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

Related Links:

Publication date: Available online 17 September 2018Source: Neurobiology of StressAuthor(s): Sarah R. Horn, Leslie E. Roos, Elliot T. Berkman, Philip A. FisherAbstractEarly life adversity is a documented risk factor for substance abuse and addiction. The pre- and perinatal period (i.e., from implantation, through pregnancy, to 6 months of age) is a critical period marked by high biological plasticity and vulnerability, making perinatal stress a particularly robust form of adversity. The neuroendocrine and immune systems are key mechanisms implicated in the transmission of addiction risk. We review animal and human studies ...
Source: Neurobiology of Stress - Category: Neuroscience Source Type: research
Authors: Chen F, Li DY, Zhang B, Sun JY, Sun F, Ji X, Qiu JC, Parker RB, Laizure SC, Xu J Abstract There will be 642 million people worldwide by 2040 suffering from diabetes mellitus. Long-term multidrug therapy aims to achieve normal glycemia and minimize complications, and avoid severe hypoglycemic events. The appreciation of the drug-metabolizing enzymes and drug transporters as critical players in the treatment of diabetes has attracted much attention regarding their potential alterations in the pathogenesis of the disease. This review discusses pharmacokinetics-based alterations of cytochrome P450 enzymes, pha...
Source: Drug Metabolism Reviews - Category: Drugs & Pharmacology Tags: Drug Metab Rev Source Type: research
Type 2 diabetes prevents the body from responding to insulin correctly, leading to high levels of blood sugar. Some people require insulin injections, but others can manage the condition with oral or other injectable medications. Learn more here.
Source: Health News from Medical News Today - Category: Consumer Health News Tags: Diabetes Type 2 Source Type: news
High blood pressure, which is a risk factor for stroke and heart disease, claimed almost 8 million lives around the world in 2015 alone, the researchers noted.
Source: WebMD Health - Category: Consumer Health News Source Type: news
Scientists warn that soot from polluted air is reaching the placenta of pregnant women ‚Äč, and could possibly harm the health of unborn babies
Source: Health News: CBSNews.com - Category: Consumer Health News Source Type: news
In this study, healthy C57BL/6 J mice were used to establish an animal model of maternal exposure to traffic pollutant during pregnancy, and the toxic effects on the reproductive system of F2 male mice were analysed using mRNA and miRNA microarray. Our results showed that 54 miRNAs and 1927 mRNAs were significantly altered in the exposed group. Gene Ontology (GO) analysis revealed that the most significant GO terms for biological process, molecular function and cellular component were myeloid cell differentiation, growth factor binding and main axon. Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis de...
Source: Environmental Toxicology and Pharmacology - Category: Environmental Health Source Type: research
ConclusionsTransfusions are prevalent in the perioperative period after pediatric kidney transplantation. Lower pre-transplant hemoglobin increases the risk of transfusion. Graft function predicts hemoglobin levels at 3  months.
Source: Pediatric Nephrology - Category: Urology & Nephrology Source Type: research
AbstractBackgroundRenal pathology in tuberous sclerosis complex (TSC) is characterized by the growth of angiomyolipoma and renal cysts, and in rare cases renal cell carcinoma. Other consequences of renal involvement in TSC, including hypertension, proteinuria, and hyperfiltration, are not well studied. We aimed to analyze the early manifestations of the renal TSC phenotype in a young TSC cohort and to explore common, modifiable risk factors.MethodsIn this retrospective cohort study, TSC patients attending the TSC clinics of two tertiary hospitals were included. Data on demographics, history, genotype, kidney function, hema...
Source: Pediatric Nephrology - Category: Urology & Nephrology 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
More News: Alcoholism | Babies | Blogging | Blood Transusion | Cesarean Section | Diabetes | Emergency Medicine | Endocrinology | Environmental Health | Harvard | Health | Health Management | Hypertension | Infertility | Intensive Care | Nutrition | OBGYN | Operative Vaginal Delivery | Pregnancy | Reproduction Medicine | Smokers | Study | Training | Universities & Medical Training | Women