Institutional delivery service utilization and associated factors in Banja District, Awie Zone, Amhara Regional Sate, Ethiopia. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.

A few weeks ago, the American College of Obstetricians and Gynecologists released the following policy on out-of-hospital birth: Out of Hospital Births in the United States Labor and delivery is a physiologic process that most women experience without complications. Ongoing surveillance of the mother and fetus is essential because serious int ...

In the past month, two new studies have been released - one in the New England Journal of Medicine (NEJM), the other in the Canadian Medical Association Journal (CMAJ) - examining out-of-hospital birth outcomes. The CMAJ study examined 2006-09 provincial health records while the NEJM study analyzed two years of Oregon vital statistics data. What makes the NEJM study unique is

Background: The choice to give birth at home with a regulated midwife in attendance became available to expectant women in British Columbia in 1998. The purpose of this study was to evaluate the safety of home birth by comparing perinatal outcomes for planned home births attended by regulated midwives with those for planned hospital births.. Methods: We compared the outcomes of 862 planned home births attended by midwives with those of planned hospital births attended by either midwives (n = 571) or physicians (n = 743). Comparison subjects who were similar in their obstetric risk status were selected from hospitals in which the midwives who were conducting the home births had hospital privileges. Our study population included all home births that occurred between Jan. 1, 1998, and Dec. 31, 1999.. Results: Women who gave birth at home attended by a midwife had fewer procedures during labour compared with women who gave birth in hospital attended by a physician. After adjustment for maternal age, ...

Carl Jones says, and I concur, No one can tell a mother she is perfectly safe giving birth at home. Whether she is safer at home than in a hospital, however, is another question (113). There is always going to be some risk when giving birth, as in all of life, and women should be carefully screened for any health problems that could be dangerous during labor and delivery. For certain women in rare instances, obstetric care is essential. However, for most women, better, healthier results are seen when mothers chose birth centers or home births. As far as the risk of home birth goes, Our Bodies, Ourselves states, The times when hospital care unexpectedly becomes instantaneously necessary are rare (341). In A Good Birth, A Safe Birth, Diana Korte and Roberta Scaer quote Tew, the research statistician, who says, The danger of home as a place of birth does not lie in its threat to the healthy survival of mothers and babies, but in its threat to the healthy survival of obstetricians and obstetric ...

A study from the University of British Columbia (UBC) in Canada has found that births performed at home with the help of a midwife are less costly than hospital deliveries and are equally safe for low-risk births.. The researchers examined home births by registered midwives in British Columbia over a four-year period. They found that planned home births saved around $1,922 within the first month of a newborns life in comparison to hospital births with a doctor. They also documented continued health care savings during the childs first year of life.. Previous studies looking at home births have found similar health care savings in the United States. Although out-of-hospital births comprise just over one percent of total deliveries in the country, Centers for Disease Control data shows they have been steadily increasing. While advocates argue that home births are just as safe as hospital deliveries, many doctors have questioned their safety and claim they are linked to higher infant death ...

Here is a link to commentary by Judith Rooks, CNM, also a CDC-trained epidemiologist, regarding the status of out-of-hospital births in Oregon in 2012. The statistics themselves are horrid, but her commentary is what I want to highlight.. She says:. But out-of-hospital births are not as safe as births in hospitals in Oregon, where many of them are attended by birth attendants who have not completed an educational curriculum designed to provide all the knowledge, skills and judgment needed by midwives who practice in any setting.. Many of them she says. Not a few. Not some. Many.. To those who make comments about babies dying in the hospital, she addresses you, too:. There are very few term IP (intrapartum) fetal deaths in the hospital. Most fetuses in prolonged distress are delivered by cesarean section. Estimated rate of IP fetal deaths is 0.1-0.3 from the authoritative literature, based on studies in Canada and Europe. Data on all term fetal deaths cannot be substituted for IP fetal ...

New Zealands home birth rate is at 3.3 per cent of all births, while in the Netherlands its about 20 per cent. Australias figure is 0.3 per cent, while Victorias is 0.5 per cent, the highest in the country.. Dr Davies-Tuck is now working with Safer Care Victoria (SCV), Victorias healthcare quality and safety improvement agency, leading the development of an evidence-based clinical guideline for safe home birth practices in Victoria. This document is due at the end of 2019.. It will be a document that will be accessible to women, but will also provide guidance for home birth, whether provided by private-practice midwives or public home birth programs.. Currently, only two public hospitals - Sunshine, under Western Health, and Casey, under Monash Health - have home birth programs where hospital midwives go to homes. Home births are overwhelmingly provided by private midwives.. Most of the state doesnt have access to the public model of care, Dr Davies-Tuck says, despite a lot of ...

A key intervention to achieve the goal of maternal mortality reduction in deliveries that occur at home is significant. In Ethiopia, the MMR has reduced from 676/100,000 live births in 2011 to 420/100,000 live births in 2013 with a skilled attendant of 23%, whereas 77% deliveries occurred at home without proper medical attention and care during childbirth. Little is known about cultural factors that contribute to home delivery. Therefore, this study aimed to explore the cultural factors and other factors in detail that previous studies did not address in detail and assess prevalence of home delivery and associated factors among child bearing age women who gave birth in the preceding two years in Zala Woreda, Southern Ethiopia. A community based cross sectional study that triangulates quantitative with qualitative approaches was conducted from March 15 to April 10, 2015. Multistage sampling through simple random technique was employed to select 447 study participants. Bivariate and multivariable

My best friend for a bit, this page on the CDC website is an easy to understand and nicely presented data sheet on out-of-hospital births in the United States from data collected from 1990-2012.. Notes: Out-of-hospital birth rate is low but rising (1.36%); Alabama is the 3rd lowest in the country, at only 0.39%.. http://www.cdc.gov/nchs/data/databriefs/db144.htm. ...

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Yes. Print subscribers to The New York Times get a free All Digital Access subscription. This package includes free, unlimited access to NYTimes.com on any device, as well as the full range of NYTimes apps for your smartphone (iPhone®, BlackBerry®, Windows® Phone, AndroidTM-powered phones) and your tablet (iPad® and Android-powered tablets). Print subscribers can share All Digital Access with a family member. Free, unlimited access is provided to all print subscribers, no matter what type of subscription you have (daily, weekday, Weekender, etc.). Youll also qualify for free digital access if your home delivery is provided by a third party (rather than by The New York Times directly). NYTimes home delivery subscriptions do not include e-reader editions, Times Insider content or digital versions of The New York Times Crossword.. To activate your digital subscription, youll need to connect your home delivery subscription to your NYTimes.com account. If you havent already done so, visit this ...

How to Start a Home Birth Business. If youre a midwife or proponent of home births, you may have considered opening a business for home births. While the safety of home births is hotly contested, studies have shown that a home birth is just as safe as one done in the hospital. In fact, according to The American ...

My entire pregnancy with Laura was fraught with anxiety due to our two previous losses. While I felt slightly less anxious with each positive milestone that we passed, I never was really able to settle down. As my pregnancy drew closer to full-term, I began feeling increasing anxiety about labor and delivery. I was worried that my labor would go so fast that we wouldnt make it to the hospital in time, and that wed have an unplanned home birth or car birth (this fear stemmed from the fact that Peters birth as very nearly an unplanned car birth). I was worried that I wouldnt be able to handle he the pain of labor, despite having had five unmedicated births. I was worried that something would go wrong during labor -- hemorrhaging, or placental abruption, or a host of other maladies -- and we would lose the baby. And so on ...

My entire pregnancy with Laura was fraught with anxiety due to our two previous losses. While I felt slightly less anxious with each positive milestone that we passed, I never was really able to settle down. As my pregnancy drew closer to full-term, I began feeling increasing anxiety about labor and delivery. I was worried that my labor would go so fast that we wouldnt make it to the hospital in time, and that wed have an unplanned home birth or car birth (this fear stemmed from the fact that Peters birth as very nearly an unplanned car birth). I was worried that I wouldnt be able to handle he the pain of labor, despite having had five unmedicated births. I was worried that something would go wrong during labor -- hemorrhaging, or placental abruption, or a host of other maladies -- and we would lose the baby. And so on ...

Women who intended at the start of labour to have a home birth with a certified professional midwife had a low rate of intrapartum and neonatal mortality, similar to that in most studies of low risk hospital births in North America. A high degree of safety and maternal satisfaction were reported, and over 87% of mothers and neonates did not require transfer to hospital.. A randomised controlled trial would be the best way to tackle selection bias of mothers who plan a home birth, but a randomised controlled trial in North America is unfeasible given that even in Britain, where home birth has been an incorporated part of the healthcare system for some time, and where cooperation is more feasible, a pilot study failed.31 Prospective cohort studies remain the most comprehensive instruments available.. Our results for intrapartum and neonatal mortality are consistent with most other North American studies of intended births out of hospital and studies of low risk hospital birth (table 4). A ...

Women who intended at the start of labour to have a home birth with a certified professional midwife had a low rate of intrapartum and neonatal mortality, similar to that in most studies of low risk hospital births in North America. A high degree of safety and maternal satisfaction were reported, and over 87% of mothers and neonates did not require transfer to hospital.. A randomised controlled trial would be the best way to tackle selection bias of mothers who plan a home birth, but a randomised controlled trial in North America is unfeasible given that even in Britain, where home birth has been an incorporated part of the healthcare system for some time, and where cooperation is more feasible, a pilot study failed.31 Prospective cohort studies remain the most comprehensive instruments available.. Our results for intrapartum and neonatal mortality are consistent with most other North American studies of intended births out of hospital and studies of low risk hospital birth (table 4). A ...

Women who intended at the start of labour to have a home birth with a certified professional midwife had a low rate of intrapartum and neonatal mortality, similar to that in most studies of low risk hospital births in North America. A high degree of safety and maternal satisfaction were reported, and over 87% of mothers and neonates did not require transfer to hospital. A randomised controlled trial would be the best way to tackle selection bias of mothers who plan a home birth, but a randomised controlled trial in North America is unfeasible given that even in Britain, where home birth has been an incorporated part of the healthcare system for some time, and where cooperation is more feasible, a pilot study failed.31 Prospective cohort studies remain the most comprehensive instruments available. Our results for intrapartum and neonatal mortality are consistent with most other North American studies of intended births out of hospital and studies of low risk hospital birth (table 4). A ...

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Why Home Birth? Reasons why Home Birth over Hospital Births, Home Birth safer then Hospital births? Every informed choice counts. Education is the key!

BACKGROUND: current efforts to reduce maternal and newborn mortality focus on promoting institutional deliveries with skilled birth attendants (SBAs), and discouraging deliveries at home attended by traditional birth attendants (TBAs). In rural Kenya, semi-nomadic pastoralist communities are underserved by the formal health system, experience high maternal and neonatal mortality, and rely primarily on TBAs for delivery care, despite Government proscription of TBA-assisted births. This study examined the knowledge, attitude and practices of TBAs serving these communities to assess the potential for collaboration between TBAs and SBAs. METHODS: a cross-sectional, interviewer-administered survey was conducted among 171 TBAs from Maasai and Samburu pastoralist communities in Laikipia and Samburu counties, Kenya, as part of a larger mixed-methods study in partnership with a local service provider. RESULTS: TBAs were relatively elderly (mean age 59.6 years), and attended an average of 5-6 deliveries per year.

Neonatal tetanus, a completely preventable disease, still contributes to morbidity and mortality in Akwa Ibom State, despite the fact that there should have been a global eradication many years back. It therefore still constitutes a public health problem. The aim of this work is to highlight the importance of continuous educational actions for pregnant women, mother and midwives with a view to preventing neonatal tetanus and promoting the improvement of the quality of life and health of the mother-child binomial, family members and other care givers. This work is a review of delivery practices and intervention measures in a traditional birth attendant’s home where four babies delivered at the home presented at the University of Uyo Teaching Hospital with features of neonatal tetanus within a three week period between late June 2005 and July 2005. The intervention measures which included teaching clean delivery practices, proper cord care, involvement of the TBA in counseling sessions and

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Police said Aurora, Colorado shooting suspect James Holmes had a high volume of commercial deliveries at his home and office in the months leading up to the shooting. Bomb technicians are recovering evidence from Holmes apartment, which will be sent to the FBI crime lab at Quantico. Holmes is accused of perpetrating the worst mass shooting in U.S. History, shooting 70 people during a midnight screening of The Dark Knight Rises on Friday.

With my first child, I planned to have an out-of-hospital birth at a birth center. At 41w 5d, the midwives decided that my blood pressure was too high (160s/90s) to be out of hospital and referred me to a practice of midwives in a hospital for an induction that night. Cervadil was followed by magnesium…

The risk of PPH is 2.5 times higher among births planned to take place in hospital compared to births planned to take place at home. Further research is needed to understand (a) whether the same pattern applies to the more life-threatening categories of PPH, and (b) why hospital birth is associated with increased odds of PPH.

The risk of PPH is 2.5 times higher among births planned to take place in hospital compared to births planned to take place at home. Further research is needed to understand (a) whether the same pattern applies to the more life-threatening categories of PPH, and (b) why hospital birth is associated with increased odds of PPH.

Published perinatal mortality rates of low risk women at planned attended homebirth and hospital birth average 0.6/1000 for vaginal births and 1.8/1000 for cesareans (22,23). Perinatal mortality rates for hospital births of low risk women are similar to outcomes of planned homebirth in general, but the maternal morbidity at planned hospital births is much higher. The most optimal perinatal mortality and maternal outcomes are reported by excellently trained, motivated homebirth midwives:. 0/1000 Poplar, East London District, UK 1950: Jennifer Worth reports having delivered well over 100 babies before qualification and several thousand after in the post WWII tenements, where there was no running water and a family of 10 lived in one room, and a family of 10 was common. I do not recall any instance of an emergency occurring, still less a disaster during delivery. Young people today simply do not believe me when I say this but I can only say ask any midwife of my generation who has had a good deal ...

Maybe probably the most positive signal of ovulation is a change in the basal body temperature. To predict your due date utilizing Naegeles Rule, take the date of your final LMP and add 7 days. Embryo by no means passed 6 weeks in develompent, never had a heartbeat. 5 in all settings), there was a statistically vital higher danger of perinatal loss of life in planned out-of-hospital births in comparison with deliberate hospital births. The BGtP is written by a bloke particularly for us blokes with testimonials from blokes. I also suppose I have to tape my vitamin to my brow to recollect to take it. as an alternative of losing ur time writing to this silly website which mayt let you know if our pregnant or not anyway and exit and buy a take a look at, it isnt arduous. Your expected delivery date is calculated using the primary day of your final interval. Are chubby or obese. If you are a beginner to yoga and are becoming a member of Yoga Lessons pics of breast implants after pregnancy, then it ...

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Proponents of the global Safe Motherhood Initiative stress that primary keys to safe home birth include transport to the hospital in cases of need and effective care on arrival. In this article, which is based on interviews with American direct-entry midwives and Mexican traditional midwives, I examine what happens when transport occurs, how the outcomes of prior transports affect future decision-making, and how the lessons derived from the transport experiences of birthing women and midwives in the U.S. and Mexico could be translated into improvements in maternity care. My focus is on home birth in urban areas in Mexico and the US ...

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I have a question regarding the following: *Excluded are congenital malformations, deformations and chromosomal abnormalities from the hospital group. This may not include all lethal anomalies, as some may be labeled as something else, like cardiac disease, for example. Were these excluded in the MANA study also? I only ask because I wonder if its a possibility that some of the deaths among the homebirths in the MANA study were attributed to any of these. I see this as a possibility because there are women who homebirth who choose to forego the screens and tests that would detect these anomalies, which would then include the baby in the neonatal mortality rates among homebirth but not have been a result of the decision to have a home birth. If they are included in the MANA study, and not in the hospital numbers used to compare to, how can we be sure there is an actual increase in neonatal mortality in homebirth? Especially since there are studies that show little to no significant difference ...

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Longer-term implications could include a redesign of how space is used. Personal drone delivery services could become like the pneumatic tubes or dumbwaiters of the past, including the secure vestibule area already envisioned for delivery at home and office entry areas. Downtown traffic and congestion could be significantly reduced. An obvious challenge is quality of life degradation due to noise and the visual detritus of drones. Are human civilizations relegated to becoming the hive substrate for the incessant and pervasive buzzing of personal drones circling as they conduct their business? Hopefully the Prius drone (e.g.; quiet) and pleasing visual design will be part of the modernization. Personal drone delivery could be an important intermediary step on the way to the 3D home printing of all desired objects ...

I would also like to tell you that calling customer service was easy, but you probably already know better. The first time I called, using the number on the receipt from the order, after I was told that my phone number isnt in the system for delivery (it is) and punching in my phone number (the same one they automatically detected when I called), I was given an abrupt recorded message that there was a problem with my call, and was disconnected. When I called back, after again punching in my phone number, I was connected to a representative. The first thing she wanted from me, of course, was my phone number. (This is hardly unique to Sears, but is absurd.) After a brief discussion, she transferred me to home delivery. Home delivery told me that I had already spoken to somebody from home delivery when the problem with the shipment was detected. That was true, I responded, but that person told me to call customer service as I could probably get an expedited shipping date. I dont know why they ...

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I found a local team of midwives and chose the first one I interviewed. She had a masters in nursing along with being a certified midwife. My experience was much warmer and almost etheral feeling compared to my prenatal care with an obgyn. One thing I found interesting was that the midwives did not routinely use ultrasound to determine positioning of the baby. If I wanted an ultrasound I was told I could drive to sandiego and pay our of pocket for one as I was no longer under a physicians care. Instead, they would palpate my abdomen to determine the position It always took a while and seemed like a guess as to the position. As I got closer to term(at 39weeks) I started to take homeopathic labor encouragers because if I went overdue I would have to drive far and pay out of pocket for non-stress tests. So a couple days before my due date I started to dilate. On my due date I measured 4-5cm dilated and after trying some stronger homeopathic inducers and with no progress, we mutually decided to ...

This document is based on research conducted by Tori sutherland and David Bishai from the Johns Hopkins School of Public Health. It provides an introduction to the use of misoprostol to make home birth safer and explains the relevance of new learning from future health systems to what is already known. ...

news~Recommendations from the American Academy of Pediatrics on home births emphasizes that the safest birth remains at a hospital.

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If this is a second pregnancy, and it is considered low risk, giving birth at home has been shown to be just as safe as birth in a hospital unit.

Head of Administration, Ministry of Health. Appendix A: Request and Agreement of the Woman to a Homebirth. A homebirth is intended for healthy birthing mothers that are not at risk according to medical classifications and who request to give birth at home with the assistance of a licensed midwife or the assistance of a physician who is a specialist in obstetrics and gynecology (From here on to be referred to as midwife or OB) without medical intervention as is accepted in regular births that take place in a delivery room, on the conditions and the environment that the birthing mother chooses.. It has been clarified to me that a homebirth is managed through a midwife or OB who are qualified in accordance with the law and professional practice.. Mothers Name ___________________________ I.D. ____________________________. Fathers Name ____________________________ I.D. ____________________________. I the undersigned request to give birth at home with the assistance of a qualified midwife or OB ...

By Kathryn Doyle(Reuters Health) - Although women who plan to give birth at home end up with fewer medical interventions during labor, their babies h

Home birth: Increasingly Popular, But Dangerous in the Daily Beast by Michelle Goldberg started the hoopla.. For many parents, home birth is a transcendent experience, and theyre profoundly grateful to have been able to have their babies on their own terms. Yet as the number of such births grows, so does the number of tragedies-and those stories tend to be left out of soft-focus lifestyle features. Now a small but growing number of people whose home deliveries have gone horribly awry have started speaking out, some of them on a blog, Hurt by Homebirth, set up by former Harvard Medical School instructor Amy Tuteur. These people are beating themselves up over this, says Tuteur, perhaps the countrys fiercest critic of the home-birth subculture. They did it because they thought it was safe, and it wasnt safe.. Out of 39 paragraphs, Dr. Amy Tuteur (the Skeptical OB) is quoted in four and mentioned in a fifth, yet the afterquakes have, almost exclusively, have centered around including Tuteur ...

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Have we made a difference? In the past six years, maternal and child health outcomes have changed for the better. So far the results are encouraging- we have already made a positive difference in the lives of mothers and children in Fakir Bagan. On the surface, positive change is apparent in the health seeking behaviors of families in Fakir Bagan who are utilizing responsibly the medical services available to them. It can also be seen in the growing community involvement, with large numbers of women now actively participating in Calcutta Kids activities despite the time constraints on their demanding lives. But most important accomplishments can be seen in the changing health statistics. In the past five years, the number of women accessing institutional delivery has increased dramatically. From 67% institutional deliveries at baseline in 2005, we now have a 90% facility delivery rate. Seventy percent of women initiated breastfeeding within 2 hours (compared to 8% in 2005); 90% women fed ...

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