The objective of this study is to analyze the perinatal results of the prophylactic measures adopted in the prevention of the vertical transmission of HIV. The study was carried out using the medical records of 168 women with HIV and their newborns in a public maternity unit of Fortaleza, in the state of Ceará, from 2005 to 2009. The data was obtained between the months of March and September 2...

In the United States, access to qualified homebirth providers varies by state, city, and community, and consistent, evidence-based guidelines for intrapartum management at home are not available. This article examines the similarities and differences in midwifery management of the intrapartum, postpartum, and neonatal course between planned homebirths and planned hospital births. Characteristic...

Pregnant women with sickle cell disease appear to be more likely to experience antepartum, intrapartum, and postpartum complications when compared with unaffected women. Access to high-risk obstetric care, patient education, and close follow-up is important to minimize maternal morbidity and mortality. A high index of suspicion and good diagnostic acumen is necessary to obtain optimal results i...

NICE: The National Institute for Health and Clinical Excellence, and its Recent Guidance for Intrapartum Care The National Institute for Health and Clinical Excellence (NICE) is an independent organization with legal status as a Special Health Authority to the National Health Service (NHS) in England and Wales. Its purpose is to develop guidance regarding quality and cost-e¡ectiveness of clinic...

Several international studies have found higher rates of adverse neonatal outcomes such as neonatal death (within 28 days of birth) and intrapartum death (death during delivery) for babies born on the weekend or during the night. Several methodological limitations in these studies make it difficult to determine whether the difference is attributable to decreased quality of care or more complica...

Abstract Background Malawi implemented a Results Based Financing (RBF) model for Maternal and Newborn Health, “RBF4MNH” at public hospitals in four Districts, with the aim of improving health outcomes. We used this context to seek evidence impact intervention on rates antepartum intrapartum stillbirth, taking women’s risk factors into account. Methods maternity unit delivery registers districts...

OBJECTIVE To evaluate the safety of home births in North America involving direct entry midwives, in jurisdictions where the practice is not well integrated into the healthcare system. DESIGN Prospective cohort study. SETTING All home births involving certified professional midwives across the United States (98% of cohort) and Canada, 2000. PARTICIPANTS All 5418 women expecting to deliver...

OBJECTIVE The objective of this study was to compare the neonatal outcomes and intrapartum events conducted by staff versus resident physicians in full term vaginal deliveries. METHODS We divided study population (n = 5,007) into two groups: staff versus resident physicians. These two groups were sub-divided; faculty versus fellow and senior versus junior resident, respectively. The maternal ...