In Nepal, most births take place at home, and many, particularly in rural areas, are not attended by a skilled birth attendant. The main objectives of the study were to assess the use of skilled delivery care and barriers to access such care in a rural community and to assess health problems during delivery and seeking care. This cross-sectional study was carried out in two Village Development ...

Reviewer's report: The authors have made significant improvements to the manuscript and with some editorial changes I think it is acceptable for publication. In general they have eliminated the assumption for which they have no direct data – that maternal request must be driving the differences in rates. They occasionally slip back into that language as noted below and that is where I would urg...

INTRODUCTION Overt thyroid disease in pregnancy is associated with numerous maternal and neonatal complications including preterm birth. Less is known about the contribution of trimester-specific subclinical alterations in individual thyroid hormones, especially in late gestation, on the risk of preterm birth. Herein, we examined the associations between subclinical changes in maternal thyroid ...

BACKGROUND Preterm delivery is a major health problem and contributes to more than 50% of all neonatal and infant deaths. Recently, there has been a renewed interest in the use of cervical pessaries as a safe and effective intervention with few maternal side-effects for the prevention of preterm birth in both single and twin pregnancies. CASE PRESENTATION A 43-year-old gravida 5, para 1 (prev...

Follow this and additional works at: http://engagedscholarship.csuohio.edu/clphil_facpub Part of the Bioethics and Medical Ethics Commons, Obstetrics and Gynecology Commons, and the Philosophy of Science Commons How does access to this work benefit you? Let us know! Publisher's Statement Article originally published as Charles, S. (2012). The ethics of vaginal birth cesarean. Hastings Center Re...

OBJECTIVE To determine Turkish women's opinion about vaginal birth. MATERIALS AND METHODS This prospective cohort study was conducted in Department of Obstetrics and Gynecology of Süleymaniye Maternity Research and Training Hospital in İstanbul, Turkey, between February 2015 and April 2015. The participants of this study were 100 primiparous pregnant women who had vaginal deliveries. The wome...

Between 1970 and 2007, the cesarean delivery rate in the United States increased dramatically from 5% to more than 31% (6, 7). This increase was a result of several changes in the practice environment, including the introduction of electronic fetal monitoring and the decrease in use of vaginal breech deliveries and forceps deliveries (8–10). The increase in cesarean delivery rates was partly pe...

OBJECTIVE To examine the outcomes of neonates born by elective repeat cesarean delivery compared with vaginal birth after cesarean (VBAC) in women with one prior cesarean delivery and to evaluate the cost differences between elective repeat cesarean and VBAC. METHODS We conducted a retrospective cohort study of 672 women with one prior cesarean delivery and a singleton pregnancy at or after 3...