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Hospital Midwives, Lower C-Section Rates?

Posted 4 days ago by Drugs.com

THURSDAY, Nov. 16, 2017 – Expectant mothers seeking to lower their risk of a cesarean delivery might want to consider getting a midwife involved, a new study suggests. In addition, midwives were tied to less need for a surgical incision called an episiotomy during childbirth, the researchers reported. "More midwife-attended births may correlate with fewer obstetric procedures, which could lower costs without lowering the quality of care," wrote study co-authors Laura Attanasio, of the University of Massachusetts Amherst, and Katy Kozhimannil of the University of Minnesota School of Public Health. The study findings are based on 126 hospitals in New York state. About 25 percent of those hospitals had no midwives. About half had midwives, but they attended less than 15 percent of births. At 7 percent of the hospitals, however, midwives attended more than four out of 10 births, according ... Read more

Related support groups: Delivery, Premature Labor, Labor Induction, Vitamin/Mineral Supplementation during Pregnancy/Lactation, Cervical Ripening, Cesarean Section, Labor Pain, Labor and Delivery including Augmentation

Weighing Too Much or Too Little When Pregnant Can Be Risky

Posted 6 days ago by Drugs.com

TUESDAY, Nov. 14, 2017 – For women contemplating having a baby, new research adds to the evidence suggesting that starting a pregnancy at a normal weight is best. The study found that too much or even too little weight increases an expectant mom's risk for severe illnesses and death. "Not only for baby's sake, but also for your own sake, have a healthy diet and get regular exercise before pregnancy," said study lead author Dr. Sarka Lisonkova. She's an assistant professor in the department of obstetrics and gynecology at the University of British Columbia and the Children's and Women's Health Centre in Vancouver. "It's never too late, even if you're already pregnant," Lisonkova said, adding that weight gain during pregnancy can also increase the risk for severe illnesses and even death in expectant mothers. The study, published Nov. 14 in Journal of the American Medical Association, ... Read more

Related support groups: Birth Control, Contraception, Obesity, Weight Loss, Female Infertility, Delivery, Ovulation Induction, Premature Labor, Labor and Delivery including Augmentation

Ob/Gyns Warn Against 'Vaginal Seeding' Trend for Newborns

Posted 25 Oct 2017 by Drugs.com

WEDNESDAY, Oct. 25, 2017 – The U.S.'s leading group of obstetricians and gynecologists is warning against a new trend where babies born by C-section are "seeded" via cotton swabs with vaginal microbes from the mother. "Vaginal seeding" is growing in popularity because it's thought that babies born through Cesarean-section miss out on certain "helpful" vaginal microbes that might shield the infant from asthma, allergies and immune disorders. "Vaginal seeding has become a rising trend for patients," noted Dr. Jennifer Wu, an ob/gyn at Lenox Hill Hospital in New York City. "Patients read about the benefits of a vaginal delivery and hope to replicate these benefits with vaginal seeding." As explained by the American College of Obstetricians and Gynecologists (ACOG), it's thought that contact with healthy vaginal bacteria helps stimulate the infant immune system, prevents the growth of ... Read more

Related support groups: Herpes Simplex, Delivery, Premature Labor, Vitamin/Mineral Supplementation during Pregnancy/Lactation, Diagnosis and Investigation, Streptococcal Infection, Cesarean Section, Labor Pain, Labor and Delivery including Augmentation, Lactation Augmentation

Breast Milk May Arrive Late for Obese New Moms

Posted 24 Oct 2017 by Drugs.com

TUESDAY, Oct. 24, 2017 – While obesity in pregnancy has long been linked to a higher risk for complications during childbirth, there's now another reason to avoid it: a late start to breast milk production. That's the finding from a new study of more than 200 women with newborns who planned to breast-feed. The researchers found that delays in "lactogenesis" – the production of breast milk within three days of delivery – "occurred more frequently among women who were obese at the time of delivery." The study highlights an issue many new moms have to deal with, said one pediatrician who reviewed the new study. "Breast-feeding is hard for all mothers," said Dr. Sophia Jan, who directs pediatrics at Cohen Children's Medical Center in New Hyde Park, N.Y. "This study found that breast-feeding is even harder for mothers who were obese prior to pregnancy." There are potential consequences ... Read more

Related support groups: Obesity, Delivery, Premature Labor, Labor Induction, Vitamin/Mineral Supplementation during Pregnancy/Lactation, Cesarean Section, Labor Pain, Labor and Delivery including Augmentation, Lactation Augmentation

Higher Doses of Vitamin D May Boost Preemies' Bone Health

Posted 18 Oct 2017 by Drugs.com

WEDNESDAY, Oct. 18, 2017 – Higher doses of vitamin D can improve the bone health of premature babies, new research suggests. "We are hopeful that neonatologists will consider giving preterm infants 800 IUs [International Units]," said study author Dr. Ann Anderson Berry. She is medical director of the NICU Nebraska Medicine, the clinical partner of the University of Nebraska Medical Center. "We know that even with standard vitamin D dosing, we were still seeing a fair number of preterm infants who suffered from impaired bone health. This is another form of NICU [neonatal intensive care] therapy that can help decrease that risk," she said in a Nebraska news release. Premature and preterm infants are already routinely given vitamin D to help prevent weak bones and other conditions related to vitamin D deficiency, such as rickets. Dosages vary, however, and many infants still develop ... Read more

Related support groups: Vitamin D Deficiency, Delivery, Premature Labor, Caltrate 600 with D, Calcium/Vitamin D, Citracal + D, Rickets, Citracal Petites, Citracal Creamy Bites, Calcet, Calcium 600 D, Labor and Delivery including Augmentation, Calcarb with D, Prematurity/Underweight in Infancy, Oyster Shell Calcium, O-Cal-D, Oyster-D, Citracal Maximum, Os-Cal 500 + D, Posture-D H/P

Health Tip: Avoid Baby Sleep Positioners

Posted 16 Oct 2017 by Drugs.com

-- The U.S. Food and Drug Administration is warning parents against the use of baby sleep positioners. While these products may purport to prevent an infant from rolling, the products can lead to suffocation, the FDA says. To help keep baby safe, the agency suggests: Avoid infant sleep positioners of any kind. Do not use pillows, blankets, sheets, or quilts in a crib. Dress babies for the season to stay warm without extra blankets and sheets. Keep cribs bare of objects and toys. Always put baby on his or her back in a crib. Read more

Related support groups: Sleep Disorders, Delivery, Premature Labor, Cesarean Section, Prematurity/Underweight in Infancy, Labor and Delivery including Augmentation

Protecting Preemies From Stress Might Improve Later Mental Health

Posted 5 Oct 2017 by Drugs.com

THURSDAY, Oct. 5, 2017 – Being born at an extremely low birth weight seems to increase the risk for developing mental health issues as an adult. But that risk can be lowered by lessening exposure to bullying and family stress during childhood and adolescence, new research suggests. This finding concerns premature babies born at 2.2 pounds or less. "We are concerned that being born really small and being exposed to all the stresses associated with preterm birth can lead to an amplification of normal stresses that predispose people to develop depression and anxiety later in life," said study author Ryan Van Lieshout. He is an assistant professor of psychiatry and behavioral neurosciences at McMaster University in Ontario, Canada. With support from the Canadian Institutes of Health Research and the U.S. National Institute of Child Health and Human Development, the study team reviewed ... Read more

Related support groups: Depression, Anxiety, Anxiety and Stress, Major Depressive Disorder, Dysthymia, Psychiatric Disorders, Premature Labor, Prematurity/Underweight in Infancy, Labor and Delivery including Augmentation

Helping Preemies Avoid Unnecessary Antibiotics

Posted 5 Oct 2017 by Drugs.com

THURSDAY, Oct. 5, 2017 – Researchers say they have identified three criteria that suggest an extremely premature infant has a low risk of developing sepsis, which might allow doctors to spare these babies early exposure to antibiotics. Sepsis is an infection of the blood, and it's a serious, life-threatening condition. But it isn't always easy to tell if these very small babies are sick due to an infection such as sepsis, or because their tiny bodies are so underdeveloped. "These babies can die very quickly of sepsis, which makes it very difficult to choose who really needs antibiotics," said Dr. Rick Stafford, director of neonatology at Northern Westchester Hospital in Mount Kisco, N.Y. Stafford was not involved in the study. At the same time, doctors are trying to reduce the use of unnecessary antibiotics, because when antibiotics are given to someone who doesn't need them, it ... Read more

Related support groups: Infections, Bacterial Infection, Sepsis, Premature Labor, Prematurity/Underweight in Infancy, Labor and Delivery including Augmentation

'Sleep Positioners' a Danger to Baby: FDA

Posted 4 Oct 2017 by Drugs.com

WEDNESDAY, Oct. 4, 2017 – Infants should be put to sleep on their backs on a firm, empty surface and never placed on a sleep positioner, the U.S. Food and Drug Administration (FDA) says. The agency warned parents and caregivers that these products, also known as "nests" or "anti-roll" supports, can prevent babies from breathing. The two most common sleep positioners include two raised pillows or "bolsters" attached to a mat. Babies younger than 6 months old are placed on the mat between the pillows to keep them in a specific position while they are sleeping. But putting babies to sleep on or near soft objects, such as positioners, toys, pillows and loose bedding, increases the risk for accidental suffocation and Sudden Infant Death Syndrome (SIDS), the American Academy of Pediatrics says. Some babies have been found in dangerous positions next to a positioner they had been placed in ... Read more

Related support groups: Delivery, Premature Labor, Cesarean Section, Prematurity/Underweight in Infancy, Labor and Delivery including Augmentation

Same Pregnancy Meds Can Cost $200 -- or $11,000

Posted 3 Oct 2017 by Drugs.com

TUESDAY, Oct. 3, 2017 – The same medication to prevent preterm birth can cost $200 – or nearly $11,000, a new study finds. Harvard Medical School researchers found that use of a brand name and prepackaging was associated with a 5,000 percent increase in the cost of the synthetic hormone progestin. They said the average per-pregnancy cost of a compounded, made-to-order form of the medication known as 17P was $206. That compared with $10,917 for a brand-name prepackaged version of the same medication. "Everyone is talking about how to pay for health care, but few talk about why health care in the United States is so expensive. Uncontrollable drug prices are a major cause of this trend," study co-author Andrew Beam said in a Harvard news release. He's an instructor of biomedical informatics. The two medications have the same active ingredients and are clinically interchangeable, ... Read more

Related support groups: Progesterone, Delivery, Prometrium, Premature Labor, Crinone, Cervical Ripening, Endometrin, Progest, Labor Pain, Prematurity/Underweight in Infancy, Cyclogest, Labor and Delivery including Augmentation, Progesterone Topical, Prochieve, Apnea of Prematurity, Progestasert System, Gestone

Study Questions Practice of Placenta Eating by New Moms

Posted 29 Sep 2017 by Drugs.com

FRIDAY, Sept. 29, 2017 – You may have heard that some new mothers choose to eat their own placenta after childbirth. But there's no indication the trendy practice offers any health benefits, and some evidence it could prove dangerous, new research suggests. After reviewing dozens of studies from across the globe on so-called placentophagy, or placenta consumption, the researchers say they're advising obstetricians to discourage their patients from eating the placenta in any form. "As obstetricians, it's important to tell the truth. And the truth is it's potentially harmful and no evidence it's beneficial, so therefore, don't do it," said study author Dr. Amos Grunebaum. He's an obstetrician/gynecologist at New York-Presbyterian/Weill Cornell Medical Center in New York City. "Over the last few years, we've had an increasing demand from patients who wanted to take their placenta home ... Read more

Related support groups: Delivery, Premature Labor, Labor Induction, Postpartum Bleeding, Cervical Ripening, Cesarean Section, Labor Pain, Labor and Delivery including Augmentation

Heart-Lung Fitness Challenged in Early Full-Term Babies

Posted 28 Sep 2017 by Drugs.com

WEDNESDAY, Sept. 27, 2017 – Infants born early in a full-term pregnancy have a higher risk of poor heart-lung fitness later in life, a new study suggests. The study included nearly 800 people in Northern Ireland who were born at full-term (37 to 42 weeks) and had their cardiorespiratory fitness assessed at ages 12, 15 and 22. Those born at 37 to 38 weeks had a 57 percent higher risk of poor heart-lung fitness when they were teens and young adults compared to those born between 39 and 42 weeks. Each extra week of full-term pregnancy was associated with a 14 percent reduced risk, the Australian researchers reported. Diet, physical activity and smoking behavior did not affect the findings, according to the study published Sept. 27 in the Journal of the American Heart Association. "We believe that earlier births – even within the at-term range – may interrupt normal development and lead ... Read more

Related support groups: Upper Respiratory Tract Infection, Delivery, Prevention of Cardiovascular Disease, Premature Labor, Cardiovascular Risk Reduction, Labor Induction, Vitamin/Mineral Supplementation during Pregnancy/Lactation, Respiratory Tract Disease, Cesarean Section, Labor Pain, Prematurity/Underweight in Infancy, Labor and Delivery including Augmentation, Apnea of Prematurity

Premature Births Cost Health Plans Billions

Posted 21 Sep 2017 by Drugs.com

THURSDAY, Sept. 21, 2017 – Premature births cost U.S. employer-sponsored health plans billions of dollars a year, a new study claims. About 1 in 10 infants in the country are born prematurely (less than 37 weeks gestation), putting them at increased risk for birth defects and long-term health problems. Employer-sponsored health plans spent at least $6 billion extra on premature infants born in 2013, and a large part of that was for infants with major birth defects. Infants with major birth defects accounted for less than 6 percent of the premature births, but one-quarter of the costs. "The contribution of this study is to start to tweak out the contribution of birth defects to that overall cost burden so we can start to prioritize efforts at prevention of both preterm births and birth defects," said study co-lead author Norman Waitzman, chair of the department of economics at the ... Read more

Related support groups: Delivery, Premature Labor, Cesarean Section, Prematurity/Underweight in Infancy, Labor and Delivery including Augmentation

Does Mother's Mental Health Affect Pregnancy?

Posted 13 Sep 2017 by Drugs.com

WEDNESDAY, Sept. 13, 2017 – Three common mental health disorders – depression, panic disorder and generalized anxiety disorder – pose no serious threat to pregnant women or the health of their babies, a new study finds. "I think a major take-home message is that women are not harming their babies if they have one of these psychiatric conditions," said study lead author Kimberly Yonkers of Yale University. She and her team followed more than 2,600 pregnant women at 137 clinical practices in Connecticut and Massachusetts. The researchers did find slight risks associated with certain psychiatric medications used to treat those conditions. For instance, babies of women who took benzodiazepines had slightly lower birth weights and needed additional ventilator support in 61 of 1,000 cases. Benzodiazepines, which include Xanax (alprazolam), Valium (diazepam) and Ativan (lorazepam), are ... Read more

Related support groups: Depression, Anxiety, Panic Disorder, Anxiety and Stress, Major Depressive Disorder, Dysthymia, Delivery, Psychiatric Disorders, Premature Labor, Vitamin/Mineral Supplementation during Pregnancy/Lactation, Depressive Psychosis, Cesarean Section, Labor and Delivery including Augmentation

Researchers Find Genes Linked to Preterm Birth

Posted 6 Sep 2017 by Drugs.com

WEDNESDAY, Sept. 6, 2017 – Researchers say they've pinpointed gene areas linked with preterm birth – and they said this could pave new ways to prevent the leading cause of death among children under age 5 worldwide. The team looked at DNA and other data from more than 50,000 women from the United States and northern European countries. The researchers identified six gene regions that influence the length of pregnancy and the timing of birth. "These are exciting findings that could play a key role in reducing newborn deaths and giving every child the chance to grow up smart and strong," said Trevor Mundel, president of the Global Health Division at the Bill & Melinda Gates Foundation. Preterm infants (born before 37 weeks of pregnancy) are at increased risk of death. Those who survive often have serious, lifelong health problems. The new study found that one of the gene areas ... Read more

Related support groups: Delivery, Premature Labor, Selenium, Diagnosis and Investigation, Cesarean Section, Labor and Delivery including Augmentation, Prematurity/Underweight in Infancy, Multitrace-5 Concentrate, Pediatrace, Apnea of Prematurity, Sele-Pak, MTE-5 Concentrated, Selepen, MTE-7, Chromic Chloride Hexahydrate/Copper Sulfate/Manganese Sulfate/Selenium/Sodium Iodide/Zinc Sulfate, Multitrace-5, Addamel N, PTE-5, MTE-5, Selenium TR

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