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...
Source: NHS News Feed - Category: Consumer Health News Tags: Pregnancy/child Medical practice Source Type: news

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Publication date: 20 October 2018Source: New Scientist, Volume 240, Issue 3200Author(s):
Source: New Scientist - Category: Science Source Type: research
Publication date: 20 October 2018Source: New Scientist, Volume 240, Issue 3200Author(s): Petra BoyntonBaby Loss Awareness Week is a start, but more must be done to help those who, like me, have lost a pregnancy, says Petra Boynton
Source: New Scientist - Category: Science Source Type: research
In conclusion, rs6000782 and rs1799724 variants are potential genetic risk factors for pAIH predisposition, with the former affecting NFκB-p65 and TNF-α levels. Overall, the inflammatory cascade was associated with the degree of liver cell destruction. Clinically, screening and genetic counselling are recommended for relatives of pAIH patients.Graphical abstract
Source: Journal of Advanced Research - Category: Research Source Type: research
Conclusions/interpretation: Circulating Pro-NT is not independently associated with GDM, but is with HOMA-IR, creatinine, and FFA even after adjustment for pregnancy status.
Source: Nutrition, Metabolism and Cardiovascular Diseases - Category: Nutrition Source Type: research
Authors: Loggi E, Vukotic R, Andreone P Abstract INTRODUCTION: Direct acting antivirals have completely changed the landscape of the treatment of chronic hepatitis C. The management of the few patients who relapse to a treatment with direct acting antivirals requires a careful analysis of the chances to achieve therapeutic success with a second antiviral course. In this context, the usefulness of viral resistances testing, able to detect resistance-associated substitutions in the viral sequence, is at present a matter of debate. Areas covered: The role of resistance associated substitutions is examined through the ...
Source: Expert Review of Anti-Infective Therapy - Category: Infectious Diseases Tags: Expert Rev Anti Infect Ther Source Type: research
Authors: Romano C, Cuomo G, Ferrara R, Del Mastro A, Esposito S, Sellitto A, Adinolfi LE Abstract INTRODUCTION: Chronic hepatitis C virus (HCV) infection has been associated with myriad extrahepatic manifestations, often resulting from aberrant immune responses. Among the most common immune-mediated manifestations of HCV infection, mixed cryoglobulinemia is the best known extra-hepatic complication. Areas covered: Here we review less common extrahepatic manifestations of HCV infection, with ascertained or presumed immune pathogenesis and the role of the new all oral direct-acting antiviral agents. Rheumatologic, de...
Source: Expert Review of Clinical Immunology - Category: Allergy & Immunology Tags: Expert Rev Clin Immunol Source Type: research
Manes Feston, flanked by her children, holds her four-month-old son Fedson. He was one of triplets but his siblings died because of a lack of welfare support. High fertility rates can be seen in much of Africa with four or more births per woman. Generally, these countries are poorer with limited access to quality healthcare and contraception. Credit: Travis Lupick/IPSBy Tharanga YakupitiyageUNITED NATIONS, Oct 21 2018 (IPS)Reproductive choice can transform the world and our goals towards a sustainable society, a new report says.Every year, the United Nations Population Fund (UNFPA) examines the state of the world populatio...
Source: IPS Inter Press Service - Health - Category: International Medicine & Public Health Authors: Tags: Development & Aid Editors' Choice Featured Global Headlines Health IPS UN: Inside the Glasshouse Population Regional Categories TerraViva United Nations fertility Sustainable Development Goals (SDGs) United Nations Population Fund Source Type: news
Authors: Araiz Burdio JJ, Serrano Aulló MT, García Gil A, Pascual Bielsa A, Lue A, Lorente Pérez S, Villanueva Anadón B, Suárez Pinilla MÁ Abstract INTRODUCTION: several indicators are available to assess liver graft survival, including the American DRI and the European ET-DRI. However, there are significant differences between transplant programs of different countries, and the previously mentioned indicators might be not valid in our setting. OBJECTIVES: the aim of the study was to describe a new national liver graft risk indicator based on the results obtained from t...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
Authors: Alventosa Mateu C, Urquijo Ponce JJ, Diago Madrid M Abstract There has been an increase in the incidence rates in recent years of sexually transmitted diseases within the cohort of males who have sex with other men (MSM). An outbreak of acute hepatitis due to the hepatitis A virus was reported in 2017, both nationally and internationally. The sexual practices of this cohort are strongly implicated as a mechanism of infection. This situation was assessed in our health district and the incidence rate of this disease in 2017 was higher than usual. MSM practices are the potential cause of transmission in 52% o...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
Authors: Levin G, Rottenstreich A Abstract Pituitary disorders, and especially prolactinomas, are not common among pregnant women, though they tend to occur during a woman's years of fertility. The majority of prolactinoma patients present with infertility and menstruation dysfunction; however, prolactinomas are associated with potentially significant morbidity if they remain unrecognized and untreated. Herein, we survey the role of prolactin and prolactinomas in pregnancy while also outlining the therapeutic approach to prolactinoma during pregnancy. The current literature on the impact of dopamine agonists during...
Source: Hormones - Category: Endocrinology Tags: Hormones (Athens) Source Type: research
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