Normal Birth

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Keith K. Ogasawara - One of the best experts on this subject based on the ideXlab platform.

  • Impact of Maternal Glucose and Gestational Weight Gain on Child Obesity over the First Decade of Life in Normal Birth Weight Infants
    Maternal and Child Health Journal, 2016
    Co-Authors: Teresa A. Hillier, Kathryn L. Pedula, Kimberly K. Vesco, Caryn E.s. Oshiro, Keith K. Ogasawara
    Abstract:

    Objective To determine, among children with Normal Birth weight, if maternal hyperglycemia and weight gain independently increase childhood obesity risk in a very large diverse population. Methods Study population was 24,141 individuals (mothers and their Normal Birth weight offspring, born 1995–2003) among a diverse population with universal GDM screening [50-g glucose-challenge test (GCT); 3 h. 100 g oral glucose tolerance test (OGTT) if GCT+]. Among the 13,037 full-term offspring with Normal Birth weight (2500–4000 g), annual measured height/weight was ascertained between ages 2 and 10 years to calculate gender-specific BMI-for-age percentiles using USA norms (1960–1995 standard). Results Among children who began life with Normal Birth weight, we found a significant trend for developing both childhood overweight (>85 %ile) and obesity (>95 %ile) during the first decade of life with both maternal hyperglycemia (Normal GCT, GCT+ but no GDM, GDM) and excessive gestational weight gain [>40 pounds (18.1 kg)]; p  

  • impact of maternal glucose and gestational weight gain on child obesity over the first decade of life in Normal Birth weight infants
    Maternal and Child Health Journal, 2016
    Co-Authors: Teresa A. Hillier, Kathryn L. Pedula, Kimberly K. Vesco, Caryn E.s. Oshiro, Keith K. Ogasawara
    Abstract:

    Objective To determine, among children with Normal Birth weight, if maternal hyperglycemia and weight gain independently increase childhood obesity risk in a very large diverse population. Methods Study population was 24,141 individuals (mothers and their Normal Birth weight offspring, born 1995–2003) among a diverse population with universal GDM screening [50-g glucose-challenge test (GCT); 3 h. 100 g oral glucose tolerance test (OGTT) if GCT+]. Among the 13,037 full-term offspring with Normal Birth weight (2500–4000 g), annual measured height/weight was ascertained between ages 2 and 10 years to calculate gender-specific BMI-for-age percentiles using USA norms (1960–1995 standard). Results Among children who began life with Normal Birth weight, we found a significant trend for developing both childhood overweight (>85 %ile) and obesity (>95 %ile) during the first decade of life with both maternal hyperglycemia (Normal GCT, GCT+ but no GDM, GDM) and excessive gestational weight gain [>40 pounds (18.1 kg)]; p < 0.0001 for both trends. These maternal glucose and/or weight gain effects to imprint for childhood obesity in the first decade remained after adjustment for potential confounders including maternal age, parity, as well as pre-pregnancy BMI. The attributable risk (%) for childhood obesity was 28.5 % (95 % CI 15.9–41.1) for GDM and 16.4 % (95 % CI 9.4–23.2) for excessive gestational weight gain. Conclusions for Practice Both maternal hyperglycemia and excessive weight gain have independent effects to increase childhood obesity risk. Future research should focus on prevention efforts during pregnancy as a potential window of opportunity to reduce childhood obesity.

Michelle Butler - One of the best experts on this subject based on the ideXlab platform.

  • exploring the strategies that midwives in british columbia use to promote Normal Birth
    BMC Pregnancy and Childbirth, 2017
    Co-Authors: Michelle Butler
    Abstract:

    Rates of Normal Birth have been declining steadily over the past 20 years, despite the evidence of the benefits to mother and baby. This is most obvious in steadily increasing caesarean section rates across countries and studies of the factors involved suggest it may be more to do with the organization of maternity care and the preferences of healthcare providers than changes in maternal or demographic conditions. The proportion of women in British Columbia (BC) receiving care from a midwife continues to grow and there is a particular focus on promoting and supporting Normal pregnancy and Birth in the midwifery philosophy of care. In BC, women receiving care from a midwife are less likely to have a caesarean section and other Birth interventions. An interpretive approach, based on interpretive phenomenology was used to explore the experiences of midwives in BC of Normal Birth and the strategies that they use to keep Birth Normal. Fourteen experienced midwives were purposively selected from across the range of practice, geographical, and rural/urban contexts to participate in depth interviews. Data were analyzed using Thematic Network Analysis. Seven key themes were identified in the data: working with women from the early pregnancy, informing choice, the Birth environment, careful watching and waiting, managing early labour, helping the woman to cope with labour, and tools in the tool kit. Midwives in BC work closely with women from early pregnancy to prepare them for a Normal Birth, and as “instruments of care” they adopt a range of approaches to support women to achieve this. The emphasis on continuity of care in the BC model of midwifery care plays a vital role in this.

Amy M Romano - One of the best experts on this subject based on the ideXlab platform.

  • Research summaries for Normal Birth.
    The Journal of perinatal education, 2020
    Co-Authors: Amy M Romano
    Abstract:

    In this column, the author presents summaries of four research studies that further support the benefits of Normal Birth. The topics of the studies address the downsides of routine episiotomy, the link of epidural analgesia to an increased risk of occiput-posterior babies, the relationship between Normal Birth and successful breastfeeding, and results from the first national survey of doulas.

  • Research summaries for Normal Birth.
    The Journal of perinatal education, 2020
    Co-Authors: Amy M Romano
    Abstract:

    In this column, the author summarizes research studies relevant to Normal Birth. The studies summarized include a large trial evaluating the effect of prior vaginal Births after a cesarean on outcomes in subsequent Births; a study linking umbilical cord blood pH with intellectual outcomes in childhood; and a prospective trial evaluating the effect of routine antenatal nonstress testing on maternal anxiety. The author also highlights four articles about Normal Birth in a recent nursing journal series dedicated to the topic.

  • Research summaries for Normal Birth.
    The Journal of perinatal education, 2020
    Co-Authors: Amy M Romano
    Abstract:

    In this column, the author presents summaries of four research studies that further support the benefits of Normal Birth. The topics of the studies address midwifery care practices, labor induction and increased medical costs, vaginal Birth after cesarean, and labor support from student nurse-doulas.

  • Research summaries for Normal Birth.
    The Journal of perinatal education, 2020
    Co-Authors: Amy M Romano
    Abstract:

    In this column, the author presents summaries of four research studies that further support the benefits of Normal Birth. The topics of the studies address cord clamping of term infants, the association of multiple cesareans and placental abNormalities, induction of labor at 41 weeks, and the World Health Organization's recently released pediatric growth charts.

  • Research summaries for Normal Birth.
    The Journal of perinatal education, 2020
    Co-Authors: Amy M Romano
    Abstract:

    In this column, the author summarizes four research studies relevant to Normal Birth. The topics of the studies summarized include the effect of obstetrician anxiety on cesarean surgery rates, the risks of routine membrane sweeping, beneficial effects of doula care for middle-class women, and the lack of reliability of continuous electronic fetal monitoring tracings.

Teresa A. Hillier - One of the best experts on this subject based on the ideXlab platform.

  • Impact of Maternal Glucose and Gestational Weight Gain on Child Obesity over the First Decade of Life in Normal Birth Weight Infants
    Maternal and Child Health Journal, 2016
    Co-Authors: Teresa A. Hillier, Kathryn L. Pedula, Kimberly K. Vesco, Caryn E.s. Oshiro, Keith K. Ogasawara
    Abstract:

    Objective To determine, among children with Normal Birth weight, if maternal hyperglycemia and weight gain independently increase childhood obesity risk in a very large diverse population. Methods Study population was 24,141 individuals (mothers and their Normal Birth weight offspring, born 1995–2003) among a diverse population with universal GDM screening [50-g glucose-challenge test (GCT); 3 h. 100 g oral glucose tolerance test (OGTT) if GCT+]. Among the 13,037 full-term offspring with Normal Birth weight (2500–4000 g), annual measured height/weight was ascertained between ages 2 and 10 years to calculate gender-specific BMI-for-age percentiles using USA norms (1960–1995 standard). Results Among children who began life with Normal Birth weight, we found a significant trend for developing both childhood overweight (>85 %ile) and obesity (>95 %ile) during the first decade of life with both maternal hyperglycemia (Normal GCT, GCT+ but no GDM, GDM) and excessive gestational weight gain [>40 pounds (18.1 kg)]; p  

  • impact of maternal glucose and gestational weight gain on child obesity over the first decade of life in Normal Birth weight infants
    Maternal and Child Health Journal, 2016
    Co-Authors: Teresa A. Hillier, Kathryn L. Pedula, Kimberly K. Vesco, Caryn E.s. Oshiro, Keith K. Ogasawara
    Abstract:

    Objective To determine, among children with Normal Birth weight, if maternal hyperglycemia and weight gain independently increase childhood obesity risk in a very large diverse population. Methods Study population was 24,141 individuals (mothers and their Normal Birth weight offspring, born 1995–2003) among a diverse population with universal GDM screening [50-g glucose-challenge test (GCT); 3 h. 100 g oral glucose tolerance test (OGTT) if GCT+]. Among the 13,037 full-term offspring with Normal Birth weight (2500–4000 g), annual measured height/weight was ascertained between ages 2 and 10 years to calculate gender-specific BMI-for-age percentiles using USA norms (1960–1995 standard). Results Among children who began life with Normal Birth weight, we found a significant trend for developing both childhood overweight (>85 %ile) and obesity (>95 %ile) during the first decade of life with both maternal hyperglycemia (Normal GCT, GCT+ but no GDM, GDM) and excessive gestational weight gain [>40 pounds (18.1 kg)]; p < 0.0001 for both trends. These maternal glucose and/or weight gain effects to imprint for childhood obesity in the first decade remained after adjustment for potential confounders including maternal age, parity, as well as pre-pregnancy BMI. The attributable risk (%) for childhood obesity was 28.5 % (95 % CI 15.9–41.1) for GDM and 16.4 % (95 % CI 9.4–23.2) for excessive gestational weight gain. Conclusions for Practice Both maternal hyperglycemia and excessive weight gain have independent effects to increase childhood obesity risk. Future research should focus on prevention efforts during pregnancy as a potential window of opportunity to reduce childhood obesity.

Judith A. Lothian - One of the best experts on this subject based on the ideXlab platform.