Clinical outcomes and financial estimates for women attending the largest private midwifery service in Australia compared to national data: a retrospective cohort study
CONCLUSION: Women attending My Midwives had significantly lower intervention rates when compared to national indicators although maternal characteristics could be contributing. Multidisciplinary care was evident. Financial modelling shows positive impacts for hospitals.PMID:38402093 | DOI:10.1016/j.wombi.2024.101591 (Source: Women Birth)
Source: Women Birth - February 24, 2024 Category: Midwifery Authors: Yu Gao Liz Wilkes Annabel Tafe Andrea Quanchi Lauren Ruthenberg Michelle Warriner Sue Kildea Source Type: research

Clinical outcomes and financial estimates for women attending the largest private midwifery service in Australia compared to national data: a retrospective cohort study
CONCLUSION: Women attending My Midwives had significantly lower intervention rates when compared to national indicators although maternal characteristics could be contributing. Multidisciplinary care was evident. Financial modelling shows positive impacts for hospitals.PMID:38402093 | DOI:10.1016/j.wombi.2024.101591 (Source: Women Birth)
Source: Women Birth - February 24, 2024 Category: Midwifery Authors: Yu Gao Liz Wilkes Annabel Tafe Andrea Quanchi Lauren Ruthenberg Michelle Warriner Sue Kildea Source Type: research

Clinical outcomes and financial estimates for women attending the largest private midwifery service in Australia compared to national data: a retrospective cohort study
CONCLUSION: Women attending My Midwives had significantly lower intervention rates when compared to national indicators although maternal characteristics could be contributing. Multidisciplinary care was evident. Financial modelling shows positive impacts for hospitals.PMID:38402093 | DOI:10.1016/j.wombi.2024.101591 (Source: Women Birth)
Source: Women Birth - February 24, 2024 Category: Midwifery Authors: Yu Gao Liz Wilkes Annabel Tafe Andrea Quanchi Lauren Ruthenberg Michelle Warriner Sue Kildea Source Type: research

Variation in Episiotomy Use Among Nulliparous Individuals by Maternity Care Provider and Associated Rates of Obstetric Anal Sphincter Injury
CONCLUSIONS: In nullipara, irrespective of maternity care provider, there is a positive association between episiotomy and OASI among SVDs and an inverse association between episiotomy and deliveries with forceps. The relationship between episiotomy and OASI is modified by maternity care providers among vacuum deliveries.PMID:38387834 | DOI:10.1016/j.jogc.2024.102415 (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - February 22, 2024 Category: OBGYN Authors: Giulia M Muraca Anvi Desai Vanessa H ébert Gurkiran K Mann Meejin Park Sarka Lisonkova K S Joseph Source Type: research

The effects of warm perineal compress on perineal trauma and postpartum pain: a systematic review with meta-analysis and trial sequential analysis
ConclusionWarm perineal compress administered during the second stage of labor  reduce postpartum pain, second and third-degree perineal tears, and episiotomy rate while it increases the incidence of intact perineum compared to the control group. (Source: Archives of Gynecology and Obstetrics)
Source: Archives of Gynecology and Obstetrics - February 15, 2024 Category: OBGYN Source Type: research

Prevention of obstetric anal sphincter injuries with perineal support and lateral episiotomy: A historical cohort study
ConclusionsWe observed a long-lasting reduction in OASIS rates after implementation of preventive procedures. Lateral episiotomy was associated with lower OASIS rates in nulliparous women with an instrumental delivery. Special attention should be paid to deliveries with persistent OP position. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - February 15, 2024 Category: OBGYN Authors: Torbj ørn M. Eggebø, Astrid Betten Rygh, Phillip von Brandis, Finn Egil Skjeldestad Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

The effects of warm perineal compress on perineal trauma and postpartum pain: a systematic review with meta-analysis and trial sequential analysis
ConclusionWarm perineal compress administered during the second stage of labor  reduce postpartum pain, second and third-degree perineal tears, and episiotomy rate while it increases the incidence of intact perineum compared to the control group. (Source: Archives of Gynecology and Obstetrics)
Source: Archives of Gynecology and Obstetrics - February 14, 2024 Category: OBGYN Source Type: research

The postnatal effects of perineal trauma on maternal psychological and emotional wellbeing: A longitudinal study
CONCLUSIONS: OASI, whilst associated with traumatic birth and some early parenting impacts, may not be linked to general negative psychological outcomes when specialist routine follow-up care is provided. Psychological impacts for women with episiotomy may merit further input than currently provided. Consideration should be given with regards to widening the access to postnatal perineal care by extending the criteria for specialist follow up beyond those sustaining OASI.PMID:38320435 | DOI:10.1016/j.ejogrb.2024.01.035 (Source: Reproductive Biology)
Source: Reproductive Biology - February 6, 2024 Category: Reproduction Medicine Authors: Rebecca Molyneux Gillian Fowler Pauline Slade Source Type: research

The use of capacitive and resistive energy transfer in postpartum perineal pain management
Introduction: First- and second-degree perineal tears occur in 22.8% of women giving birth, while third- and fourth-degree tears in 1.8-5.9% of cases. During the first day after a vaginal delivery, perineal pain occurs in more than 95% of women who have had an episiotomy, or first- or second-degree perineal tear. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - February 1, 2024 Category: OBGYN Authors: Dorota Madej- Łukasiak, Joanna Siereńska, Zofia Barcikowska, Piotr Wąż, Magdalena Emilia Grzybowska Source Type: research

First alongside midwifery led unit in a high complexity public hospital in Spain: Maternal and neonatal outcomes
CONCLUSION: An alongside midwifery-led unit is a safe option with a low incidence of complications. This model of care can be positively implemented at the Public Healthcare System.PMID:38296744 | DOI:10.1016/j.wombi.2024.01.003 (Source: Women Birth)
Source: Women Birth - January 31, 2024 Category: Midwifery Authors: Luc ía Alcaraz-Vidal In és Velasco Montse Pascual Roser Gol I Gomez Ram ón Escuriet Carmina Comas Source Type: research

The effect of Pilates exercise during pregnancy on delivery outcomes: a systematic review and meta-analysis
In conclusion, Pilates exercise during pregnancy has a positive effect on maternal outcomes and Apgar scores. However, more trials are needed to confirm these findings.PMID:38221667 | DOI:10.1080/03630242.2024.2304893 (Source: Women and Health)
Source: Women and Health - January 15, 2024 Category: Primary Care Authors: Saeed Baradwan Khalid Khadawardi Nada M Alayed Khalid M Akkour Maram Salaheldeen Mahmoud Ahmed Mohamed Abdelhakim Mohammad Sunoqrot Ahmed Sherif Abdel Hamid Source Type: research

Duration time of labor progression for pregnant women of vaginal birth after cesarean in Hubei, China
ConclusionThe duration of labor progression of the first, second, and total stages of VBAC is shorter than that in primiparous women in our observation in China. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - January 2, 2024 Category: General Medicine Source Type: research

862 Virtual reality for pain reduction during episiotomy and perineal tear repair
Virtual Reality (VR) is being used as a non-pharmacological tool for pain relief and anxiety reduction. Our objective was to determine the impact of VR during episiotomy and perineal tear repair. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2024 Category: OBGYN Authors: David Peleg, Reem Yassin, Inbar Ben Shachar, Steven Warsof Source Type: research