Midwife-led births 'safer', finds major study review

Women are less likely to need an epidural, forceps or ventouse delivery if midwives lead their care, according to researchers.
Source: Nursing Times Breaking News - Category: Nursing Source Type: news

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Authors: Hubena Z, Workneh A, Siraneh Y Abstract Background: Operative vaginal deliveries (OVD) are vaginal deliveries accomplished with the use of a vacuum device or forceps. If it is technically feasible and can be safely accomplished, termination of second stage labor by operative vaginal delivery is indicated in any condition threatening the mother or fetus that is likely to be relieved by delivery. Hence, the objective of this study is to assess the prevalence, common indication, outcome, and associated factors of operative vaginal delivery among mothers who gave birth in Jimma University Medical Center (JUMC)...
Source: Journal of Pregnancy - Category: OBGYN Tags: J Pregnancy Source Type: research
Calls for rethink on childbirth pain relief as research shows remifentanil works better than pethidineA new drug to relieve pain during labour works better than pethidine, which has been in widespread use since the 1950s even though it has long been known it does not help all women, say researchers.Pethidine is given as an injection, but a new study funded by the National Institute for Health Research shows that remifentanil, which women control by pressing a button when they feel pain, appears to be more effective. Women using remifentanil were half as likely to end up asking for an epidural, which blocks all pain and sen...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Childbirth Medical research Women UK news Drugs Source Type: news
Publication date: 15 October 2018Source: Journal of Membrane Science, Volume 564Author(s): Xinyi Zhou, Xuan Zhu, Bing Wang, Jingchao Li, Qiuhong Liu, Xuemin Gao, Kamalesh K. Sirkar, Dengyue ChenAbstractNanotechnology is being utilized to develop advanced concepts in drug delivery systems including production of nanodrugs such as, nanocrystals and nanosuspensions. Continuous crystallization methods are of increasing interest and porous hollow fiber membrane (HFM) based modules have been recently utilized as an anti-solvent crystallizer. The porous hollow fiber anti-solvent crystallizer (PHFAC) based method has been modified...
Source: Journal of Membrane Science - Category: Materials Science Source Type: research
Publication date: 1 December 2018Source: Materials Science and Engineering: C, Volume 93Author(s): Youmna M. Hassouna, Somayeh Zamani, Wael Kafienah, Husam M. YounesAbstractThe aim of this study was to investigate the synthesis and in vitro characterization of thermoset biodegradable poly (diol-co-tricarballylate) (PDT) elastomeric polymers for the purpose of their use in implantable drug delivery and tissue engineering applications. The synthesis was based on thermal crosslinking technique via a polycondensation reaction of tricarballylic acid with aliphatic diols of varying chain lengths (C6-C12). PDT prepolymers were sy...
Source: Materials Science and Engineering: C - Category: Materials Science Source Type: research
BJOG: An International Journal of Obstetrics&Gynaecology, EarlyView.
Source: BJOG: An International Journal of Obstetrics and Gynaecology - Category: OBGYN Authors: Source Type: research
Source: BJOG : An International Journal of Obstetrics and Gynaecology - Category: OBGYN Authors: Tags: BJOG Source Type: research
BJOG: An International Journal of Obstetrics&Gynaecology, EarlyView.
Source: BJOG: An International Journal of Obstetrics and Gynaecology - Category: OBGYN Authors: Source Type: research
DiscussionThis randomised trial will investigate whether a prophylactic dose of antibiotic following operative vaginal delivery can reduce the incidence of infection and sepsis. If shown to be effective, this could lead to a change in recommended practice and the prevention of infection. Conversely, if there is no significant difference between the two arms, then this could contribute to a reduction in antibiotic use and improved antimicrobial stewardship.Trial registrationISRCTN11166984. Registered on 23 September 2015.
Source: Trials - Category: Research Source Type: clinical trials
July 18, 2018At the Extreme Affordability Conference in Accra, we saw some of the unusual partnerships and switchpoints that are transforming West Africa ’s health and tech landscape.Nestled on the banks of the Volta River, about 50 miles outside of Accra, Ghana, something big is happening.Ensign College of Public Healthin Kpong is quietly demonstrating how its creative partnership with the government of Ghana, private philanthropists, and the University of Utah can serve as a model for preparing the next generation of global health leaders —and for making extreme affordability a reality.Extreme affordability&m...
Source: IntraHealth International - Category: International Medicine & Public Health Authors: Source Type: news
We have read with great interest the report of Bauer et  al1 that compared the likelihood of delivery within 24 hours in multiparous women by labor induction with simultaneous vs sequential use of oxytocin and a cervical ripening balloon. Although meticulously performed and clinically important, this article evokes a pivotal issue. Not uncommonly, partu rients describe the feeling that the medical personnel were in a hurry during the delivery, as trying to “clear the room” by performing unnecessary procedures, such as episiotomies, operative vaginal deliveries, or even cesarean deliveries.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Letter to the Editors Source Type: research
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