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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
Cesarean section seems to be associated with few physical and socio-emotional outcomes

Few Physical, Socio-Emotional Outcomes for C-Section

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Cesarean delivery associated with positive and negative outcomes; few associations seen overall
For the first time

3D Modeling Assists Evaluation of Complex Fetal Anatomy

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New technology may help take guesswork out of high-risk pregnancy
Menstrual preconditioning could prevent major obstetrical syndromes in women with polycystic ovary syndrome

Menstrual Preconditioning May Prevent PCOS-Tied Complications

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Induction of ovulation should be preceded by period of progesterone withdrawal bleeding