Are private patients 'too posh to push'?
Conclusion This study has highlighted important differences in modes of delivery for women receiving privately or publically funded care in Ireland. It found that women who were treated privately were more likely to give birth by caesarean section and more likely to have an operative vaginal delivery. The greatest difference was seen for planned caesarean sections. It is unclear why women receiving private care had different modes of delivery to women receiving publically funded care. Interestingly, the women receiving public and private care had the same doctors and midwives, so it would be expected that their care would be similar. Women who received private care were older, of higher socioeconomic status and more likely to have become pregnant through assisted conception. The researchers tried to account for medical or obstetric risk differences, and state that these cannot fully account for the differences seen in how the babies were delivered. However, the study can't exclude the possibility that there were other differences between the groups that were not accounted for. The researchers speculate that the private patients may be more willing to agree to have a caesarean section if it was recommended by their doctors. The media's often-used term that women who choose to have a caesarean section are "too posh to push" is both unhelpful and distasteful. It implies a sense of entitlement and laziness, and ignores the wide range of reasons why...
Publication date: July 2018Source: Revista Portuguesa de Cardiologia (English Edition), Volume 37, Issue 7Author(s): Beatriz Donato, Maria João FerreiraAbstractTurner syndrome is a relatively common genetic disorder of female development, characterized by partial or complete absence of an X chromosome, with a variable clinical presentation. Congenital or acquired cardiovascular disease is highly prevalent and a major cause of early death in this syndrome. The most feared complication is aortic dissection, which can occur at a very young age and requires careful assessment of its risk factors. A systematic literature...
Having an institutional protocol in place for vaginal preparation with antiseptic solution does not reduce surgical site infection rates in women undergoing cesarean delivery during labor, according to a secondary analysis.Reuters Health Information
BOSTON (CBS) — The number of women who suffer from a heart attack while pregnant or soon after giving birth is on the rise. In fact, according to researchers at the NYU School of Medicine, the risk has gone up by 25-percent between 2002 to 2014. The overall risk of having a heart attack while pregnant is still very low, but after looking at more than 49-million births, researchers found that risk continues to climb. The cause is not completely clear but researchers believe several factors may contribute. Women are having children when they’re older. More women of reproductive age are obese. More have diabetes. ...
Conclusions: Together, our findings demonstrate that the Na+ conducting channel NALCN contributes to the myometrial action potential waveform and is important for successful labor outcomes.Cell Physiol Biochem 2018;48:503 –515
Publication date: November 2018Source: Clinica Chimica Acta, Volume 486Author(s): Hemant Goyal, Guo-Ming Zhang
ConclusionsOur data show that HBcrAg can serve as a biomarker to assess HBV loads in patients and provide a better method for monitoring cccDNA in HCC patients than HBV DNA.
Publication date: Available online 10 January 2018Source: Clinica Chimica ActaAuthor(s): Shi-Wen Jiang, Wei Zhou, Jianhao Wang, Lauren M. Little, Lynn Leaphart, Jacob Jay, Eseosaserea Igbinigie, Haibin Chen, Jinping LiAbstractCell fusion is a hallmark of placental trophoblast cell differentiation and the mature syncytiotrophoblasts play essential roles for fetal-maternal exchange and production of pregnancy-related hormones. Using a well-established in vitro trophoblast differentiation model, we performed a microarray analysis on mRNA expression in trophoblast and syncytiotrophoblast cell cultures. Dramatic changes in gene...
Bleeding is usually the earliest sign of a pregnancy loss. However, some miscarriages occur without bleeding, or bleeding may follow other symptoms. It is important to remember that new symptoms do not always signal a pregnancy loss and that the risk declines after the first weeks of pregnancy. Learn more here.
The risk of heart attack among pregnant women increased 25 percent between 2002 and 2014, with the rate rising from 7 to 9.5 for every 100,000 pregnancies in the United States, researcher at the New York University School of Medicine say.
Conclusions: Though the number of patients examined was limited, NS3 variants with RASs appear to be major components of both intrahepatic and circulating viral quasispecies populations in DAA-na ïve patients.Intervirology
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