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Birth outcomes associated with interventions
Women Birth. 2007 Jun;20(2):41-8. Epub 2007 Apr 27.
Birth outcomes associated with interventions in labour amongst low risk women: a population-based study.
Tracy SK, Sullivan E, Wang YA, Black D, Tracy M.
Australian Institute of Health and Welfare, National Perinatal Statistics Unit, School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Sydney, NSW 2031, Australia. stracy@ozemail.com.au
INTRODUCTION: Despite concern over high rates of operative birth in many countries, particularly amongst low risk healthy women, the obstetric antecedents of operative birth are poorly described. We aimed to determine the association between interventions introduced during labour with interventions in the birth process amongst women of low medical risk. METHODS: We undertook a population-based descriptive study of all low risk women amongst the 753,895 women who gave birth in Australia during 2000-2002. Adjusted odds ratios (AOR) were calculated using multinomial logistic regression to describe the association between mode of birth and each of four labour intervention subgroups separately for primiparous and multiparous women. RESULTS: We observed increased rates of operative birth in association with each of the interventions offered during the labour process. For first time mothers the association was particularly strong. CONCLUSIONS: This study underlines the need for better clinical evidence of the effects of epidurals and pharmacological agents introduced in labour. At a population level it demonstrates the magnitude of the fall in rates of unassisted vaginal birth in association with a cascade of interventions in labour and interventions at birth particularly amongst women with no identified risk markers and having their first baby. This information may be useful for women wanting to explore other methods of influencing the course of labour and the management of pain in labour, especially in their endeavour to achieve a normal vaginal birth.
PMID: 17467355 [PubMed - indexed for MEDLINE]
Publication Types, MeSH Terms
Publication Types:
Research Support, Non-U.S. Gov't
MeSH Terms:
Adult
Anesthesia, Epidural/statistics & numerical data
Australia/epidemiology
Cesarean Section/statistics & numerical data
Confidence Intervals
Cross-Sectional Studies
Decision Making
Delivery, Obstetric/statistics & numerical data*
Episiotomy/statistics & numerical data
Extraction, Obstetrical/statistics & numerical data
Female
Humans
Infant, Newborn
Labor Pain/epidemiology
Labor, Induced/statistics & numerical data
Maternal Health Services/organization & administration
Maternal Welfare/statistics & numerical data*
Obstetric Labor Complications/epidemiology*
Obstetric Labor Complications/prevention & control
Odds Ratio
Pregnancy
Pregnancy Outcome/epidemiology*
Risk Factors
LinkOut - more resources
Full Text Sources:
Elsevier Science
EBSCO
Nursing Consult
OhioLINK Electronic Journal Center
Swets Information Services
Education:
New England Research Institutes Inc.
Medical:
Childbirth - MedlinePlus Health Information
High Risk Pregnancy - MedlinePlus Health Information
Birth outcomes associated with interventions in labour amongst low risk women: a population-based study.
Tracy SK, Sullivan E, Wang YA, Black D, Tracy M.
Australian Institute of Health and Welfare, National Perinatal Statistics Unit, School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Sydney, NSW 2031, Australia. stracy@ozemail.com.au
INTRODUCTION: Despite concern over high rates of operative birth in many countries, particularly amongst low risk healthy women, the obstetric antecedents of operative birth are poorly described. We aimed to determine the association between interventions introduced during labour with interventions in the birth process amongst women of low medical risk. METHODS: We undertook a population-based descriptive study of all low risk women amongst the 753,895 women who gave birth in Australia during 2000-2002. Adjusted odds ratios (AOR) were calculated using multinomial logistic regression to describe the association between mode of birth and each of four labour intervention subgroups separately for primiparous and multiparous women. RESULTS: We observed increased rates of operative birth in association with each of the interventions offered during the labour process. For first time mothers the association was particularly strong. CONCLUSIONS: This study underlines the need for better clinical evidence of the effects of epidurals and pharmacological agents introduced in labour. At a population level it demonstrates the magnitude of the fall in rates of unassisted vaginal birth in association with a cascade of interventions in labour and interventions at birth particularly amongst women with no identified risk markers and having their first baby. This information may be useful for women wanting to explore other methods of influencing the course of labour and the management of pain in labour, especially in their endeavour to achieve a normal vaginal birth.
PMID: 17467355 [PubMed - indexed for MEDLINE]
Publication Types, MeSH Terms
Publication Types:
Research Support, Non-U.S. Gov't
MeSH Terms:
Adult
Anesthesia, Epidural/statistics & numerical data
Australia/epidemiology
Cesarean Section/statistics & numerical data
Confidence Intervals
Cross-Sectional Studies
Decision Making
Delivery, Obstetric/statistics & numerical data*
Episiotomy/statistics & numerical data
Extraction, Obstetrical/statistics & numerical data
Female
Humans
Infant, Newborn
Labor Pain/epidemiology
Labor, Induced/statistics & numerical data
Maternal Health Services/organization & administration
Maternal Welfare/statistics & numerical data*
Obstetric Labor Complications/epidemiology*
Obstetric Labor Complications/prevention & control
Odds Ratio
Pregnancy
Pregnancy Outcome/epidemiology*
Risk Factors
LinkOut - more resources
Full Text Sources:
Elsevier Science
EBSCO
Nursing Consult
OhioLINK Electronic Journal Center
Swets Information Services
Education:
New England Research Institutes Inc.
Medical:
Childbirth - MedlinePlus Health Information
High Risk Pregnancy - MedlinePlus Health Information
Thursday, November 12, 2009
Importance of Childbirth Education & Doula Care
When you get the proper education & care throughout pregnancy & childbirth you improve your chances of having a healthier, and more empowering birth.
This is your baby, it is up to you to decide what kind of birth is best for you.
Your best birth is one where you feel empowered because you know all your options and are confident in the decisions you have made about your birth.
This is your baby, it is up to you to decide what kind of birth is best for you.
Your best birth is one where you feel empowered because you know all your options and are confident in the decisions you have made about your birth.
Chiropractic is beneficial in pregnancy
Pregnancy & the birth process can be physically stressing on the body, chiropractic care can help maintain the body's proper alignment.
sacral misalignment causes tightening in the muscles & ligaments of the pelvis. these effects on the uterus prevent the baby from comfortably assuming the best possible position for birth.
What is Websters?
An adjustment of the pelvic region that many times aids with breech, posterior (OP), & the onset & progression of labor.
Chiropractic Treatment may aid with:
*Swelling
*Back pain
*Sciatica
*Headaches
*Breathing difficulties
*Rib pain
*Postpartum depression & more......
sacral misalignment causes tightening in the muscles & ligaments of the pelvis. these effects on the uterus prevent the baby from comfortably assuming the best possible position for birth.
What is Websters?
An adjustment of the pelvic region that many times aids with breech, posterior (OP), & the onset & progression of labor.
Chiropractic Treatment may aid with:
*Swelling
*Back pain
*Sciatica
*Headaches
*Breathing difficulties
*Rib pain
*Postpartum depression & more......
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