Category «Research»

How hard will be be to organize maternity hospitals in the United States?

Today I want to share two studies describing what may be considered the ‘capacity’ of hospitals. 1 2  The research team surveyed hosptials in California about their staffing, treatments available, and the types of treatments they are able to provide. Why? Because the joint ACOG/SMFM statment on regionalization of hosptials organized hosptials by thier ‘capacity’.3 These …

Should I choose organic foods when pregnant?

The terms organic and natural are sometimes placed on food packaging. In some areas, these terms have specific definitions. For example, the US Food and Drug Administration has set standard definitions for what is in a product that bears these names. Foods are allowed to be called USDA Organic when at least 95% of the ingredients …

Food Safety in Pregnancy

When you think of food-borne illness, do you think of the major outbreaks reported in the media? These outbreaks receive most of our national food safety attention, but according to the CDC these represent only 5% of the food-borne illness cases that occur every year. The CDC estimates 1 in 6 Americans get sick from …

Research on Pain in Childbirth

Hodnett ED. Home-like versus conventional institutional settings for birth (Cochrane Review) In this review, Hodnett found that a home-like setting for a birth center was associated with lower rates of intrapartum analgesia/anaesthesia (pain medication), augmented labour (using pitocin to “speed things up”), and operative delivery (cesarean surgery) , as well as greater satisfaction with care. …

Induction: An Annotated Bibliography

J. Christopher Glantz MD MPH (2003) Labor Induction Rate Variation in Upstate New York: What Is the Difference? Birth 30 (3), 168–174. Research Conclusions: Labor induction rates are highly variable among and within hospitals. Delivery volume, population risk status, and differences in cesarean section rates did not explain this variation. Irion O, Boulvain M. Induction of …

How effective is an epidural?

When it comes to relief of labor pain, everyone agrees epidurals are the best medication for the job. But when the question of how an epidural affects labor is asked, a variety of points of view compete for attention. In fact, there is some heated disagreement on epidurals in childbirth. Part of the problem lies …