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Elective early-term deliveries may not be associated with increased risk of adverse neonatal outcomes

Early-Term Delivery May Not Up Adverse Neonatal Outcomes

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Those delivered after elective induction at 37 to 38 weeks don't have increased sepsis, NICU admission
For older women

Induction of Labor Seems Safe for Women of Advanced Maternal Age

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No increase in rate of C-section, adverse maternal or neonatal outcomes with induction at 39 weeks
The increasingly common practice of "vaginal seeding" in infants born by cesarean section is not without risks

No Evidence for Benefits of ‘Vaginal Seeding’

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Practice is increasingly common, but no evidence of benefit, or indication that procedure is safe
For women undergoing cesarean delivery

SMFM: Chlorhexidine-Alcohol Best for Pre-Op Skin Antisepsis

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Superior to iodine-alcohol for the prevention of surgical-site infection after cesarean delivery
For women at risk for late preterm delivery

SMFM: Betamethasone Shows Benefit in Late Preterm Cases

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Significantly reduced rate of neonatal respiratory complications seen
Exposure to maternal vaginal fluids at birth can partially restore vaginal microbiomes for cesarean section-born infants

Partial Restoration of Microbiomes for C-Section Infants

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Exposure to vaginal fluid at birth partially restores microbiota during first 30 days of life
Few cases of severe brain damage in newborns are due to errors made during delivery

Errors During Delivery Rarely Cause Newborn Brain Damage

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Findings suggest closer scrutiny needed during the two hours following birth
A vaginal birth and breastfeeding make a notable difference in the bacterial composition of an infant's gut

Infant Delivery and Feeding Methods Affect Microbiome

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Vaginal birth and breastfeeding create different intestinal bacteria from C-section and formula
Planned out-of-hospital birth is associated with higher perinatal mortality and with increased odds of some adverse neonatal outcomes compared with planned in-hospital birth

Perinatal Mortality Higher for Planned Out-of-Hospital Birth

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But absolute risk of perinatal death is low for both in-hospital and out-of-hospital planned births
For expectant mothers who plan to give birth with midwife assistance

Safety of Midwife-Attended Home Births Studied

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In Ontario, about 10 percent of births attended by midwives; about 20 percent of these are at home