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Nih Consensus Development Conference Statement On Vaginal Birth After Cesarean
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Book Synopsis National Institutes of Health Consensus Development Conference Statement on Vaginal Birth After Cesarean by : Department of Human Services
Download or read book National Institutes of Health Consensus Development Conference Statement on Vaginal Birth After Cesarean written by Department of Human Services and published by CreateSpace. This book was released on 2014-05-11 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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?
Book Synopsis Birthing Normally After a Cesarean Or Two (American Edition) by : Hélène Vadeboncoeur
Download or read book Birthing Normally After a Cesarean Or Two (American Edition) written by Hélène Vadeboncoeur and published by Fresh Heart Publishing. This book was released on 2011-05 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Book discusses VBAC (vaginal birth after caesarean).
Book Synopsis Secondary Analysis of Electronic Health Records by : MIT Critical Data
Download or read book Secondary Analysis of Electronic Health Records written by MIT Critical Data and published by Springer. This book was released on 2016-09-09 with total page 435 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book trains the next generation of scientists representing different disciplines to leverage the data generated during routine patient care. It formulates a more complete lexicon of evidence-based recommendations and support shared, ethical decision making by doctors with their patients. Diagnostic and therapeutic technologies continue to evolve rapidly, and both individual practitioners and clinical teams face increasingly complex ethical decisions. Unfortunately, the current state of medical knowledge does not provide the guidance to make the majority of clinical decisions on the basis of evidence. The present research infrastructure is inefficient and frequently produces unreliable results that cannot be replicated. Even randomized controlled trials (RCTs), the traditional gold standards of the research reliability hierarchy, are not without limitations. They can be costly, labor intensive, and slow, and can return results that are seldom generalizable to every patient population. Furthermore, many pertinent but unresolved clinical and medical systems issues do not seem to have attracted the interest of the research enterprise, which has come to focus instead on cellular and molecular investigations and single-agent (e.g., a drug or device) effects. For clinicians, the end result is a bit of a “data desert” when it comes to making decisions. The new research infrastructure proposed in this book will help the medical profession to make ethically sound and well informed decisions for their patients.
Book Synopsis Pregnancy, Childbirth, and the Newborn by : Penny Simkin
Download or read book Pregnancy, Childbirth, and the Newborn written by Penny Simkin and published by Da Capo Lifelong Books. This book was released on 2018-09-18 with total page 999 pages. Available in PDF, EPUB and Kindle. Book excerpt: Feel informed and empowered with this thoroughly updated, full-color pregnancy guide, which recognizes that “one size fits all” doesn’t apply to maternity care. Pregnancy, Childbirth, and the Newborn provides the comprehensive guidance you need to make informed decisions about having a safe and satisfying pregnancy, birth, and postpartum period–decisions that reflect your preferences, priorities, and values. This sixth edition includes: -CDC guidelines regarding COVID-19 -Updated dietary guides and breastfeeding and surrogacy information -Birth plans including doulas and caesarians when necessary -Tips on how to reduce stress -And so much more Pregnancy, Childbirth, and the Newborn is inclusive, reflecting today's various family configurations such as single-parent families, blended families formed by second marriages, families with gay and lesbian parents, and families formed by open adoption or surrogacy. This pregnancy guide speaks to today's parents-to-be like no other.
Book Synopsis Birthing Normally After a Caesarean Or Two (2nd British Edition) by : H. L. Ne Vadeboncoeur
Download or read book Birthing Normally After a Caesarean Or Two (2nd British Edition) written by H. L. Ne Vadeboncoeur and published by Fresh Heart Publishing. This book was released on 2011-04 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Book discusses VBAC (vaginal birth after caesarean).
Book Synopsis Best Practices in Midwifery by : Barbara A. Anderson
Download or read book Best Practices in Midwifery written by Barbara A. Anderson and published by Springer Publishing Company. This book was released on 2013 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: Print+CourseSmart
Book Synopsis Clinical Maternal-Fetal Medicine by : Hung N. Winn
Download or read book Clinical Maternal-Fetal Medicine written by Hung N. Winn and published by CRC Press. This book was released on 2021-09-01 with total page 855 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a comprehensive, one-stop online book relating to all areas of pregnancy and birth. The second edition of this easily searchable guide is edited by eminent experts in the field and includes new contributions from international authors. It will be an ideal reference for Maternal-Fetal Specialists and Generalists wanting an authoritative answer on any point. Key features: •Grouped in to six topics (modules) for convenience •Electronic search facility across all chapters •Approximately 700,000 words of text, 7000 references, 300 figures (including 100 in full colour), and 200 tables available to search Key topics: •All common pregnancy and birth related problems such as diabetes and pregnancy •Many rarer complications such as protozoan infections •Fetal assessment, which is absolutely central to MFM practice •Medico-legal aspects •Sickle cell disease – a major problem for patients of African descent New chapters include: •Recurrent early pregnancy losses •Invasive hemodynamic monitoring •Chronic and acute hypertension •Neurological disorders •Maternal obesity •Assessment of fetal genetic disorders •First and second trimester screening
Book Synopsis Cesarean Section by : Jacqueline H. Wolf
Download or read book Cesarean Section written by Jacqueline H. Wolf and published by Johns Hopkins University Press. This book was released on 2020-03-31 with total page 331 pages. Available in PDF, EPUB and Kindle. Book excerpt: Why have cesarean sections become so commonplace in the United States? Between 1965 and 1987, the cesarean section rate in the United States rose precipitously—from 4.5 percent to 25 percent of births. By 2009, one in three births was by cesarean, a far higher number than the 5–10% rate that the World Health Organization suggests is optimal. While physicians largely avoided cesareans through the mid-twentieth century, by the early twenty-first century, cesarean section was the most commonly performed surgery in the country. Although the procedure can be lifesaving, how—and why—did it become so ubiquitous? Cesarean Section is the first book to chronicle this history. In exploring the creation of the complex social, cultural, economic, and medical factors leading to the surgery's increase, Jacqueline H. Wolf describes obstetricians' reliance on assorted medical technologies that weakened the skills they had traditionally employed to foster vaginal birth. She also reflects on an unsettling malpractice climate—prompted in part by a raft of dubious diagnoses—that helped to legitimize "defensive medicine," and a health care system that ensured cesarean birth would be more lucrative than vaginal birth. In exaggerating the risks of vaginal birth, doctors and patients alike came to view cesareans as normal and, increasingly, as essential. Sweeping change in women's lives beginning in the 1970s cemented this markedly different approach to childbirth. Wolf examines the public health effects of a high cesarean rate and explains how the language of reproductive choice has been used to discourage debate about cesareans and the risks associated with the surgery. Drawing on data from nineteenth- and early twentieth-century obstetric logs to better represent the experience of cesarean surgery for women of all classes and races, as well as interviews with obstetricians who have performed cesareans and women who have given birth by cesarean, Cesarean Section is the definitive history of the use of this surgical procedure and its effects on women's and children's health in the United States.
Book Synopsis Treatment of Eight NIH Consensus Development Conferences in the Biomedical Literature by : Rand Corporation
Download or read book Treatment of Eight NIH Consensus Development Conferences in the Biomedical Literature written by Rand Corporation and published by . This book was released on 1986 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Contemporary Obstetrics and Gynecology for Developing Countries by : Friday Okonofua
Download or read book Contemporary Obstetrics and Gynecology for Developing Countries written by Friday Okonofua and published by Springer Nature. This book was released on 2021-08-05 with total page 784 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a comprehensive and easy-to-read guide to obstetrics and gynecology in developing countries. Although significant progress has been made towards the reduction of maternal mortality and morbidity globally, they are still unacceptably high in developing countries. This can be directly or indirectly tied to poor quality maternal health care and lack of access to cost-effective, comprehensive healthcare. Health practitioners in developing countries also contend with trying to keep abreast of recent developments in obstetrics and gynecology while dealing with lack of time, resources, and access to relevant information. This textbook was thus created by experts in obstetrics and gynecology with extensive experience in African clinical settings and consultants in developed countries to teach proper and accurate diagnosis, treatment and management of gynecologic and obstetric health issues within the context of developing countries. This second edition has been fully updated throughout with an added 25+ chapters that cover topics such as reproductive health, gynecological cancers and research methods. The book is divided into six sections: Women’s Reproductive Health; Obstetrics; Medical and Surgical Disorders in Pregnancy; General Gynecology; Gynecological Malignancies; Health Systems Organization, Research Methodology and Biostatistics. These section topics have been carefully covered by expert authors with the use of valid scientific data, policy instruments, and adapted to the cultural and social context of developing countries, with particular in depth coverage of conditions that have greater prevalence and incidence in developing countries. Each chapter also focuses on filling gaps in knowledge with a distinct pedagogical approach, starting with a set of learning objectives and ending with key takeaways for the chapter. This is an ideal guide for residents, medical students, practitioners of obstetrics and gynecology, midwives, general practitioners, and pediatricians, particularly those working in developing companies.
Book Synopsis Oxford Textbook of Obstetric Anaesthesia by : Vicki Clark
Download or read book Oxford Textbook of Obstetric Anaesthesia written by Vicki Clark and published by Oxford University Press. This book was released on 2016 with total page 1017 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides an up-to-date summary of the scientific basis, assessment for and provision of anaesthesia throughout pregnancy and labour. It is divided into nine sections including physiology, assessment, complications and systemic disease.
Download or read book Obstetrics written by Steven G. Gabbe and published by Elsevier Health Sciences. This book was released on 2012-01-01 with total page 1417 pages. Available in PDF, EPUB and Kindle. Book excerpt: Highly readable, well illustrated, and easy to understand, Obstetrics: Normal and Problem Pregnancies remains your go-to choice for authoritative guidance on managing today's obstetric patient. Reflecting the expertise of internationally recognized authorities, this bestselling obstetrics reference has been thoroughly revised to bring you up to date on everything from ultrasound assessment of fetal anatomy and growth, to medical complications in pregnancy, to fetal therapy...and much more! 'An excellent reference for residents and fellows in training alike' Reviewed by: Obstetrics and Prenatal Diagnosis Unit, Landspitali University Hospital/University of Iceland Date: December 2014 Benefit from the knowledge and experience of international experts in obstetrics. Gain a new perspective on a wide range of today's key issues - all evidence-based and easy to read. Stay current with new coverage of fetal origins of adult disease, evidence-based medicine, quality assessment, nutrition, global obstetric practices, and much more. Find the information you need quickly with bolded key statements, additional tables, flow diagrams, and bulleted lists for easy reference. Zero in on "Key Points" in every chapter - now made more useful than ever with the inclusion of related statistics. View new ultrasound nomograms in the Normal Values in Pregnancy appendix. Access the complete contents online, plus exclusive references, tables, and images, at www.expertconsult.com.
Book Synopsis Obstetrics: Normal and Problem Pregnancies E-Book by : Steven G. Gabbe
Download or read book Obstetrics: Normal and Problem Pregnancies E-Book written by Steven G. Gabbe and published by Elsevier Health Sciences. This book was released on 2016-05-23 with total page 1417 pages. Available in PDF, EPUB and Kindle. Book excerpt: Highly readable, well illustrated, and easy to understand, Obstetrics: Normal and Problem Pregnancies remains your go-to choice for authoritative guidance on managing today’s obstetric patient. Reflecting the expertise of internationally recognized authorities, this bestselling obstetrics reference has been thoroughly revised to bring you up to date on everything from ultrasound assessment of fetal anatomy and growth, to medical complications in pregnancy, to fetal therapy...and much more! Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located. Benefit from the knowledge and experience of international experts in obstetrics. Gain a new perspective on a wide range of today’s key issues - all evidence based and easy to read. Stay current with new coverage of fetal origins of adult disease, evidence-based medicine, quality assessment, nutrition, and global obstetric practices. Find the information you need quickly with bolded key statements, additional tables, flow diagrams, and bulleted lists for easy reference. Zero in on "Key Points" in every chapter - now made more useful than ever with the inclusion of related statistics. View new ultrasound nomograms in the Normal Values in Pregnancy appendix.
Book Synopsis The Professional Responsibility Model of Perinatal Ethics by : Frank A. Chervenak
Download or read book The Professional Responsibility Model of Perinatal Ethics written by Frank A. Chervenak and published by Walter de Gruyter GmbH & Co KG. This book was released on 2014-09-12 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides the first clinically comprehensive and practical approach to ethical challenges in perinatal medicine. The first chapter introduces and explains the professional responsibility model of perinatal ethics. The professional responsibility model is based on the medical ethics of two major physician-ethics in the history of Western medical ethics, Dr. John Gregory (1724-1773) of Scotland and Dr. Thomas Percival (1740-1804) of England. The professional responsibility model is used to articulate the ethical concept of the fetus as a patient and to operationalize the ethical principles of beneficence and respect for autonomy. The book provides practical guidance for clinical judgment and decision making with patients about the responsible clinical management of the wide range of issues encountered by perinatologists in clinical practice and research. Topics included: periviability; feticide; intrapartum management; maternal-fetal conflict; innovation for fetal benefit; research for fetal benefit; non-aggressive obstetric management; managing the transition from pregnancy to birth; destructive procedures such as cephalocentesis; critical care for the pregnant patient; home birth; patient-choice cesarean delivery; neonatal care as a trial of management; and setting limits on neonatal care on the basis of clinical judgments of futility.
Book Synopsis Chestnut's Obstetric Anesthesia: Principles and Practice E-Book by : David H. Chestnut
Download or read book Chestnut's Obstetric Anesthesia: Principles and Practice E-Book written by David H. Chestnut and published by Elsevier Health Sciences. This book was released on 2014-02-28 with total page 1327 pages. Available in PDF, EPUB and Kindle. Book excerpt: From basic science to various anesthesia techniques to complications, the meticulously updated, fifth edition of Chestnut’s Obstetric Anesthesia: Principles and Practice, covers all you need to know about obstetric anesthesia. An editorial team of leading authorities presents the latest on anesthesia techniques for labor and delivery and medical disorders that occur during pregnancy. New chapters and rewritten versions of key chapters cover topics such as psychiatric disorders in the pregnant patient, neurologic disorders, and critical care of obstetric patients. It is an invaluable, comprehensive reference textbook for specialists in obstetric anesthesiology and obstetricians, as well as anesthesiology and obstetric residents. This book also serves as a clear, user-friendly guide for both anesthesiologists and obstetricians who are in clinical practice. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Get all the accuracy, expertise, and dependability you could ask for from the most important names in the fields of obstetric anesthesia and maternal-fetal medicine. Master the current best practices you need to know for treating the fetus and the mother as separate patients—each with distinct needs. Search and retain difficult concepts easily with the help of key point summaries in each chapter. Stay current on the latest advancements and developments with sweeping updates and new chapters on topics such as patient safety and team approach, transthoracic echocardiography and noninvasive measurement of cardiac output in obstetric patients, psychiatric disorders during pregnancy, neurologic injuries, and more. Prevent and plan for potential complications associated with the advancing age of pregnant women. An extensive, state-of-the art discussion of "critical care of obstetric patients" equips you to address any special considerations for this increasing segment. Know exactly how to proceed. An abundance of tables and boxes illustrate the step-by-step management of a full range of clinical scenarios. Choose the best drugs available while adhering to the most recent guidelines for obstetric anesthesia.
Book Synopsis Best Practice in Labour and Delivery by : Sabaratnam Arulkumaran
Download or read book Best Practice in Labour and Delivery written by Sabaratnam Arulkumaran and published by Cambridge University Press. This book was released on 2016-11-24 with total page 429 pages. Available in PDF, EPUB and Kindle. Book excerpt: In light of revised recommendations for intrapartum care, this updated edition reviews best practice in all aspects of labour and delivery.
Book Synopsis Fetal and Neonatal Brain Injury by : David K. Stevenson
Download or read book Fetal and Neonatal Brain Injury written by David K. Stevenson and published by Cambridge University Press. This book was released on 2009-06-18 with total page 1638 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improvements in the detection of fetal and neonatal brain injuries, advances in our understanding of the pathophysiology, cellular and molecular bases of encephalopathy, and new treatment options have all combined to produce significant changes in the management of neonatal brain disorders in the past few years. This new edition of Fetal and Neonatal Brain Injury brings the reader fully up to date with all advances in clinical management and outcome assessment. New material includes pregnancy-induced hypertension, HELLP syndrome and chronic hypertension, complications of multiple gestation, neurogenic disorders of the brain, neonatal stroke and much more. An expanded, highly illustrated chapter on structural and functional imaging of the fetal and neonatal brain is also included. An outstanding international team of highly experienced neonatologists and maternal-fetal medicine clinicians have produced a practical, authoritative clinical text that gives clear management advice to all clinicians involved in the treatment of these patients.
