C-section rates still too high at five Sacramento hospitals
Just 6 of 11 Sacramento-area hospitals meet a national target for the percentage of Cesarean births among healthy, low-risk mothers, new data show. Five failed to meet a national target of no more than 23.9 percent C-section births, according to the first national snapshot by The Leapfrog Group. Founded by large employers and other health-care purchasers, the nonprofit collects and reports data on hospital performance and the value of care they provide. C-section rates have steadily climbed in…
Publication date: Available online 13 December 2019Source: The Egyptian RheumatologistAuthor(s): Maryam Ahmed Abdulrahman, Samah A. Elbakry, Nagham Safwat Samy, Rehab M. Abdelrahman, Nermeen SamyAbstractBackgroundFemale patients with rheumatoid arthritis (RA) can have successful pregnancies. However, those who experience a higher disease activity during pregnancy and require continued treatment have a potential risk of maternal and neonatal complications.Aim of the workTo assess pregnancy outcome (adverse maternal and neonatal outcomes) in an Egyptian cohort of female RA patients.Patients and methodsThiscross-sectional stu...
Conditions: Cesarean Section; Dehiscence; Cesarean Wound; Dehiscence Interventions: Procedure: Closure of the uterus with endometrium at the time of cesarean; Procedure: Closure of the uterus without endometrium at the time of cesarean Sponsor: Kocaeli University Not yet recruiting
Condition: Cesarean Section Complications Intervention: Device: Masimo Radical-7® Pulse CO-Oximeter® Sponsor: Antalya Training and Research Hospital Recruiting
Discussion relating to one of these at least in the Guardian,Record number of over-45s giving birth in England, NICESurveillance report NICE guideline (NG126)Ectopic pregnancy and miscarriage: diagnosis and initial managementThis guideline will be updated:read this page to find out why.In the newsSinging the blues: how music can help ease postnatal depressionMelodies for Mums, an iniative that is part of a study being funded by the Wellcome.Maternity care failings in Shropshire (BMJ)OpinionBMJ editorialScreening for cytomegalovirus in pregnancy
Condition: Umbilical Cord Clamping Intervention: Other: Documentation of Maternal blood loss and neonatal outcome Sponsor: Cairo University Not yet recruiting
A large new study found no link between the method of birth and obesity.
Publication date: February 2020Source: Gynecologic Oncology Reports, Volume 31Author(s): Michelle Gruttadauria, Xiaoyun Wen, William M. Burke
ConclusionsIn this study, we observed pooled infection estimates of almost 4% in labour and between 1% –2% of each infection outcome postpartum. This indicates maternal peripartum infection is an important complication of childbirth and that preventive efforts should be increased in light of antimicrobial resistance. Incidence risk appears lower than modelled global estimates, although differences in definitions limit comparability. Better-quality research, using standard definitions, is required to improve comparability between study settings and to demonstrate the influence of risk factors and protective interventions.
ConclusionPhysically active women who lift heavy weights for exercise do not have an increased prevalence of POP symptoms. Advice on the contribution of heavy weight lifting as part of a physical activity regime to the pathophysiology of POP requires further investigation.
Publication date: Available online 5 December 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Anna M. Chichura, Meng Yao, Carol Emi Bretschneider, Beri Ridgeway, Rosanne M KhoABSTRACTStudy ObjectiveTo compare the feasibility of opportunistic bilateral salpingectomy (OBS) at the time of vaginal hysterectomy (VH) for benign disease in patients with and without relative contraindications (RC) to the vaginal approach and to evaluate the factors that contribute to inability to perform OBS.DesignRetrospective chart reviewSettingTertiary medical centerPatientsWomen undergoing hysterectomy for benign indications bet...