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Increasing IV Fluids in Labor: Medical-Model Thinking Strikes Again!

“Plenty of IV Fluids May Make Childbirth Safer, Easier,” enthuses the Philadelphia Inquirer, over a systematic review (a “study of studies” on a particular topic) finding that infusing IV fluids [...]

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Continuous Fetal Monitoring (Cardiotocography) Flunks Its Test—Again

A Lancet commentary trying to explain away the findings of a trial of computerized interpretation of fetal monitoring tracings popped up in CBU’s Google alerts, but we get ahead of ourselves. [...]

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Systematic Review Finds Eating and Drinking in Labor to Be Benign

A Lamaze International internal e-newsletter points us to a new systematic review, meaning a study of studies on a particular issue, of nutritive oral intake vs. ice chips or water alone. In the [...]

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ACOG Endorses Optimal Care—Sort Of

Abstract: Obstetrician-gynecologists . . . can help women meet their goals for labor and birth by using techniques that are associated with minimal interventions and high rates of patient [...]

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Doctors Discover Miracle Treatment for Ineffective Contractions: Physiologic Care

Italian obstetricians report that replacing standard management of slow labor with a physiologic approach greatly reduced cesarean deliveries and the use of other medical interventions in [...]

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Clinical Guidelines Endorse Physiologic Care in Labor

The Lancet has devoted an issue to maternal health that includes a systematic review of maternity care practice guidelines entitled: “Beyond too little, too late and too much, too soon: a pathway [...]

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Leapfrog 2015 Survey Finds Few U.S. Hospitals Come Up to Snuff on Maternity Care

The Leapfrog Group, which collects data on a voluntary basis from hospitals and compares results with national standards in order to evaluate quality of care, opens its 2015 report on U.S. [...]

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Skin-to-Skin Contact & Early Breastfeeding Reduce Excessive Bleeding

The current issue of Midwifery Matters summarizes a study of the effects of having the baby skin-to-skin after birth and breastfeeding initiation soon after birth on postpartum blood loss of 500 [...]

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Labor Drugs Have Adverse Effect on Newborn Ability to Suckle

According to a study soon to be published in Birth, epidural fentanyl and IV oxytocin have dose-dependent negative effects on instinctive newborn ability to suckle. Investigators blinded to [...]

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ASA Moves Toward Supporting Eating in Labor

A Giving Birth with Confidence post discusses a press release put out by the American Society of Anesthesiologists entitled “Most Healthy Women Would Benefit from Light Meal During [...]

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