166: continuous midwifery led care compared to other models: an evidence-based journal club

Conclusions: The results of the best evidence were searched and also findings of discussion in expert group showed that while the studies were reviewed in this journal club had performed in countries with no cultural similarities with Iran, but due to the high quality f this study, it can be a model for designing similar interventions in Iranian society. The findings of the study can help reproductive health policymakers in designing evidence based interventions regarding continuous midwifery led care programs. This study showed that continuous midwifery led care has the most benefits and the least side effects and if policy makers want to achieve the best results regarding mother care especially on labor issues (For example, physiological delivery, prevention of preterm delivery), they should pay more attention to midwifery led care and support this project financially.
Source: BMJ Open - Category: Journals (General) Authors: Tags: Open access Oral Source Type: research

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Publication date: Available online 27 August 2019Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Paul Ayuk, Allison Farnworth, Jon Rees, Aethele Khunda, Dawn Edmundson, Vinita Raheja, Aarti Ullal, Velauthapillai Ravimohan, Ena Lu, S.C. RobsonAbstractObjectiveTo investigate the impact of the Episcissors-60 on obstetric anal sphincter injury (OASI) rates.Study designObservational multi-centre time series analysis at four maternity units in the North-East of England. The main outcome measures were obstetric anal sphincter injury rates and delivery blood lossResultsData were analysed f...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
Though the rate of episiotomy has decreased in France, the overall episiotomy rate was 20% in the 2016 national perinatal survey. We aimed to develop a classification to facilitate the analysis of episiotomy p...
Source: BMC Pregnancy and Childbirth - Category: OBGYN Authors: Tags: Research article Source Type: research
CONCLUSIONS: The group with intolerance to carbohydrates is a little studied group and significant obstetric alterations were found compared to the control group and similar to those of the gestational diabetes group. PMID: 31239079 [PubMed - as supplied by publisher]
Source: Medicina Clinica - Category: General Medicine Tags: Med Clin (Barc) Source Type: research
Conclusion Perineal outcomes are not influenced by the intensity of sport activity performed before/during pregnancy. Continuous sports during pregnancy that specifically train the perineal muscles are associated with a lower rate of episiotomy and perineal lacerations ≥ 2nd degree. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: American Journal of Perinatology - Category: Perinatology & Neonatology Authors: Tags: Original Article Source Type: research
ConclusionConsidering this fact that medical malpractice was confirmed in a large proportion of some preventable and important complications, therefore, results of this study can be used for developing educational programs for related healthcare providers to prevent those complications.
Source: Journal of Forensic and Legal Medicine - Category: Forensic Medicine Source Type: research
ConclusionConsidering this fact that medical malpractice was confirmed in a large proportion of some preventable and important complications, therefore, results of this study can be used for developing educational programs for related healthcare providers to prevent those complications.
Source: Journal of Forensic and Legal Medicine - Category: Forensic Medicine Source Type: research
ConclusionWarm compresses applied during the second stage of labor increase the incidence of intact perineum and lower the risk of episiotomy and severe perineal trauma.
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
Almost halves risk of infection and reduces visits to GPs and midwives – especially after episiotomy Related items fromOnMedica Eight in ten stillbirths might have been avoided Most CCGs missing smoking target for pregnant women MHRA tightens licence restrictions on valproate for women Hunt announces Medicines and Medical Devices Safety Review Midwife-led birth safest for straightforward pregnancy
Source: OnMedica Latest News - Category: UK Health Source Type: news
ConclusionsVBAC does not confer an increased risk of OASI after a first delivery by caesarean section when compared with nulliparous women. The rate of successful VBAC may be contributory and suggests that the risk conferred by VBAC may be unit-specific. Unit and national-level audit is necessary to investigate this risk further.
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
Conclusions and recommendations:The risk of HIV infection among infants born from HIV-positive mothers was high. Predictors for mother-to-child transmission of HIV were episiotomy, home delivery, mixed feeding and absence of antiretroviral prophylaxis at birth. [Ethiop.J. Health Dev. 2019; 33(1):53-58]Keywords:Mother-to-child transmission, HIV-exposed, infants, Ethiopia
Source: Ethiopian Journal of Health Development - Category: African Health Source Type: research
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