OBJECTIVE To perform trend analysis of primary midwife-led delivery care for 'low risk' pregnant women at our hospital. METHODS A retrospective cohort study was performed to examine trends and outcomes of labor under primary midwife-led delivery care at the Japanese Red Cross Katsushika Maternity Hospital between 2008 and 2012. RESULTS During the study period, the rate of deliveries initial...

Effective communication and emotional support of parturient women improve the outcome of childbirth. Reduction in Duration of labor, cesarean rate, use of anesthesia, and 5 minute Apgar Score less than 7 can achieve. This study was a part of a large mixed method study during 2013-2014. In this qualitative study, in-depth interviews were conducted with 32 participants (16 mother and 16 midwife),...

previously and the cord was being tightly held by a Chaniar midwife with her dirty hand. As the patient was a purdalinasliin lady, I could not proceed further, but sent for a Corporation midwife, who completed the third stage manually. I then gave 1 c.c. of pituitrin as the uterus was still bulky and the patient much prostrated. The midwife informed me that there was no tearing of the external ...

BACKGROUND The migration of health professionals trained in Africa to developed nations has compromised health systems in the African region. The financial losses from the investment in training due to the migration from the developing nations are hardly known. METHODS The cost of training a health professional was estimated by including fees for primary, secondary and tertiary education. Acc...

BACKGROUND Over the last two decades, childbirth worldwide has been increasingly concentrated in large centralized hospitals, with a parallel trend toward more birth interventions. At the same time in several countries, interest in midwife-led care and free-standing birth centers has steadily increased. The objective of this review is to establish the current evidence base for free-standing, mi...

"The fault, dear Brutus, is not in our stars, / But in ourselves that we are underlings." The words of Shakespeare are not dimmed for us. In some respects we are nearer to the thought of his day than we like to admit, for the cults of astrology, numerology and their ilk still find ready adherents. The superstitions of the ball diamond seem to amuse us but it is disappointing to find counterpart...

OBJECTIVE To compare intrapartum and neonatal mortality in low-risk term women starting labour in midwife-led versus obstetrician-led care. STUDY DESIGN We performed a propensity score matched study using data from our national perinatal register, completed with data from medical files. We studied women without major risk factors with singleton pregnancies who gave birth at term between 2005 ...

OBJECTIVE The aims of this study was to use visits for contraceptive counselling as opportunities for examining women's actual life style habits with the main focus being placed on alcohol consumption but also to evaluate the women's opinions about discussing their alcohol and tobacco habits and their weight status. METHODS A total of 535/802 (67%) women completed a study-specific anonymous q...