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Experience of decision-making for home breech birth: An interpretive description.
SSM Qual Res Health
June 2024
Vanderbilt University, Nashville, TN, USA.
Despite research and recommendations supporting shared decision-making and vaginal birth as a reasonable option for appropriately screened candidates with a term breech pregnancy, cesarean remains the only mode of birth available in most hospitals in the United States. Unable to find care for planned vaginal birth in a hospital setting, some individuals choose to pursue breech birth at home, potentially placing themselves and their infants at increased risk. Through this analysis of qualitative data gathered from a mixed methods study, we explored the experience of decision-making of 25 individuals who left the US hospital system to pursue a home breech birth.
View Article and Find Full Text PDFDigital vs formal teaching of vaginal breech delivery: Which is the residents' choice?
Eur J Obstet Gynecol Reprod Biol
December 2024
Department of Obstetrics and Gynecology, Santo Spirito Hospital, Pescara, affiliated University G. d'Annunzio Chieti-Pescara, Italy; EASC, Santo Spirito Hospital, Pescara, Italy. Electronic address:
Article Synopsis
- The study focuses on improving residents' training in managing breech deliveries, a critical skill in obstetrics, especially as vaginal deliveries of breech cases decline in favor of cesarean sections.
- A randomized controlled trial was conducted where obstetrics residents were divided into two groups: one received a formal lecture while the other used digital materials for home learning, with both groups evaluated through a simulation test.
- Results showed no significant differences in performance based on the type of learning, although the digital group scored slightly higher in some questionnaire aspects, indicating that both learning methods are effective in training for vaginal breech deliveries.
Refining Risk Factors for Developmental Dysplasia of the Hip in Neonates: A Cross-Sectional Study in a Tertiary Referral Center.
Med J Islam Repub Iran
June 2024
Department of Radiology, Tehran University of Medical Sciences, imam Khomeini hospital, Tehran, Iran.
Article Synopsis
- Developmental dysplasia of the hip (DDH) is a condition with various structural abnormalities in the hip, where early diagnosis and treatment are crucial for optimal outcomes.
- This study involved 399 infants to assess the prevalence of DDH, particularly focusing on those with and without associated risk factors, as well as the effectiveness of ultrasound screening in diagnosing this condition.
- Results showed that 25.8% of infants with risk factors had DDH compared to 2.8% without, with factors like being female and having limb anomalies significantly increasing the risk, highlighting ultrasound's effectiveness for early screening.
Impact of a simulator-based training program on the success rate of external cephalic version.
Eur J Obstet Gynecol Reprod Biol
October 2024
Faculdade de Medicina, Universidade de Lisboa, Portugal; Departamento de Obstetrícia, Ginecologia e Medicina da Reprodução, Centro Hospitalar Universitário Santa Maria, Lisboa, Portugal.
Article Synopsis
- This study aimed to assess the effects of a simulation-based training program on the success and complication rates of external cephalic version (ECV) at a university medical center.
- Data from two years before and after the training were analyzed, revealing similar success rates: 44.8% before training and 43.2% after, without any major complications.
- The conclusion indicates that the structured training program did not significantly improve the outcomes of ECV procedures at the facility.
Barriers and facilitators for implementation of OptiBreech collaborative care: A qualitative study as part of an implementation process evaluation.
Women Birth
September 2024
School of Healthcare, Leicester University, Leicester, United Kingdom.
Article Synopsis
- The problem highlighted is the limited training and clinical experience in breech birth, leading to reduced confidence among maternity professionals.
- The OptiBreech collaborative care pathway aims to enhance safety and professional training for breech presentations by providing person-centered care and dedicated support facilities.
- Through interviews with staff at OptiBreech trial sites, key factors such as skill development, resource availability, and social support were identified as facilitators and barriers, offering insights for improving future implementation of this care model.*
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