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Women of color have higher rates of severe birth-related health issues compared with non-Hispanic white women

Minority Women at Higher Risk for Severe Maternal Morbidity

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Higher risk for problems seen among black women, women with other health conditions
Global cesarean section rates are increasing

Global Rates of Cesarean Section on the Rise Since 2000

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Articles discuss effects of C-section on health of mothers and children, interventions to reduce use
For nulliparous women receiving neuraxial analgesia

Timing of Pushing Does Not Impact Spontaneous Vaginal Delivery

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Rate of spontaneous vaginal delivery similar for immediate pushing or waiting for 60 minutes
A reduced fetal movement care package does not reduce the risk for stillbirths

Stillbirth Reduction Strategy Unproven

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Care package for reduced fetal movement does not cut stillbirths
Compared with intramuscular pethidine

Patient-Directed IV Remifentanil Cuts Epidural Conversions

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Patient-controlled remifentanil reduces proportion of conversions versus intramuscular pethidine
From 2006 to 2015

2006 to 2015 Saw Increase in Severe Maternal Morbidity

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Forty-five percent increase in rate of severe maternal morbidity at delivery; higher rate for black women
Infant mortality rates in the United States vary substantially by state

CDC: Infant Mortality Rate Varies Greatly Among States

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Low of 3.47 in Vermont to a high of 9.03 in Alabama in infant deaths per 1,000 live births
After cesarean delivery

Skin Microbiota Differ for Obese, Non-Obese Undergoing C-Section

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Obese women have significantly higher bacterial biomass of lower diversity at the incision site
Finding a practice that provides opportunities to do deliveries is a considerable barrier to performing obstetric deliveries

Doctors Have Difficulty Finding Practices Offering Deliveries

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Many family practitioners report that opportunity to do deliveries not available in practice they joined
Prophylactic administration of tranexamic acid does not reduce postpartum hemorrhage among women with vaginal delivery receiving prophylactic oxytocin

Prophylactic Tranexamic Acid Doesn’t Cut Postpartum Bleeding

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No significant drop in postpartum hemorrhage of 500 ml or more for women receiving oxytocin