Comparison of obstetric outcome of a primary care access clinic staffed by certified nurse-midwives and a private practice group of obstetricians in the same community

Article Abstract:

Certified nurse-midwives may provide adequate prenatal care and reduce the cesarean section rate as compared to obstetricians. Researchers compared the outcomes of 496 low-income pregnant women who attended a primary care clinic staffed by certified nurse-midwives with those of 611 pregnant women who were patients of four private practice obstetricians. The cesarean section rate was 13.1% for the women attending the primary care clinic, while the rate was 26.4% among the private practice patients. Rates of low infant Apgar scores and preterm birth were low among the primary care clinic patients. Clinic patients had more prenatal complications than did private practice patients, but had low rates of complications during labor, delivery and postpartum.

Evaluation, Midwives, Prenatal care, Obstetricians

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Low-molecular-weight heparin for obstetric thromboprophylaxis: experience of sixty-nine pregnancies in sixty-one women at high risk

Article Abstract:

Use of low-molecular-weight heparin may be a safe and effective treatment for women at risk for developing blood clots during pregnancy. Researchers analyzed the occurrence of blood clots and measured bone density in 61 women at high risk for developing blood clots during 69 pregnancies. All women were treated with daily, 40 milligram injections of enoxaparin. None of the women experienced blood clots during pregnancy, but one woman developed an occluding blood clot in the lung after delivery. Bone density decreased in nine women (32%). Low-molecular-weight heparin may be a better alternative to unfractionated heparin.

Health aspects, Prevention, Pregnancy, Complications of, Pregnancy complications, Thrombosis, Heparin

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Obstetric management of a protracted labor in a captive Western lowland gorilla

Article Abstract:

An obstetrician describes the first known use of labor augmentation using oxytocin and vacuum-assisted delivery of a baby lowland gorilla. Captive breeding may be the only hope for these gorillas, and aggressive intervention during labor could lower infant mortality rates.

Care and treatment, Labor (Obstetrics), Gorillas

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