Where is best for birth: Hospital or home?

By the second half of the 20th century, hospital birth had become the norm in most Western countries. Hospital birth offers monitoring and interventions, many of which saved the lives of mothers and babies. At the same time, births became increasingly — and some would say unnecessarily — medicalized. Many would also argue that the pendulum of intervention has swung too far. For example, from 1970 to 2010, the rate of U.S. cesarean delivery doubled — but (although both are low) the risk of a baby dying during the course of delivery remained unchanged, and the risk of a mother’s dying slightly rose. In an effort to avoid seemingly unnecessary intervention, and seeking an alternative to the environment of the hospital ward, it is not surprising that some women have turned again to home birth. Is home birth safe? We don’t have the best data to answer this question. The ideal way to answer would be a randomized controlled trial. But the randomized part (the place for delivery would essentially have to be decided by the flip of a coin) would be unacceptable to most women. So instead, women and their doctors have had to rely on after-the-fact analyses of large administrative data sets (e.g., information recorded on birth certificates). There are a few problems with this type of analysis. There may be differences between the women who give birth at home and those who deliver in the hospital that are not accounted for when drawing conclusions. For example...
Source: New Harvard Health Information - Category: Consumer Health News Authors: Tags: Family Planning and Pregnancy Health care Women's Health home births Source Type: news

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Publication date: September 2018Source: Advances in Medical Sciences, Volume 63, Issue 2Author(s): Thomas J. Humphries, Brittny Rule, Augustina Ogbonnaya, Michael Eaddy, Orsolya Lunacsek, Lois Lamerato, Jennifer PocoskiAbstractPurposePrevious retrospective claims database analyses reported increased prevalence and earlier onset of cardiovascular comorbidities in patients with versus without hemophilia A. A comprehensive chart review was designed to further investigate previous findings.MethodsThis retrospective chart review study was conducted at Henry Ford Health System (Detroit, MI, USA). Baseline demographics, bleeding ...
Source: Advances in Medical Sciences - Category: Biomedical Science Source Type: research
Publication date: Available online 18 July 2018Source: PeptidesAuthor(s): Sevil Arabaci Tamer, Alper Yildirim, M. Kutay köroğlu, Özge Çevik, Feriha Ercan, Berrak Ç. YeğenAbstractTesticular torsion causes ischemia-reperfusion injury and an increased risk of infertility. Nesfatin-1 is a novel peptide with antioxidant, anti-inflammatory and anti-apoptotic properties. In the present study, we aimed to investigate the putative beneficial effects of nesfatin-1 on oxidative injury and impaired testicular function induced by testis torsion. Under anesthesia, male Sprague-Dawley rats (180-230 g; n = ...
Source: Peptides - Category: Biochemistry Source Type: research
In conclusion, ART exhibited protective effect on HG-induced HBZY-1 cells by inhibiting the inflammatory response, oxidative stress and ECM accumulation. The TLR4/NF-κB/NLRP3 inflammasome pathway was involved in the protective effect of ART. The results suggested that ART might be a potential therapy agent for the DN treatment.
Source: Chemico Biological Interactions - Category: Biochemistry Source Type: research
Publication date: 10 November 2018Source: Sensors and Actuators B: Chemical, Volume 273Author(s): Yanfang Zhao, Chao Chang, Panpan Gai, Lei Han, Feng Li, Bo LiAbstractIn this work, we develop a facile one-step synthesis method of poly(3,4-dihydroxyphenylalanine) (poly(DOPA)) fluorescent organic nanoparticles (FONPs) by polymerization of DOPA in alkaline alcohol solution under ultrasonic radiation. The morphology and size of poly(DOPA)-FONPs are dependent on the synthesis conditions, such as solvent and alkali concentration. Under the optimized condition, the prepared poly(DOPA)-FONPs possess not only uniform size and morph...
Source: Sensors and Actuators B: Chemical - Category: Chemistry Source Type: research
Publication date: 10 November 2018Source: Sensors and Actuators B: Chemical, Volume 273Author(s): Sarada Idris, Nur Hidayah Azeman, Noor Azwen Noor Azmy, Chantara Thevy Ratnam, Mohd Adzir Mahdi, Ahmad Ashrif A. BakarAbstractTapered optical fiber coated with pyrrole/poly(vinyl alcohol)-glucose oxidase (Py/PVA-GOx) for glucose biosensing was successfully fabricated by radiation immobilization of GOx onto polymeric surfaces. Polymerization of pyrrole and PVA crosslinking was carried out by means of gamma irradiation. The nature of enzyme immobilization was studied by Fourier transform infrared spectroscopy, X-ray photoelectro...
Source: Sensors and Actuators B: Chemical - Category: Chemistry Source Type: research
Publication date: 10 November 2018Source: Sensors and Actuators B: Chemical, Volume 273Author(s): Tang Gao, Xiaozheng Cao, Anyao Bi, Jie Dong, Shuai Huang, Xueyan Huang, Shijun Wen, Wenbin ZengAbstractFormaldehyde (FA) is a product of an endogenous production that is formed through demethylase and oxidase enzymes, which regulate epigenetics and metabolism. However, the presence of abnormally high levels of FA are often associated with a variety of disease pathologies, including chronic liver, heart and neurodegenerative diseases, in addition to diabetes and various cancers. Hence, a more efficient tool for monitoring FA in...
Source: Sensors and Actuators B: Chemical - Category: Chemistry Source Type: research
In this study, three new classes of compounds were modified from Alda-1 to improve their water-solubility and then drug-like properties. The results showed that all compounds had increased water solubility and two classes of compounds exhibited good activation activity. Among them, compound I-6 showed the best activity.
Source: Journal of Saudi Chemical Society - Category: Chemistry Source Type: research
Publication date: Available online 19 July 2018Source: Catalysis TodayAuthor(s): Pillaiyar Puthiaraj, Kyoungsoo Kim, Wha-Seung AhnAbstractHighly porous carbon was prepared via a zeolite hard templating route. Subsequent melamine treatment produced nitrogen-functionalized carbon (NPC), which was used as a support to anchor Pd nanoparticles (Pd/NPC) of sizes 2-4 nm using the chemical reduction method. Various analytical techniques were used to characterize the textural properties, structure, and chemical nature of the catalyst. Pd/NPC was then employed as a catalyst for the transfer hydrogenation of biomass-derived fu...
Source: Catalysis Today - Category: Chemistry Source Type: research
This report presents baseline estimates of the use of these preventive services before the publication of QFP that can be used to monitor progress toward improving the quality of preventive care received by women and men of reproductive age. PERIOD COVERED: 2011-2013. DESCRIPTION OF THE SYSTEM: Three surveillance systems were used to document receipt of preventive health services among women and men of reproductive age as recommended in QFP. The National Survey of Family Growth (NSFG) collects data on factors that influence reproductive health in the United States since 1973, with a focus on fertility, sexual act...
Source: MMWR Surveill Summ - Category: Epidemiology Authors: Tags: MMWR Surveill Summ Source Type: research
DiscussionPolycystic ovary syndrome (PCOS) affects 6-8% of reproductive-age women making it the most common endocrinopathy in this age group. There is no consensus on the specific diagnostic criteria for PCOS in adolescents as many of the characteristics overlap with normal adolescent physiology. However, patients should have evidence of hyperandrogenism, oligo- or amenorrhea, and potentially polycystic ovaries. PCOS has a genetic component although a specific gene has not been identified. Incidence of PCOS is 20-40% for a woman with a family history. Hyperandrogenism Androgen levels change during puberty therefore actual ...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
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