Hemorrhage

More Evidence to Avoid Hospital Birth: A Critique of the Results of the ARRIVE Study

The protocol to induce for postdates at 41 weeks was accepted by medical professionals about 10 years ago. The randomized controlled trials (RCT) for this protocol are based on poor quality studies that included births at high risk of perinatal death, such as premature births and those of diabetics, and entail high rates of noncompliance with protocol (Cohain 2015). There is no good evidence that induction for postdates among low-risk women results in better outcomes for mother or baby. Read more…. More Evidence to Avoid Hospital Birth: A Critique of the Results of the ARRIVE Study

Labor and Delivery Care in the Context of a Developing Country

Labor in a developing country can be very different than in a developed country. In this second in her series of article, Vicki Penwell shares the challenges faced by laboring women in the Philippines and other countries.

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Labor: Short and Long; Physical and Mental

This great article illustrates, through discussion of actual cases, the many variations that labor may take and how diet, fear, and even religious beliefs may affect it.  Read more…. Labor: Short and Long; Physical and Mental

The Doula’s Role

I believe that doulas need to have some preparation for handling emergency clinical situations: not to take them on, but to be ready in case of an emergency. This is a somewhat unpopular view. However, doulas can never know what kind of situation they may find themselves in. For example, you may be the first to arrive at a homebirth, when the midwife gets a flat tire or, for some other reason, does not arrive in time for the birth.  Read more…. The Doula’s Role

Concepts of Prenatal Care

When should prenatal care start? What should it look like? How much should it cost? Most importantly, but often overlooked: Who should be doing it? These questions, frequently asked by pregnant women, have no pat answers.

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Green Allies for the Childbearing Year

What herbs are safe to use during pregnancy? Some sources suggest avoiding all herbs in the prenatal period. Others claim that substances known to be harmful to fetuses and infants—such as essential oils—are safe and that the warnings about them should be ignored. Confusion is inevitable.

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Prenatal Care, What Really Matters?

One might argue that prenatal care is necessary for critically evaluating overall health status, charting vital signs on an ongoing basis, and making sure all essential laboratory tests are performed during pregnancy.

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The Bristol Third-Stage Trial

If you set out to compare a policy of intensive, precipitous intervention with a policy of sitting back and watching the patient bleed, obviously the former will be seen to be safer. This was the approach and conclusion of the Bristol Third-Stage Trial. But the trial … is completely misleading… Read more…. The Bristol Third-Stage Trial

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