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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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Authors: Wilson RD Abstract OBJECTIVE: To inform reproductive and other health care providers about pre-conception evaluation, including considerations for reproductive planning, lifestyle modification, immunization status and attitudes, and psychosocial issues. OPTIONS: This counselling information can be used for patient education and planning and possible pre-conception and/or prenatal testing. OUTCOMES: This information may allow for improved risk assessment when pre-conception counselling for individual patients and their families is used. CONSIDERATIONS FOR PRE-CONCEPTION CARE (PART 2) REGARDING PRE-C...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research
Authors: Saumet J, Petropanagos A, Buzaglo K, McMahon E, Warraich G, Mahutte N Abstract OBJECTIVE: To provide a comprehensive review and evidence based recommendations for Canadian fertility centres that offer social egg freezing. OUTCOMES: In social egg freezing cycles we evaluated thawed oocyte survival rates, fertilization rates, embryo quality, pregnancy rates, and live birth rates. We also review how these outcomes are impacted by age, ovarian reserve, and the number of eggs cryopreserved. Finally, we discuss the risks of social egg freezing, the alternatives, the critical elements for counselling and info...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research
By ANISH KOKA, MD As CVS-Aetna merger talks fill the air this Christmas season and experts weigh in on the impact this will have on the economy and consumers alike, I’m sitting at a little desk in a little office contemplating health insurance. I run a little shop that’s about as far from CVS-Aetna as you can get in the health care space : a solo practice doctor with four full time employees and revenues a little south of $65 billion dollars.  I shouldn’t feel too alone.  Small businesses account for 99% of US firms and employ almost half of all private sector employees.  But knowing my pro...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Uncategorized ACA Anish Koka CVS-Aetna IRS Source Type: blogs
DVDs tailored to mothers-to-be are an inexpensive way to get in the 30 minutes of daily exercise. Anita Goa, 37, a yoga instructor, tests prenatal workouts while in her seventh month.
Source: NYT Health - Category: Consumer Health News Tags: gear test Pregnancy and Obstetrics Exercise Source Type: news
Pregnant women with a severe subtype of posttraumatic stress disorder (PTSD) appear to have higher levels of the stress hormone cortisol than other pregnant women with a history of trauma, reports astudy inthe Journal ofObstetric,Gynecological,and Neonatal Nursing. Such high levels of cortisol may contribute to adverse health conditions in the next generation, according to the study authors.“Exposure to early relational trauma that predisposes a person to dissociation and PTSD may affect that individual’s short- and long-term cortisol patterns,” wrote Julia S. Seng, Ph.D., of the University of Michigan an...
Source: Psychiatr News - Category: Psychiatry Tags: & Neonatal Nursing childhood maltreatment Gynecological Journal of Obstetric Julia Seng posttraumatic stress disorder pregnancy PTSD Source Type: research
Conditions:   Multiple Sclerosis;   Pregnancy Related Intervention:   Sponsor:   Brigham and Women's Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Vision, Low Interventions:   Device: Clinical;   Device: Metric #1;   Device: Metric #2 Sponsor:   University of Houston Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
A small increased risk of breast cancer among women using hormonal contraceptives may be more than offset by the pills ’ protective effects.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Women and Girls Breast Cancer Birth Control and Family Planning Hormones Estrogen Pregnancy and Childbirth Source Type: news
No abstract available
Source: Nursing Made Incredibly Easy - Category: Nursing Tags: Department: Red Flags Source Type: research
(Natural News) Mothers who develop diabetes during their pregnancy — a condition that is known as gestational diabetes (GDM) — have an increased likelihood of having a child who will display attention deficit hyperactivity disorder (ADHD) symptoms as early as six to 18 months of age. This is the warning researchers from the A*STAR Singapore...
Source: NaturalNews.com - Category: Consumer Health News Source Type: news
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