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Pregnancy Complications Are A Stress Test For Future Maternal Health And Pregnancies

Posted by Melissa Maimann on Jul 11, 2009 in Obstetrics

For further information, contact Melissa Maimann at Essential Birth Consulting.

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… women who have had two pregnancies complicated by preeclampsia are at a higher risk of hypertension after pregnancy.

… “while delivery may ‘cure’ preeclampsia in the moment, these mothers are at high risk of chronic hypertension, type 2 diabetes mellitus and blood clots for the rest of their lives. Pregnancy acts like a natural stress test for women.”

… the research adds to growing data on the link between hypertensive pregnancy disorders, diabetes, cardiovascular disease and maternal death …

… preterm delivery, preeclampsia and low-birth weight tend to recur and predispose to each other in a second pregnancy. The severity of the complication in the first pregnancy further increases these risks.

… if their first pregnancy resulted in a delivery between 32 and 36 weeks of gestation, the risk of a preterm delivery in the second pregnancy increased to 14.7% … if their first pregnancy resulted in an even earlier preterm delivery- between 28 and 32 weeks of gestation-the risk of a preterm delivery in the second pregnancy increased to 25.4%. Delivery between 20 and 27 weeks in the first pregnancy doubled the risk for delivering a baby that was small for gestational age in the second pregnancy.

… spontaneous preterm delivery, preeclampsia, low fetal growth, placental abruption and stillbirth in a first and second pregnancy are interrelated,” … “Perhaps they all may be features of a ‘placenta-associated syndrome.’ …

Melissa Maimann, Essential Birth Consulting 0400 418 448

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Home birth worries prompt action call

Posted by Melissa Maimann on Jul 11, 2009 in Home birth, Midwifery, Normal Birth

For further information, contact Melissa Maimann at Essential Birth Consulting.

HOME-birth advocates have welcomed the Federal Government’s reaction to the Maternity Services Review but say there is still a long way to go if women’s choices are to be truly respected.

In April, the Leader reported that home-birth supporters were alarmed that births outside of hospitals and birthing centres could become illegal after July 1, 2010, unless issues over the indemnity of privately practising midwives were resolved.

The Federal Government, in its response to the review, has flagged the establishment of a new government-supported professional indemnity scheme for eligible midwives.

However, this PI insurance will not cover private home birth.

Does anyone ever hear the term “hospital birth advocates”? “Home birth advocates” seems to be thrown around, as if it’s some sort of odd thing to want or to do. I would think that willingly putting yourself in a place that is intended for sick and dying people, when you’re healthy and well, deserves more attention. Anyway …. back to the article:

… Other changes announced by the Government include the introduction of legislation that will give midwives access to the Medical Benefits Schedule and Pharmaceutical Benefits Scheme (PBS) for the first time.

But only for hospital birth.

… Maternity Coalition’s national president, Lisa Metcalfe, welcomed the changes, especially those giving midwives access to Medicare and the PBS, but said many women would miss out on the proposed changes if national registration of all health professionals proceeds for it would effectively ban homebirth with a midwife.

“… we are taking a big step backward for a women’s right to choose their place of birth,” she said. “Our vision is for all Australian women to be able to choose where, how and with whom they birth.”

Melissa Maimann, Essential Birth Consulting 0400 418 448

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Endometriosis ups risk of preterm birth

Posted by Melissa Maimann on Jul 11, 2009 in Birth, Obstetrics

For further information, contact Melissa Maimann at Essential Birth Consulting.

Link

Pregnant women with endometriosis are at increased risk for delivering prematurely as well as suffering a number of other adverse pregnancy outcomes …

… While 5 in 100 women without endometriosis delivered preterm, nearly 7 in 100 women with endometriosis delivered preterm …

“Endometriosis appears to be a risk factor for preterm birth, irrespective of ART,” …

… delivery by C-section was almost twice as common in women with endometriosis compared to women without endometriosis.

Women with endometriosis were also more likely to suffer from pre-eclampsia …

Melissa Maimann, Essential Birth Consulting 0400 418 448

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Will IVF Work For A Particular Patient? The Answer May Be Found In Her Blood

Posted by Melissa Maimann on Jul 11, 2009 in Birth, Obstetrics

For further information, contact Melissa Maimann at Essential Birth Consulting.

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… researchers have been able to identify genetic predictors of the potential success or failure of IVF treatment in blood.

… The researchers found that the peripheral blood gene expression ’signature’ (also known as the transcriptome) before IVF was predictive of IVF outcome.

One of the most difficult decisions for patients who have had unsuccessful IVF treatments is whether they should undergo further attempts at IVF, or if there are ways to optimise chances of success. The researchers hope that the results generated by this work will lead to the development of a test to aid in IVF decision-making. They say that their work will help to identity biomarkers that can identify events occurring at implantation, the maintenance of pregnancy and successful or unsuccessful pregnancy outcome.

Melissa Maimann, Essential Birth Consulting 0400 418 448

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