Assisted vaginal births: women who tear or have a surgical cut need prompt antibiotics
Many women who have an assisted vaginal birth (using forceps or a vacuum cup) develop infections. A previous study ( 2 External 0 0 0 ANODE false https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)30773-1/fulltext false false%>) showed that a single dose of preventive antibiotics protected women; this research led to a change in UK and WHO guidelines.
However, most women in the ANODE study had an episiotomy (surgical cut), so it was unclear if antibiotics also protected those with a tear of the perineum (the area between vagina and anus).
To address this uncertainty, researchers re-analysed the ANODE st...
Source: Current Awareness Service for Health (CASH) - May 3, 2023 Category: Consumer Health News Source Type: news
Episiotomy Declining, Still Above Acceptable Rate in Brazil Episiotomy Declining, Still Above Acceptable Rate in Brazil
The once-routine procedure is increasingly being used on a case-by-case basis. But it still is not being restricted to women at high risk for perineal laceration.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - June 22, 2022 Category: Consumer Health News Tags: Ob/Gyn & Women ' s Health News Source Type: news
The sky isn ’t the limit for NSAIDs analgesia
Using the one-dose/one-size approach is detrimental to patient health.
As an ED clinician, I take enormous pride in taking care of patients presenting to my ED in pain. I take even bigger pride in the progress that Emergency Medicine has made over the past 15 years to perfect pain management.
Armed with a solid knowledge base, great evidential support, and a broad array of analgesics, ED doctors across the country are providing effective and safe relief of pain.
However, from time to time I am still reminded that so-called “traditional” teaching is pushing for the “one-dose,” “one-size” fits all approach (0.1 m...
Source: EPMonthly.com - April 11, 2022 Category: Emergency Medicine Authors: Jeffrey Lyles Source Type: news
The sky isn ’t the limit for NSAIDs analgesia
Using the one-dose/one-size approach is detrimental to patient health.
As an ED clinician, I take enormous pride in taking care of patients presenting to my ED in pain. I take even bigger pride in the progress that Emergency Medicine has made over the past 15 years to perfect pain management.
Armed with a solid knowledge base, great evidential support, and a broad array of analgesics, ED doctors across the country are providing effective and safe relief of pain.
However, from time to time I am still reminded that so-called “traditional” teaching is pushing for the “one-dose,” “one-size” fits all approach (0.1 m...
Source: EPMonthly.com - April 11, 2022 Category: Emergency Medicine Authors: Jeffrey Lyles Source Type: news
Female genital mutilation and skilled birth attendance among women in sub-Saharan Africa - Seidu AA, Aboagye RG, Sakyi B, Adu C, Ameyaw EK, Affum JB, Ahinkorah BO.
BACKGROUND: There is evidence that women who have had their genitals cut suffer substantial difficulties during and/or after childbirth, including the need for a caesarean section, an episiotomy, an extended hospital stay, post-partum bleeding, and matern... (Source: SafetyLit)
Source: SafetyLit - February 6, 2022 Category: International Medicine & Public Health Tags: Jurisprudence, Laws, Legislation, Policies, Rules Source Type: news
New Report Reveals Widespread Abuse, Mistreatment of Women During Childbirth
(JOHANNESBURG) — A new report says more than one-third of women in four low-income countries in Africa and Asia were slapped, mocked, forcibly treated or otherwise abused during childbirth in health centers and suggests that such mistreatment occurs worldwide.
The study published Wednesday in The Lancet medical journal says women in Nigeria, Myanmar, Ghana and Guinea also experienced high rates of cesarean sections and surgical cuts to the vagina, or episiotomies, without their consent — and often without a painkiller.
“Mistreatment during childbirth can amount to a violation of human rights, and could be...
Source: TIME: Health - October 9, 2019 Category: Consumer Health News Authors: Associated Press Tags: Uncategorized health onetime Source Type: news
Give antibiotic after operative vaginal birth to cut infection rates
Almost halves risk of infection and reduces visits to GPs and midwives – especially after episiotomy Related items fromOnMedica Eight in ten stillbirths might have been avoided Most CCGs missing smoking target for pregnant women MHRA tightens licence restrictions on valproate for women Hunt announces Medicines and Medical Devices Safety Review Midwife-led birth safest for straightforward pregnancy (Source: OnMedica Latest News)
Source: OnMedica Latest News - May 13, 2019 Category: UK Health Source Type: news
Episiotomy: When it's needed, when it's not
(Source: MayoClinic.com Full Feed)
Source: MayoClinic.com Full Feed - October 23, 2018 Category: Consumer Health News Source Type: news
A violent birth: reframing coerced procedures during childbirth as obstetric violence - Borges MT.
In the United States, women are routinely forced to undergo cesarean sections, episiotomies, and the use of forceps, despite their desire to attempt natural vaginal delivery. Yet, the current American legal system does little to provide redress for women c... (Source: SafetyLit)
Source: SafetyLit - February 26, 2018 Category: International Medicine & Public Health Tags: Jurisprudence, Laws, Legislation, Policies, Rules Source Type: news
World Antibiotic Awareness Week
Professor Dame Sally Davies, England ' s Chief Medical Officer, recently warned that the world could face a " post-antibiotic apocalypse.” She urged that, unless action is taken to halt the practices that have allowed antibiotic resistance to spread and ways are found to develop new types of antibiotics, we could return to the days when simple wounds, infections or routine operations, are life-threatening. To mark World Antibiotic Awareness Week, 12th-18th November 2018, we are highlighting Cochrane evidence which supports decision-making in the appropriate use of antibiotics. Blog post:Antibiotic resistance ...
Source: Cochrane News and Events - November 16, 2017 Category: Information Technology Authors: Muriah Umoquit Source Type: news
World Antibiotic Awareness Week
Professor Dame Sally Davies, England ' s Chief Medical Officer, recently warned that the world could face a " post-antibiotic apocalypse.” She urged that, unless action is taken to halt the practices that have allowed antibiotic resistance to spread and ways are found to develop new types of antibiotics, we could return to the days when simple wounds, infections or routine operations, are life-threatening. To mark World Antibiotic Awareness Week, 13th-19th November, we are highlighting Cochrane evidence which supports decision-making in the appropriate use of antibiotics. Press Release:Shared decision making ...
Source: Cochrane News and Events - November 13, 2017 Category: Information Technology Authors: Muriah Umoquit Source Type: news
Report: Maternity care at Mass. hospitals varies widely
Having a baby? Your hospital may not be performing as well as you ’d hope when it comes to maternity care.
Data released in September by the state’s Center for Health Information and Analysis shows wide disparities in how the state’s hospitals perform on three maternity procedures: early elective deliveries (Caesarean section or induction prior to 39 weeks without medical reason); incidence of episiotomy; and Caesarean section for low-risk pregnancies.
The state used data from nonprofit watchdog… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - September 18, 2017 Category: Biotechnology Authors: Jessica Bartlett Source Type: news
Report: Maternity care at Mass. hospitals varies widely
Having a baby? Your hospital may not be performing as well as you ’d hope when it comes to maternity care.
Data released in September by the state’s Center for Health Information and Analysis shows wide disparities in how the state’s hospitals perform on three maternity procedures: early elective deliveries (Caesarean section or induction prior to 39 weeks without medical reason); incidence of episiotomy; and Caesarean section for low-risk pregnancies.
The state used data from nonprofit watchdog… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - September 17, 2017 Category: American Health Authors: Jessica Bartlett Source Type: news
Though Discouraged, Episiotomies Still Common in Some HospitalsThough Discouraged, Episiotomies Still Common in Some Hospitals
Episiotomy has been officially discouraged in most cases for a decade. Yet it is still being performed at much higher than recommended rates in certain hospitals and by certain doctors. Kaiser Health News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - July 20, 2016 Category: Consumer Health News Tags: Ob/Gyn & Women ' s Health News Source Type: news
