scholarly journals Healthy Birth Practice #1: Let Labor Begin on Its Own

2014 ◽  
Vol 23 (4) ◽  
pp. 178-187 ◽  
Author(s):  
Debby Amis
Keyword(s):  
United States ◽  
The United States ◽  
Labor Induction ◽  
Professional Organizations ◽  
Care Practice ◽  
Evidence Based ◽  
Normal Birth ◽  
Care Practices

As cesarean rates have climbed to almost one-third of all births in the United States, current research and professional organizations have identified letting labor begin on its own as one of the most important strategies for reducing the primary cesarean rate. At least equally important, letting labor begin on its own supports normal physiology, prevents iatrogenic prematurity, and prevents the cascade of interventions caused by labor induction. This article is an updated evidence-based review of the “Lamaze International Care Practices That Promote Normal Birth, Care Practice #1: Let Labor Begin on Its Own,” published in The Journal of Perinatal Education, 16(3), 2007.

scholarly journals Healthy Birth Practice #5: Avoid Giving Birth on Your Back and Follow Your Body’s Urge to Push

2014 ◽  
Vol 23 (4) ◽  
pp. 207-210 ◽  
Author(s):  
Joyce T. DiFranco ◽  
Marilyn Curl
Keyword(s):  
United States ◽  
Supine Position ◽  
The United States ◽  
Care Practice ◽  
Evidence Based ◽  
Birth Experience ◽  
Normal Birth ◽  
Care Practices

Women in the United States are still giving birth in the supine position and are restricted in how long they can push and encouraged to push forcefully by their caregivers. Research does not support these activities. There is discussion about current research and suggestions on how to improve the quality of the birth experience. This article is an updated evidence-based review of the “Lamaze International Care Practices That Promote Normal Birth, Care Practice #5: Spontaneous Pushing in Upright or Gravity-Neutral Positions,” published in The Journal of Perinatal Education, 16(3), 2007.

scholarly journals Healthy Birth Practice #2: Walk, Move Around, and Change Positions Throughout Labor

2014 ◽  
Vol 23 (4) ◽  
pp. 188-193 ◽  
Author(s):  
Michele Ondeck
Keyword(s):  
United States ◽  
Severe Pain ◽  
Obstetric Care ◽  
The United States ◽  
Care Practice ◽  
Evidence Based ◽  
Freedom Of Movement ◽  
Normal Birth ◽  
Childbirth Experience ◽  
Care Practices

In the United States, obstetric care is intervention intensive, resulting in 1 in 3 women undergoing cesarean surgery wherein mobility is treated as an intervention rather than supporting the natural physiologic process for optimal birth. Women who use upright positions and are mobile during labor have shorter labors, receive less intervention, report less severe pain, and describe more satisfaction with their childbirth experience than women in recumbent positions. This article is an updated evidence-based review of the “Lamaze International Care Practices That Promote Normal Birth, Care Practice #2: Freedom of Movement Throughout Labor,” published in The Journal of Perinatal Education, 16(3), 2007.

scholarly journals Healthy Birth Practice #4: Avoid Interventions Unless They Are Medically Necessary

2014 ◽  
Vol 23 (4) ◽  
pp. 198-206 ◽  
Author(s):  
Judith A. Lothian
Keyword(s):  
Fetal Monitoring ◽  
The United States ◽  
Care Practice ◽  
Evidence Based ◽  
Intravenous Fluids ◽  
Normal Birth ◽  
Electronic Fetal Monitoring ◽  
Increase Risk ◽  
Care Practices ◽  
Continuous Electronic Fetal Monitoring

Maternity care in the United States is intervention intensive. The routine use of intravenous fluids, restrictions on eating and drinking, continuous electronic fetal monitoring, epidural analgesia, and augmentation of labor characterize most U.S. births. The use of episiotomy is far from restrictive. These interventions disturb the normal physiology of labor and birth and restrict women’s ability to cope with labor. The result is a cascade of interventions that increase risk, including the risk of cesarean surgery, for women and babies. This article is an updated evidence-based review of the “Lamaze International Care Practices That Promote Normal Birth, Care Practice #4: No Routine Interventions,” published in The Journal of Perinatal Education, 16(3), 2007.

scholarly journals Transforming Maternity Care in the United States

2018 ◽  
Vol 27 (3) ◽  
pp. 123-126
Author(s):  
Judith A. Lothian
Keyword(s):  
United States ◽  
Maternity Care ◽  
The United States ◽  
Associate Editor ◽  
Professional Organizations ◽  
Current State ◽  
Care Practices

In this column, the associate editor of The Journal of Perinatal Education provides a snapshot of the current state of maternity care in the United States and highlights the efforts of researchers, childbirth educators, and professional organizations to transform maternity care practices and, in doing so, to improve outcomes for mothers and babies. The associate editor also describes the contents of this issue, which offer a broad range of resources, research, and inspiration for childbirth educators in their efforts to promote, support, and protect natural, safe, and healthy birth.

An Emerging Model of Primary Care for Older Adults: The House Call–Home Care Practice

2009 ◽  
Vol 10 (3) ◽  
pp. 110-114 ◽  
Author(s):  
Steven H. Landers ◽  
Paul W. Gunn ◽  
Kurt C. Stange
Keyword(s):  
United States ◽  
Older Adults ◽  
Primary Care ◽  
Home Care ◽  
Nurse Practitioners ◽  
The United States ◽  
Care Practice ◽  
House Calls ◽  
House Call ◽  
Care Practices

House calls to older adults have become more common, in part related to the emergence of medical practices that either emphasize or exclusively provide house calls. In this article we seek to describe organizational, clinician, and patient characteristics of house call–home medical care practices in the United States. We conducted telephone interviews with clinicians representing 36 randomly selected practices from across the United States. This study found that house call–home care practices typically are recently formed small groups of physicians and nurse practitioners that provide in-home primary care, especially chronic disease care, to Medicare beneficiaries. Clinicians are motivated by the opportunity to improve care and to maintain autonomy. This emerging model may represent a mutually beneficial trend for older adults and physicians.

scholarly journals Healthy Birth Practice #6: Keep Mother and Baby Together— It’s Best for Mother, Baby, and Breastfeeding

2014 ◽  
Vol 23 (4) ◽  
pp. 211-217 ◽  
Author(s):  
Jeannette T. Crenshaw
Keyword(s):  
Child Outcomes ◽  
Feeding Preference ◽  
Skin Care ◽  
Care Practice ◽  
Evidence Based ◽  
Normal Birth ◽  
The Hours ◽  
Care Practices ◽  
The Moment ◽  
Skin To Skin

Mothers and babies have a physiologic need to be together at the moment of birth and during the hours and days that follow. Keeping mothers and babies together is a safe and healthy birth practice. Evidence supports immediate, uninterrupted skin-to-skin care after vaginal birth and during and after cesarean surgery for all stable mothers and babies, regardless of feeding preference. Unlimited opportunities for skin-to-skin care and breastfeeding promote optimal maternal and child outcomes. This article is an updated evidence-based review of the “Lamaze International Care Practices That Promote Normal Birth, Care Practice #6: No Separation of Mother and Baby, With Unlimited Opportunities for Breastfeeding,” published in The Journal of Perinatal Education, 16(3), 2007.

scholarly journals Healthy Birth Practice #3: Bring a Loved One, Friend, or Doula for Continuous Support

2014 ◽  
Vol 23 (4) ◽  
pp. 194-197 ◽  
Author(s):  
Jeanne Green ◽  
Barbara A. Hotelling
Keyword(s):  
Cultural Barriers ◽  
Care Practice ◽  
Evidence Based ◽  
Loved One ◽  
Labor Support ◽  
Normal Birth ◽  
Continuous Support ◽  
Care Practices

All women should be allowed and encouraged to bring a loved one, friend, or doula to their birth without financial or cultural barriers. Continuous labor support offers benefits to mothers and their babies with no known harm. This article is an updated evidence-based review of the “Lamaze International Care Practices that Promote Normal Birth, Care Practice #3: Continuous Labor Support,” published in The Journal of Perinatal Education, 16(3), 2007.

440: Barriers to the Practice of Evidence Based Urology in the United States

2007 ◽  
Vol 177 (4S) ◽  
pp. 147-148
Author(s):  
Philipp Dahm ◽  
Hubert R. Kuebler ◽  
Susan F. Fesperman ◽  
Roger L. Sur ◽  
Charles D. Scales ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Evidence Based

scholarly journals The United States’ Regulatory Environment Is Evolving to Accommodate a Coming Boom in Gene Therapy Research

2019 ◽  
Vol 24 (3) ◽  
pp. 147-152 ◽  
Author(s):  
Daniel Eisenman
Keyword(s):  
United States ◽  
Gene Therapy ◽  
Clinical Trials ◽  
The United States ◽  
Regulatory Environment ◽  
Evidence Based ◽  
Regulatory Structure ◽  
Regulatory Changes ◽  
Current State ◽  
Therapy Field

Introduction: A dramatic increase in the number of clinical trials involving gene-modified cell therapy and gene therapy is taking place. The field is on the verge of a boom, and the regulatory environment is evolving to accommodate the growth. Discussion: This commentary summarizes the current state of the field, including an overview of the growth. The United States (US) regulatory structure for gene therapy will be summarized, and the evolution of the oversight structure will be explained. Conclusion: The gene therapy field has recently produced its first FDA-approved therapeutics and has a pipeline of other investigational products in the final stages of clinical trials before they can be evaluated by the FDA as safe and effective therapeutics. As research continues to evolve, so must the oversight structure. Biosafety professionals and IBCs have always played key roles in contributing to the safe, evidence-based advancement of gene therapy research. With the recent regulatory changes and current surge in gene therapy research, the importance of those roles has increased dramatically.

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