NIH State-of-the-Science Conference on Cesarean Delivery on Maternal Request, March 27-29, 2006

NIH State-of-the-Science Conference on Cesarean Delivery on Maternal Request, March 27-29, 2006 PDF Author: National Institute of Health (U.S.)
Publisher:
ISBN:
Category : Cesarean section
Languages : en
Pages : 29

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NIH State-of-the-science Conference Statement on Cesarean Delivery on Maternal Request

NIH State-of-the-science Conference Statement on Cesarean Delivery on Maternal Request PDF Author: National Institutes of Health (U.S.)
Publisher:
ISBN:
Category : Cesarean section
Languages : en
Pages : 29

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NIH Consensus and State-of-the-science Statements

NIH Consensus and State-of-the-science Statements PDF Author:
Publisher:
ISBN:
Category : Medical innovations
Languages : en
Pages : 36

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NIH Consensus Statement

NIH Consensus Statement PDF Author:
Publisher:
ISBN:
Category : Medical innovations
Languages : en
Pages : 36

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Understanding the Dangers of Cesarean Birth

Understanding the Dangers of Cesarean Birth PDF Author: Nicette Jukelevics
Publisher: Bloomsbury Publishing USA
ISBN: 0275999076
Category : Health & Fitness
Languages : en
Pages : 299

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Book Description
Cesarean delivery - childbirth through an incision in the mother's lower abdomen - is now the most common major surgical procedure performed in the United States. No one argues over the fact that it can be a life-saving procedure when the baby or mother is at risk. But for almost three decades in this nation, cesarean deliveries have increased, without substantially better outcomes for babies or mothers. Experts warn that up to 50 percent of the more than 1 million C-sections performed here each year are unnecessary. And that is where Nicette Jukelevics, a certified childbirth educator, researcher and writer, steps in with this book. Jukelevics aims to give women the insights they need to make an informed decision about whether natural or C-section birth is best for them and their babies. She explains when C-sections are necessary, and when they are not needed. She also addresses the overuse and misuse of medical procedures that can complicate labor and lead to C-sections, as well as reasons doctors may support or suggest C-sections, including outdated medical information, fear of liability, and economic advantages measured in doctors' time. This work also examines midwifery practices shown to safely reduce cesarean deliveries, but ignored or resisted by hospitals. Understanding the Dangers of Cesarean Birth will interest not only expectant and future parents, but also to students and scholars of women's health, nursing, and public health.

Highlights of NIH Women's Health and Sex Differences Research

Highlights of NIH Women's Health and Sex Differences Research PDF Author: National Institutes of Health (U.S.). Office of Research on Women's Health
Publisher:
ISBN:
Category : Government publications
Languages : en
Pages : 128

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Book Description
What started as a collection of two or three brief examples from each IC was eventually expanded into this extensive and exciting document. This occurred because of the overwhelming and enthusiastic response of the ICs through the NIH internal advisory Coordinating Committee on Research on Women's Health (CCRWH), composed of IC directors or their designees. The ORWH proudly presents this report, entitled Highlights of NIH Women's Health and Sex Differences Research, 1990-2010, in which the ICs themselves have identified their best examples of women's health and sex differences research. It is even more encouraging to note that these highlights by no means are intended as a comprehensive list, but represent "snapshots" of examples from the 20 years of ORWH's existence.

Family Medicine Obstetrics E-Book

Family Medicine Obstetrics E-Book PDF Author: Stephen D. Ratcliffe
Publisher: Elsevier Health Sciences
ISBN: 0323070825
Category : Medical
Languages : en
Pages : 734

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Book Description
Whether you offer comprehensive pregnancy care in your primary care facility, or provide prenatal and postpartum care, this book delivers the guidance you need to optimize health for both mothers and their babies. It covers all aspects of birth care, from preconception counseling and prenatal care, through labor and delivery (both low-risk and complicated), to postpartum care and the first month of life. The completely revised third edition includes the most up-to- date, evidence-based standards of care. It offers information that is patient centered, prevention oriented, educational, and sensitive to the care of the whole woman and her family. Features a reader-friendly outline/narrative format for ease of use in daily clinical practice. Describes how to care for patients with a wide range of medical conditions during pregnancy as well as pregnancy-related conditions. Takes a whole-family approach to maternity care, with discussions of maternal and paternal adjustment, marital adjustment, sibling adjustment, single-parent families, and return-to-work issues. Provides patient and family education materials on a full range of topics, from nutrition in pregnancy to breastfeeding. Features a section on alternative medicine in maternity care. Provides detailed instruction for a wide array of procedures, including cesarean delivery, perineal repair of simple and complex lacerations, circumcision, assisted deliveries, and amnioinfusion. A continued strong emphasis on evidence-based medicine includes an ongoing summary of Level A recommendations throughout the text. A new chapter summarizes practical applications of how to incorporate continuous quality improvement and enhanced medical safety into the maternity care setting. A new section details which immunizations can be used safely during pregnancy. A section on "Centering Pregnancy" discusses this new model of care and how it incorporates longitudinal group.

Perinatology

Perinatology PDF Author: Renato Augusto Moreira de Sá
Publisher: Springer Nature
ISBN: 3030834344
Category : Medical
Languages : en
Pages : 1295

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Book Description
This book presents the latest evidence-based guidelines for perinatal management and is designed to help obstetricians and neonatologists minimize complications and offer patients the best possible care. Since 1960, there has been a significant increase in basic and clinical investigations on normal and pathological pregnancy in the developed world. This has provided insights into the physiopathology of pregnant women, fetuses and newborns and led to the development of new technologies, bringing about a new medical subspecialty: perinatal medicine. The book is divided into eight main sections: The first examines basic periconceptional care and discusses the ethical aspects of perinatology. The next section focuses on prenatal considerations, such as the nutritional aspects of gestation and puerperium, physical exercise during pregnancy, routine laboratory tests, prenatal care of multiple gestations and the role of the neonatologist in prenatal care. The third and fourth sections then explore fetal evaluation, and clinical intercurrences in pregnancy, respectively. The next section addresses pregnancy complications: prevention, diagnosis and management. The sixth section covers the basic aspects of congenital infections and the seventh examines labor and delivery aspects. Lastly, the final section includes chapters on neonatal assistance. Written by leading experts in obstetrics, neonatology, and perinatology, this thoroughly updated, comprehensive resource reflects the latest information in all areas, including genetics and imaging.

Choosing Cesarean

Choosing Cesarean PDF Author: Magnus Murphy, M.D.
Publisher: Prometheus Books
ISBN: 1616145129
Category : Health & Fitness
Languages : en
Pages : 339

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Book Description
Obstetrician and gynecologist Magnus Murphy, MD, and journalist/advocate Pauline McDonagh Hull offer a compelling case for surgical delivery as a legitimate birth choice for informed women. By offering a wealth of medical evidence from around the world and thoughtfully countering the many objections detractors have lodged against it, the authors convincingly demonstrate that a planned cesarean birth at thirty-nine- plus weeks is a safe and often preferred alternative to a planned vaginal delivery. An indispensable guide for women, their families, and medical professionals.

National Institutes of Health Consensus Development Conference Statement on Vaginal Birth After Cesarean

National Institutes of Health Consensus Development Conference Statement on Vaginal Birth After Cesarean PDF Author: Department of Human Services
Publisher: CreateSpace
ISBN: 9781499520194
Category :
Languages : en
Pages : 48

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Book Description
Vaginal birth after cesarean (VBAC) describes vaginal delivery by a woman who has had a previous cesarean delivery. For most of the 20th century, once a woman had undergone a cesarean delivery, clinicians believed that her future pregnancies required cesarean delivery. Studies from the 1960s suggested that this practice may not always be necessary. In 1980, a National Institutes of Health (NIH) Consensus Development Conference Panel questioned the necessity of routine repeat cesarean deliveries and outlined situations in which VBAC could be considered. The option for a woman with a previous cesarean delivery to have a trial of labor was offered and exercised more often in the 1980s through 1996. Since 1996, however, the number of VBACs has declined, contributing to the overall increase in cesarean delivery (Figure 1). Although we recognize that primary cesarean deliveries are the driving force behind the total cesarean delivery rates, the focus of this report is on trial of labor and repeat cesarean deliveries. A number of medical and nonmedical factors have contributed to this decline in the VBAC rate since the mid-1990s, although many of these factors are not well understood. A significant medical factor that is frequently cited as a reason to avoid trial of labor is concern about the possibility of uterine rupture-because an unsuccessful trial of labor, in which a woman undergoes a repeat cesarean delivery instead of a vaginal delivery, has a a higher rate of complications compared to VBAC or elective repeat cesarean delivery. Nonmedical factors include, among other things, restrictions on access to a trial of labor and the effect of the current medical-legal climate on relevant practice patterns. To advance understanding of these important issues, the Eunice Kennedy Shriver National Institute of Child Health and Human Development and the Office of Medical Applications of Research of NIH convened a Consensus Development Conference on March 8-10, 2010. The conference was grounded in the view that a thorough evaluation of the relevant research would help pregnant women and their maternity care providers when making decisions about the mode of delivery after a previous cesarean delivery. Improved understanding of the clinical risks and benefits and how they interact with nonmedical factors also may have important implications for informed decisionmaking and health services planning. The following key questions were addressed by the Consensus Development Conference: 1. What are the rates and patterns of utilization of trial of labor after prior cesarean delivery, vaginal birth after cesarean delivery, and repeat cesarean delivery in the United States? 2. Among women who attempt a trial of labor after prior cesarean delivery, what is the vaginal delivery rate and the factors that influence it? 3. What are the short-and long-term benefits and harms to the mother of attempting trial of labor after prior cesarean versus elective repeat cesarean delivery, and what factors influence benefits and harms? 4. What are the short- and long-term benefits and harms to the baby of maternal attempt at trial of labor after prior cesarean versus elective repeat cesarean delivery, and what factors influence benefits and harms? 5. What are the nonmedical factors that influence the patterns and utilization of trial of labor after prior cesarean delivery? 6. What are the critical gaps in the evidence for decisionmaking, and what are the priority investigations needed to address these gaps?