secondhand smoke have not yielded consistent results.
Methods
In July 2018, we searched PubMed, EMBASE, and China...
Background
In Bangladesh, over half of women give birth at home, generally without the support of a skilled birth attendant. In this article, we examined the decision‐making around birthplace and explored the reported reasons of preferring home birth over facility birth in a rural district of Bangladesh.
Methods
A cross‐sectional household survey with 1367 women was conducted in Brahmanbaria district...
Background
Cesarean delivery rates in the United States vary widely between hospitals, which cannot be fully explained by hospital or patient factors. Cultural factors are hypothesized to play a role in cesarean overuse, yet tools to measure labor culture are lacking. The aim of this study was to revise and validate a survey tool to measure hospital culture specific to cesarean overuse.
Methods...
Background
Continuous electronic fetal monitoring (CEFM) is a standard of hospital care during the intrapartum period. We investigated its use on childbirth outcomes in low‐risk pregnancies, and examined whether outcomes differed by gestational age within a term pregnancy.
Methods
A retrospective secondary data analysis using birth registry data from two diverse northeastern US states from 1992...
Background
Ecuador’s cesarean delivery rate far exceeds that recommended by the Pan American Health Organization (PAHO) and the World Health Organization (WHO). Using data from three iterations of Ecuador’s nationally representative, population‐based survey Encuesta Nacional de Salud y Nutrición (ENSANUT/ENDEMAIN), spanning 23 years, this study examines women’s mode of delivery outcomes by sociodemographic...
Background
This study aims to examine hospital variation in both maternal and neonatal morbidities and identify institutional characteristics associated with hospital performance in a combined measure of maternal and neonatal outcomes.
Methods
Using the California Linked Birth File containing data from birth certificate and hospital discharge records, we identified 1 322 713 term births delivered...
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