New advice encourages more home births
"More women should give birth at home, advice suggests," reports The Guardian after draft guidelines produced by the National Institute for Health and Care Excellence (NICE) recommended that women with a low risk of complications in childbirth should be encouraged to either give birth at home or at a midwife-led unit. The guidance has been revised after new evidence has become available since its original publication in 2007. As part of the new guidance, NICE proposes revising its recommendations on the most appropriate place for women to give birth if they are at a low risk of complications. It is this aspect of the recommendations that has received the most media attention. These draft guidelines about the care of healthy women and their babies during childbirth are open to consultation. What do the draft recommendations say? The draft recommendations say that low-risk women (women without medical conditions or other factors that put them at increased risk) who have given birth more than once before should be advised to plan to give birth at home or at a midwifery-led unit (freestanding or alongside). "Alongside" midwifery-led units are based at hospital sites next to traditional obstetric labour wards, while "freestanding" midwifery-led units may not be at a hospital site. Low-risk women who haven't given birth before should be advised to plan to give birth in a midwifery-led unit (freestanding or alongside). This is...
Authors: Giraudo SQ, Rivera-Gonzalez N, Berg A, Hartzell D, Grossman BM Abstract Childhood obesity is a pressing public health issue, especially in the Hispanic community. Two pilot studies were performed; Study 1 was performed to assess the effect of a nutrition education intervention on the nutrition-related knowledge, attitudes, and behaviors of Hispanic children in an after-school program. Nutrition educational lessons were administered 1 h per week. Evaluation was conducted as a baseline Pre-test, a Post-test (following the last session) and a 4-month follow-up. Children showed a significant decrease in the co...
This study examined the discursive power relations that shape how general practitioners (GPs) understand and talk about obesity using a novel methodology to elicit responses from GPs about raising the topic of weight. Twenty GPs from the South West of England reflected upon novel trigger films simulating doctor-patient interactions, in which a doctor either acknowledged or ignored their patient's body weight. Underpinned by a discourse analytic approach, our findings suggest that GPs both reproduce and resist moral discourse surrounding body weight. They construct obesity as an individual behavioural problem whilst simulta...
MATUNDO, Mozambique/LILONGWE, Malawi –Eleven days ago, Tropical Cyclone Idai made landfall in Mozambique then crossed into Zimbabwe, leaving a wide path of destruction across Eastern Africa. By the time the storm struck, communities throughoutMalawiandMozambiquewere already reeling from days of fatal downpours and flooding.
CONCLUSIONS: Patients with congenital IGHD who do not receive early and regular replacement treatment are prone to lag in achieving normal height and suffer from educational and vocational handicaps. PMID: 30905105 [PubMed - in process]
Publication date: Available online 25 March 2019Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Da Kyung Hong, Seon Ah Kim, Kyung Taek Lim, Ki Heon Lee, Tae Jin Kim, Kyeong A. SoAbstractObjectiveTo investigate the clinical outcome of high-grade cervical intraepithelial neoplasia (CIN) diagnosed by colposcopy-directed biopsy during pregnancy and to evaluate the risk factors for persistent disease.Study DesignThis retrospective study included pregnant women who were diagnosed with CIN2+ by colposcopy-directed biopsy from January 2005 to December 2014. The clinical characteristics, hi...
(MedPage Today) -- Meta-analysis suggests smoke exposure from any source is problematic during pregnancy
A behavioral modification program may help improve menstrual regularity among overweight women with PCOS.Clinical Endocrinology
Condition: Influenza Intervention: Biological: Quadrivalent inactivated influenza vaccine (IIV) Sponsors: Stanford University; National Institutes of Health (NIH); National Institute of Allergy and Infectious Diseases (NIAID) Not yet recruiting
Conditions: Overweight; Obesity Interventions: Dietary Supplement: High dose IQP-LU-104 (5120mg); Dietary Supplement: Low dose IQP-LU-104 (2560mg); Dietary Supplement: Placebo Sponsor: InQpharm Group Recruiting
Conditions: Unintended Pregnancy; Undesired Pregnancy Interventions: Other: Pregnancy preferences (Aim 1); Other: Sociocultural environment (Aim 2); Other: Pregnancy preferences (Aim 3a); Other: Pregnancy (Aim 3b) Sponsor: University of California, San Francisco Recruiting
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