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Collective Forgetting of American Vaginal Breech Delivery.
J Hist Med Allied Sci
January 2025
Ben-Gurion University, Israel.
When asked why nearly all doctors refer their breech cases to surgery, despite non-surgical breech birth being permitted throughout the United States, an obstetrician will likely cite the Term Breech Trial (TBT). This study, conducted in 2000, decisively concluded that planned cesarean delivery is safer than vaginal breech delivery. However, a review of the literature suggests that the decline of vaginal breech deliveries was a long time in the making.
View Article and Find Full Text PDFCreating effective teams and valuing patient-centered care to change culture and improve equity on labor and delivery: a qualitative study.
BMC Health Serv Res
December 2024
Department of Neurology, The University of Chicago Pritzker School of Medicine, 5841 S. Maryland Ave, Chicago, IL, 60637, USA.
Background: Efforts to reduce cesarean birth overuse have had varied success. De-implementation strategies that incorporate change to organizational characteristics (i.e.
View Article and Find Full Text PDFSupporting Labor After 2 Cesarean Births.
J Midwifery Womens Health
December 2024
Fairfield University Marion Peckham Egan School of Nursing and Health Studies, Fairfield, Connecticut.
Labor after cesarean (LAC) is a safe alternative for pregnant persons who have had 1 or 2 previous cesarean births (CBs) and have no contraindication to vaginal birth. When compared with repeat CB, vaginal birth after cesarean (VBAC) reduces short- and long-term health complications and morbidity and should therefore be presented as an option. Despite recommendations from the American College of Nurse-Midwives and the American College of Obstetricians and Gynecologists in support of LAC, not all pregnant persons who are candidates have access to this option.
View Article and Find Full Text PDF"Don't give up, advocate for yourself": A pilot study examining healthcare experiences of people with Mayer Rokitansky Küster Hauser syndrome (MRKH).
J Pediatr Adolesc Gynecol
December 2024
Queen's University, Department of Psychology. Electronic address:
Study Objective: Mayer Rokitansky Küster Hauser syndrome (MRKH) is characterized by the underdevelopment or absence of the uterus and upper vagina. Navigating healthcare interactions may present unique challenges for those with MRKH as there appears to be sparse clinical education and research available to healthcare providers. Additionally, limited research exists on the healthcare experiences of people with MRKH.
View Article and Find Full Text PDFThe prevalence of threatened miscarriage in Malta.
Eur J Obstet Gynecol Reprod Biol X
December 2024
Department of Anatomy, Faculty of Medicine and Surgery, University of Malta, Malta.
A retrospective cohort study was conducted in Malta to assess the prevalence of threatened miscarriage. The study focuses on cases managed at a local state hospital over a 12-month period. Currently, data on pregnancies prior to 22 weeks' gestation are not publicly available, which hampers understanding of the frequency and impact of threatened miscarriage.
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