Re: [ozmidwifery] of interest
They can't seem to get their head around women as individuals and how each birth event should be treated individually and not generalised into categories. cheers Judy --- Mary Murphy [EMAIL PROTECTED] wrote: Isn't it interesting that reasonably accurate is acceptable in medical research. One can see the scenario that risk scoring will be used to increase caesareans rather than avoid it. New risk score predicts cesarean after induction Source: Obstetrics Gynecology 2006; 107: 227-33 Simple scoring system may help decision-making when considering induction of labor. The risk of cesarean delivery after induction of labor can be predicted reasonably accurately using four simple measures, British obstetricians report. Elisabeth Peregrine and team from University College London Hospitals sought to develop a clinical model for predicting the outcome of labor induction. They evaluated maternal and ultrasound parameters in 267 women at 36 or more weeks of gestation immediately before induction of labor. The most frequent indication for induction was postdates, and 30 percent of the cohort subsequently required a cesarean delivery. In logistic regression analysis, four factors emerged as significant predictors of cesarean delivery: parity (odds ratio [OR] = 20.56), body mass index (OR = 6.17), height (OR = 0.94), and ultrasonic transvaginal cervical length (OR = 1.07). Peregrine's team used these to develop a simple risk scoring system, whereby a score of -65 to -55 indicates a more than 80 percent likelihood of cesarean delivery, and a score of -165 to -146 indicates a less than 1 percent chance. The model has reasonably good discriminatory ability, say the investigators, who conclude that it may allow more accurate counseling and better informed consent in the decision-making process when considering induction of labor. Posted: 22 February 2006 Do you Yahoo!? Check out gigs in your area on the comprehensive Yahoo! Music Gig Guide http://au.music.yahoo.com/gig-guide -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] of interest
Isnt it interesting that reasonably accurate is acceptable in medical research. One can see the scenario that risk scoring will be used to increase caesareans rather than avoid it. New risk score predicts cesarean after induction Source:Obstetrics Gynecology 2006; 107: 227-33 Simple scoring system may help decision-making when considering induction of labor. The risk of cesarean delivery after induction of labor can be predicted reasonably accurately using four simple measures, British obstetricians report. Elisabeth Peregrine and team from University College London Hospitals sought to develop a clinical model for predicting the outcome of labor induction. They evaluated maternal and ultrasound parameters in 267 women at 36 or more weeks of gestation immediately before induction of labor. The most frequent indication for induction was postdates, and 30 percent of the cohort subsequently required a cesarean delivery. In logistic regression analysis, four factors emerged as significant predictors of cesarean delivery: parity (odds ratio [OR] = 20.56), body mass index (OR = 6.17), height (OR = 0.94), and ultrasonic transvaginal cervical length (OR = 1.07). Peregrine's team used these to develop a simple risk scoring system, whereby a score of -65 to -55 indicates a more than 80 percent likelihood of cesarean delivery, and a score of -165 to -146 indicates a less than 1 percent chance. The model has reasonably good discriminatory ability, say the investigators, who conclude that it may allow more accurate counseling and better informed consent in the decision-making process when considering induction of labor. Posted: 22 February 2006
[ozmidwifery] Merriwa Interest
Title: Re: [ozmidwifery] Community meeting Good morning Justine You don't know me however I always read your emails with interest - not only for their content but also because I grew up and was educated in Merriwa. Then left and lived in London for 2 1/2 yrs before doing my general training in Sydney at Royal Prince Alfred Hospital, followed by midwifery training at Box Hill hospital, am currently doing midwifery at the Angliss hospital in Ferntree Gully. We have approx 2300 deliveries per yr. also offer the women several options of obstetric care, ie., Family Birth centre, CMC which is managed by midwives from Dr. rooms, both are very popular and have extremely good stats. You are certainly a busy person and best wishes for continued sucess, Hope all is well in Merriwa and have good rains, Margot Brewer.
