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Background: A challenge of obstetric care is to optimize maternal and infant health outcomes and the mother’s experience of childbirth with the least possible intervention in the normal process. The aim of this study was to investigate the effects of modified birth center care on obstetric procedures during delivery and on maternal and neonatal outcomes.
Methods: In a cohort study 2,555 women who...
Background: Epidural analgesia provides the most effective pain relief in labor, but it is not known if it causes adverse long‐term effects. The objective of this study was to assess the long‐term effects of two mobile epidural techniques relative to high‐dose epidural analgesia in a randomized controlled trial.
Methods: A total of 1,054 nulliparous women were randomized to traditional high‐dose...
Preface: Egg donation by another woman in New Zealand and elsewhere has become a successful solution for childless couples who want to have a baby. In vitro fertilization (IVF) was first undertaken in New Zealand in 1983 (1). Approximately 5 in 100 couples have IVF in New Zealand, and 450 IVF babies are born each year (2). In this article, two women and two men who underwent this assisted reproductive...
Abstract: Background: Cesarean delivery rates have been rising rapidly in many countries in the last decade. The objective of this research is to examine cesarean rates in industrialized countries and assess patterns in the trends toward increasing rates.
Methods: We examined cesarean delivery rates per 1,000 live births from 1987 to 2007 in 22 industrialized countries. To enhance comparability,...
Abstract: Background: Midwives providing care as lead maternity caregivers in New Zealand provide continuity of care to women who may give birth in a variety of settings, including home, primary units, and secondary and tertiary level hospitals. The purpose of this study was to compare mode of birth and intrapartum intervention rates for low‐risk women planning to give birth in these settings under...
Abstract: Background: Sometimes pregnant women take it on themselves to hasten labor to alleviate the discomforts of pregnancy. This study sought to identify how frequently women attempt to induce labor through nonprescribed methods, and what factors are associated with the use of such methods.
Methods: Surveys were distributed to postpartum women who had delivered at a Midwestern academic hospital...
In Australia in 2007, a woman with two previous normal vaginal deliveries underwent an emergency cesarean section at full dilatation of the cervix with a breech presentation. The woman died after a severe hemorrhage. The official Coroner’s Report attributed the cause of death to postpartum hemorrhage, whereas the breech presentation was barely mentioned, suggesting that complications with breech cesarean...
Abstract: Background: The World Health Organization (WHO) developed the Baby‐Friendly Hospital Initiative to improve hospital maternity care practices that support breastfeeding. In Hong Kong, although no hospitals have yet received the Baby‐Friendly status, efforts have been made to improve breastfeeding support. The aim of this study was to examine the impact of Baby‐Friendly hospital practices...
Abstract: Background: The use of complementary and alternative medicine is increasingly prevalent in contemporary Western societies. The objective of this study was to explore trends and patterns in complementary and alternative medicine practitioner consultations and the use of complementary and alternative medicine consumption before, during, and after pregnancy and between pregnancies.
Methods: ...
Abstract: Background: In Canada maternity care is publicly funded, and although women may choose their care providers, choices may be limited. The purpose of this study was to compare perceptions of maternity outcomes and experiences of those who received care from midwives with those who received care from other providers.
Methods: Based on the 2006 Canadian census, a random sample of women (n ...
Abstract: Background: The Baby‐Friendly Hospital Initiative (BFHI) promotes the World Health Organization International Code of Marketing of Breast‐milk Substitutes (WHO Code) and the WHO/UNICEF’s Ten Steps to Successful Breastfeeding (Ten Steps). The purpose of this study is to describe and compare maternity hospitals’ adherence to the BFHI in 1993 and 2007 for Canada and for each province and...
Abstract: Background: Prevalence rates of women in community samples who screened positive for meeting the DSM‐IV criteria for posttraumatic stress disorder after childbirth range from 1.7 to 9 percent. A positive screen indicates a high likelihood of this postpartum anxiety disorder. The objective of this analysis was to examine the results that focus on the posttraumatic stress disorder data obtained...
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