What's new in midwifery - 2nd August 2023 - Research
Some recent research you might like to know about.  Payment, a subscription, or if you have one, a librarian, might be needed to get full text access.Acupuncture and doxylamine-pyridoxine for nausea and vomiting in pregnancy : a randomized, controlled, 2 x 2 factorial trial. Real-time imaging as visual biofeedback in active second stage of labor among nulliparas: a randomized controlled trial. The effect of virtual reality glasses applied during the episiotomy on pain and satisfaction: a single blind randomized controlled study.Efficacy of early intrauterine balloon tamponade for immediate postpartum hemorrh...
Source: Browsing - August 2, 2023 Category: Databases & Libraries Tags: midwifery Source Type: blogs

What's new in midwifery, 25th January 2023, part 2
Some recent research you might be interested in.  Actually, not so recent - a bit of a backlog.  So here is a start.  More posts to follow.  Subscription or payment (or librarian intervention) may be needed for access to some.Systematic reviewsEffects of perineal massage during childbirth on maternal and neonatal outcomes in primiparous women: A systematic review and meta-analysis.Comparative effectiveness of prophylactic strategies for preeclampsia: a network meta-analysis of randomized controlled trials.Cervical pessary for preventing preterm birth in singleton pregnancies.TrialsThe eff...
Source: Browsing - January 25, 2023 Category: Databases & Libraries Tags: midwifery Source Type: blogs

An obstetrician recommends midwifery care [PODCAST]
“By denigrating midwifery care, pathologizing the natural process of birth, and instilling fear of complications and pain, doctors persuaded women to give birth at the hospital under their care. By touting the benefits of anesthesia, forceps delivery, episiotomy and promoting in-hospital birth, doctors and hospitals were able to capitalize on the new specialty. Interventions ofRead more …An obstetrician recommends midwifery care [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 10, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast OB/GYN Source Type: blogs

What's new in midwifery - 7th July 2021
Some things you might want to know about.   If I see something on Twitter I think you ought to know about, I (@knockels) retweet it with#whatsnewinmidwifery.  Those things may well not be listed on the blog.First asystematic review of whether cold gel or ice packs have an effect on episiotomy pain.Then, a Dutch cohort study ofwhether excision of cervical intraepithelial neoplasia can lead to preterm birth.And then, a systematic review of theefficacy and safety of non-pharmacological interventions to manage labour pain.And two items from the news, both from the Guardian:About the Commons Health Committee...
Source: Browsing - July 7, 2021 Category: Databases & Libraries Tags: midwifery Source Type: blogs

When Hospital CEO's and Leapfrog LIE to the Public: False Advertising Based On Old/Bad Data
This morning, I sent out a passel of e-mails to selected representatives and Senators in the NC General Assembly . . . begging for much-needed, post-pandemic medical reforms in North Carolina.I am all for the NC General Assembly supporting the healthcare industry in North Carolina - but they need to do it without otherwise killing the doctors and nurses working in it.  The " right to work " for doctors and nurses in North Carolina (if we are indeed doing what the Governor calls " God ' s work " ) MUST be about something other than the right to have our lives devalued, disrupted and brutally eviscerated (as mine was la...
Source: Dr.J's HouseCalls - March 5, 2021 Category: American Health Tags: Apollo Global Management ApolloMD Central Carolina Hospital CMS Duke Lifepoint JCAHO Leapfrog Medical Whistleblower Mother-Baby Care NCDHHS Quality Assruance Source Type: blogs

What's new in midwifery - 17th June 2020
Some recent things you may need to know...Current news‘Black mothers were already scared’: coronavirus home births (Guardian video, about experiences in Pennsylvania)Global healthMonitoring intrapartum fetal heart rates by mothers in labour in two public hospitals: an initiative to improve maternal and neonatal healthcare in LiberiaRelated blog postClinical effectivenessLabor dystocia (AHRQ)ResearchDoes low-dose aspirin initiated before 11 weeks ' gestation reduce the rate of preeclampsia? (AJOG)Early amniotomy after cervical ripening for induction of labor: a systematic review and meta-analysis of randomized controlle...
Source: Browsing - June 17, 2020 Category: Databases & Libraries Tags: midwifery Source Type: blogs

What's new in midwifery - 19th February 2020
Some new things from NICE you may need to know about:Clinical Guideline CG192, Antenatal and postnatal mental health: clinical management and service guidance has been updated.  The guidance on valproate (and perhaps other things) have been updated.New medical technologies guidanceonEpiscissors-60 for mediolateral episiotomy.  MTG47. NICE is consulting on its guideline on preterm labour and birth, NG25, to check if it needs updating.  Join the consultation.A reminder of our coronavirus resources.Acknowledgements: Embed Health Consortium Health Bulletin (Source: Browsing)
Source: Browsing - February 19, 2020 Category: Databases & Libraries Tags: midwifery Source Type: blogs

2020: Entering the Year of the Midwife
By MICHELLE COLLINS, PhD, CNM, FACNM, FAAN The World Health Organization has named 2020 the Year of the Nurse and Midwife. However, most Americans have never experienced a midwife’s care. In my over 30 years working in maternal-child health, I’ve heard plenty of reasons why. Families are understandably nervous about that with which they are unfamiliar, and nervous about pregnancy and birth in general, with good reason. The cesarean birth rate in the US has more than quadrupled since the early 1970’s, yet we aren’t seeing healthier mothers and babies as a result. In fact, compared to the prior generation, wo...
Source: The Health Care Blog - January 1, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Michelle Collins midwife midwifery nurse Nursing Source Type: blogs

What's new in midwifery - 17th October 2019
Some recent things, a day late.AuditNational Pregnancy in Diabetes Audit 2018Perinatal Mortality Surveillance Report 20195th MBRRACE-UK reportPerinatal Mortality Review Tool- First annual reportStatisticsSex ratios at birth: Great Britain: 2013 to 2017NICE consultationsEpiscissors-60 for guided mediolateral episiotomyRoyal College of Physicians and Society for Acute MedicineEnsuring pregnant women get the right hospital treatment for urgent medical problems: acute care toolkitNewsBaby Friendly Initiative - University of Leicester Midwifery courses receive Certificate of Commitment for its Infant Feeding CafesAlcohol i...
Source: Browsing - October 17, 2019 Category: Databases & Libraries Tags: midwifery Source Type: blogs

The hospital with a high episiotomy rate
I have been an OB/GYN hospitalist at a busy suburban community hospital for almost one year. I truly love my job. However, I’ve noticed something unexpected that’s prompted me to pause. There are several physicians — good, clinically competent, kind physicians — who frequently perform episiotomies. Routine episiotomy is not recommended. In my training and eight years of practice prior to becoming a hospitalist I rarely saw it used. So this experience has been surprising. There are a number of reasons physicians with high episiotomy rates is bothersome, and it brings to mind issues we all face in med...
Source: Kevin, M.D. - Medical Weblog - July 31, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/nicole-calloway-rankins" rel="tag" > Nicole Calloway Rankins, MD < /a > Tags: Conditions OB/GYN Source Type: blogs

Making a bad thing good
One of my daughter’s favourite TV shows is Rastamouse, a Jamaican rodent who, along with a posse of friends, solves crimes during the day then relaxes by playing Rasta music in the evening. Each episode is built around the theme of redemption; a character will err with an adverse consequence, but will then be given the opportunity to “make a bad thing good”, and there is always a resolution. This year in my state there was a doctor suicide cluster. Four of my colleagues took their own lives. I can only interpret this to mean that something is sick in our great and noble profession. When I heard that a softly spoken i...
Source: Life in the Fast Lane - June 3, 2015 Category: Emergency Medicine Authors: Kristin Boyle Tags: Literary Medicine beyondblue depression Source Type: blogs

Achieving Shared Decision-Making In Women’s Health
The frustrating labor and delivery experience shared by physician and ethicist Carla Keirns in her Narrative Matters essay, “Watching The Clock: A Mother’s Hope For A Natural Birth In A Cesarean Culture,” published in the January issue of Health Affairs, was unfortunate. That is not debatable. That her outcome was favorable—a healthy baby ultimately delivered in the way that Keirns had hoped—does not excuse the less-than-ideal coordination, and communication, of care that she received. Fortunately, Keirns had the tools at her disposal—such as medical training and solid relationships throughout the p...
Source: Health Affairs Blog - January 28, 2015 Category: Health Management Authors: John Jennings Tags: All Categories Health Care Delivery Narrative Matters Patient Safety Personal Experience Physicians Policy Quality Source Type: blogs

Cochrane Review: The Safety and Benefits of Midwives Overseeing Maternity Care
If you’re pregnant and living in the United State, it’s likely that an obstetrician will oversee your maternity care and childbirth. In other countries, however, midwives commonly provide care, assuming the pregnancy is low-risk. An updated Cochrane review aimed to figure out whether patient outcomes vary by who is leading the care team. Cochrane compiles findings from multiple studies into systematic reviews, considered top-notch for determining the best evidence-based care. In this instance, the authors looked at outcomes for moms and babies of what the authors refer to as “midwife-led continuity models...
Source: Our Bodies Our Blog - December 12, 2013 Category: Health Medicine and Bioethics Commentators Authors: Rachel Tags: Pregnancy & Childbirth Research & Studies Source Type: blogs

Sunday News Round-Up, OBOS-Style
This week I’m highlighting some things from Our Bodies Ourselves! Some recent posts of interest that I have up at the Our Bodies Ourselves blog: New Developments in OTC Emergency Contraception Court Case The Obama administration – via the Justice Department – is still appealing the order that emergency contraception be made available to women and girls of all ages without prescription. So far the courts aren’t really going for it, having partially denied a stay pending appeal. Please do carry the appeal as far as you can, Justice Department, so we can have more illogical testimony on the record and ...
Source: Women's Health News - June 9, 2013 Category: Medical Librarians Authors: Rachel Tags: Access, Rights, & Choice Adolescent Health Birth Contraception Global Issues Government Laws, Legislation, & Courts News Round-Ups Pregnancy Affordable Care Act books childbirth Educate Congress emergency contraception facebook Source Type: blogs

New Survey on Childbirth Details Experiences, Problems with Hospital-Based Births
Childbirth Connection, a nonprofit organization that produces evidence-based information and resources on pregnancy, labor and birth, and the postpartum period, has released its third major survey on the experiences of childbearing women in hospitals across the United States. The results of Listening to Mothers III provide insights into numerous issues, including childbirth education; the use and need of government services such as the Special Supplemental Nutrition Program for Women, Infants and Children (WIC); medical interventions during birth; provider choice; and health disparities. The 2,400 women who completed the...
Source: Our Bodies Our Blog - June 4, 2013 Category: Health Medicine and Bioethics Commentators Authors: Rachel Tags: Activism & Resources Pregnancy & Childbirth Research & Studies Source Type: blogs