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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
Children born by planned cesarean delivery appear to have slightly higher odds of developing asthma than those born through vaginal delivery

Asthma Risk Up Slightly for Planned C-Section Children

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But second study finds countries with low C-section rates had higher mortality rates for infants, mothers
For healthy nulliparous women with a Bishop score of 5 or less

Cesarean Rate Not Significantly Impacted in Induction Study

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In women with Bishop score of ≤5 undergoing elective induction after 39 weeks of gestation
Operative vaginal delivery remains an important component of modern labor management

ACOG: Operative Vaginal Delivery Remains Appropriate

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Operative vaginal delivery accounted for 3.3 percent of all deliveries in 2013
Black and Hispanic women have significantly higher readmission rates than white women after childbirth

Racial Disparity Seen in Childbirth-Related Readmission

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Blacks, Hispanics have higher readmission rates after both vaginal birth, C-section