scholarly journals Low Primary Cesarean Rate and High VBAC Rate With Good Outcomes in an Amish Birthing Center

2012 ◽  
Vol 10 (6) ◽  
pp. 530-537 ◽  
Author(s):  
J. Deline ◽  
L. Varnes-Epstein ◽  
L. T. Dresang ◽  
M. Gideonsen ◽  
L. Lynch ◽  
...  
Keyword(s):  
2010 ◽  
Vol 5 (1) ◽  
pp. 67
Author(s):  
Wilma Lilian Lima Barros ◽  
Edileusa Costa ◽  
Silvana Schwerz Funghetto ◽  
Lara Mabelle Milfont Boeckmann ◽  
Paula Elaine Diniz Dos Reis ◽  
...  

ABSTRACTObjective: to know the women's perception in the postpartum about the provided health assistance during the labor and delivery at San Sebastian Birthing Center in District Federal, Brazil’s capital. Methodology: this is about a qualitative study, performed with ten women who experienced the delivery and postpartum period in this birthing center. The project was approved by the Ethics Committee of the Health State Secretary of the District Federal with protocol number 264/2007. Results: the themes of the study were found and classed in the following way: Pre-natal assistance, birth process and puerperal assistance. The women’s narrations were analyzed and it was referred in the major statements, humanization’s actions in the delivery moment and in the puerperal period, however the same women related scanty orientations and information in pre-natal appointments that would be very relevant to live these experiences with self-control and safety. Conclusion: the present study evidenced that at San Sebastian Birthing Center, the executed work correspond to a humanized assistance that is offered to the pregnant women who are admitted at this birthing center. The procedures that are used in this birthing center are humanized and they are according to World Health Organization’s recommendations, which were confirmed by the collected report of the women who participated of the study. Descriptors: birth; humanizing delivery; postpartum.RESUMOObjetivo: conhecer a percepção das puérperas sobre a assistência desenvolvida na Casa de Parto de São Sebastião do Distrito Federal. Metodologia: trata-se de estudo descritivo e exploratório, de abordagem qualitativa, com dez mulheres que vivenciaram o parto e puerpério na Casa de Parto após a aprovação do projeto de pesquisa pelo Comitê de Ética em Pesquisa da Secretaria de Estado em Saúde do Distrito Federal com parecer nº 264/2007. Resultados: as categorias temáticas encontradas foram: Assistência no pré-natal, Assistência no processo de parturição e Assistência no puerpério. Nas análises das falas das puérperas foi referido ações referentes à humanização da assistência no momento da parturição e puerpério, contudo as mesmas relataram escassez de orientações e informações no Pré-natal que julgaram ser importantes para vivenciar o parto e puerpério com segurança. Conclusão: o presente estudo evidenciou que o trabalho desenvolvido na instituição corresponde a uma assistência humanizada às parturientes que são acolhidas na Casa de Parto São Sebastião. Tais procedimentos utilizados estão em sintonia com as recomendações da Organização Mundial de saúde, o que foi constatado nos depoimentos colhidos das puérperas participantes do estudo. Descritores: parto; humanização no parto; puerpério. RESUMENObjetivo: conocer la percepción de las puérperas acerca de la asistencia desenvuelta en la Casa de São Sebastião del Distrito Federal. Metodología:trata-se de uno estudio qualitativo con diez mujeres que tuvieran sus partos e puerpérios en la Casa Del Parto. Las categorías temáticas encontradas fueron: Asistencia durante la gestación, Asistencia en el proceso de parturición y Asistencia en el puerpério. El proyecto fue aprobado por el Comité de Ética de la da Secretaria de Estado em Saúde do Distrito Federal com parecer nº 264/2007. Resultados: en análisis a las respuestas de las puérperas, fue citado acciones acerca de la humanización de la asistencia durante la parturición y puerpério, entretanto las mismas relataron la escasez de orientaciones y informaciones en el prenatal que juzgaban importantes para la seguridad en el parto y puerperio. Conclusiones: el presente estudio evidencio que el trabajo desenvuleto en la instituición corresponde a una asistencia humanizada a las parturientes que son acollidas en la Casa del Parto. Los procedimientos utilizados estan en sintonia con las recomendaciones de la Organización Mundial de Salud, lo que fue constatado en los depoimientos collidos de las puérperas participantes del estudio. Descriptores: parto; humanización del parto; puerperio. 


PLoS ONE ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. e0177602 ◽  
Author(s):  
Resham Bahadur Khatri ◽  
Tara Prasad Dangi ◽  
Rupesh Gautam ◽  
Khadka Narayan Shrestha ◽  
Caroline S. E. Homer

1970 ◽  
Vol 2 (1) ◽  
pp. 20-22
Author(s):  
Manohar Joshi

Objective: To find out the obstetric care management and the consequences of home based delivery assisted by skilled birth attendants or quacks from registered delivery of referral cases in Bhim Hospital, Siddharthnagar, Rupandehi district, Nepal. Methods: This is a retrospective and descriptive study of the clients who were referred to and from Bhim Hospital, Siddharthnagar for obstetric conditions during the past four years (2058-2061). Results: A total number of 3174 women were cared during these 4 years (2058-2061). A decreasing tendency in hospital deliveries were noted during the same period of four years (2058-2061). The numbers of cases being referred from the community were seen to increase every year from 4.6% in the first years to 19.8% in the fourth year. Out of the 380 cases referred 188 were complicated obstetric cases. Among them 48 women were delivered by ventouse while 140 women had to be re-referred for operative delivery to district hospital having caesarean facility. This was shear wastage of time. Holding back the laboring women in villages for the benefit of incentive; provided by Government to promote home based delivery care was speculated to be one of the reasons why women were brought so late. Conclusion. In view of women's benefit and to limit unnecessary dilly-dallying in between, it is rather better to refer difficult obstetric case from the community directly to the district hospitals, equipped with extended comprehensive emergency obstetric care (CEOC) services, escaping various ladders of referral thus saving time. Instead a concept of birthing center to be emphasized more than home based delivery. Keywords: Birthing center, extended CEOC services, ventouse delivery in the community.   doi:10.3126/njog.v2i1.1471 N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 20 - 22 May -June 2007


2002 ◽  
Vol 27 (5) ◽  
pp. 294-298 ◽  
Author(s):  
Carol White ◽  
Mary Simon ◽  
Audrey Bryan

2012 ◽  
Vol 22 (1) ◽  
pp. 22-31
Author(s):  
Tamala S. Bradham ◽  
K. Todd Houston ◽  
Karen Muñoz

Over the past 60 years, experts have made tremendous strides to establish and strengthen early hearing detection and intervention (EHDI) programs in all 50 states and the U.S. territories. Today, approximately 97% of all newborns are screened for hearing loss prior to discharge from a birthing center or hospital (White, Forsman, Eichwald, & Muñoz, 2010). This level of hearing screening is a significant achievement that requires ongoing collaboration among program administrators, policymakers, service providers, and, most importantly, families and children with hearing loss. Although we have learned many lessons that have strengthened the efficiency of the EHDI system, challenges do remain. In this paper, we will share lessons learned in the trenches and provide insights into where we go from here.


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