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Home Birth
A home birth is a birth that takes place in a residence rather than in a hospital or a birthing center. They may be attended by a midwife, or lay attendant with experience in managing home births. Home birth was, until the advent of modern medicine, the de facto method of delivery. The term was coined in the middle of the 19th century as births began to take place in hospitals. Multiple studies have been performed concerning the safety of home births for both the child and the mother. Standard practices, licensing requirements and access to emergency hospital care differ between regions making it difficult to compare studies across national borders. A 2014 US survey of medical studies found that perinatal mortality rates were triple that of hospital births, and a US nationwide study of over 13 million births on a 3-year span (2007–2010) found that births at home were roughly 10 times as likely to be stillborn (14 times in first-born babies) and almost four times as likely to h ...
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Hospital
A hospital is a healthcare institution providing patient treatment with specialized Medical Science, health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a sudden illness. A district hospital typically is the major health care facility in its region, with many beds for intensive care and additional beds for patients who need long-term care. Specialized hospitals include trauma centers, rehabilitation hospitals, children's hospitals, geriatric hospitals, and hospitals for specific medical needs, such as psychiatric hospitals for psychiatry, psychiatric treatment and other disease-specific categories. Specialized hospitals can help reduce health care costs compared to general hospitals. Hospitals are classified as general, specialty, or government depending on the sources of income received. ...
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Journal Of Medical Ethics
The ''Journal of Medical Ethics'' is a monthly peer-reviewed academic journal covering the field of bioethics that was established in 1975 and is published by BMJ. According to the ''Journal Citation Reports'', the journal has a 2023 impact factor of 3.3. Editors-in-chief The editor-in-chief is John McMillan (University of Otago). Previous editors have been: Julian Savulescu (University of Oxford) (2011–2018 and 2001–2004), Søren Holm (Cardiff University) and John Harris (University of Manchester, (jointly, 2004–2011), Raanan Gillon (Imperial College London, 1980–2001), and Alastair Campbell (University of Edinburgh The University of Edinburgh (, ; abbreviated as ''Edin.'' in Post-nominal letters, post-nominals) is a Public university, public research university based in Edinburgh, Scotland. Founded by the City of Edinburgh Council, town council under th ..., 1975–1980, founding editor). See also * List of ethics journals References External links *{{Offi ...
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Centers For Disease Control And Prevention
The Centers for Disease Control and Prevention (CDC) is the National public health institutes, national public health agency of the United States. It is a Federal agencies of the United States, United States federal agency under the United States Department of Health and Human Services, Department of Health and Human Services (HHS), and is headquartered in Atlanta, Georgia. The CDC's current nominee for director is Susan Monarez. She became acting director on January 23, 2025, but stepped down on March 24, 2025 when nominated for the director position. On May 14, 2025, Robert F. Kennedy Jr. stated that lawyer Matthew Buzzelli is acting CDC director. However, the CDC web site does not state the acting director's name. The agency's main goal is the protection of public health and safety through the control and prevention of disease, injury, and disability in the US and worldwide. The CDC focuses national attention on developing and applying disease control and prevention. It e ...
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Oregon Legislative Assembly
The Oregon Legislative Assembly is the State legislature (United States), state legislature for the U.S. state of Oregon. The Legislative Assembly is bicameral, consisting of an upper house, upper and lower chamber: the Oregon State Senate, Senate, whose 30 members are elected to serve four-year terms; and the Oregon House of Representatives, House of Representatives, with 60 members elected to two-year terms. There are no term limits in the United States, term limits for either chamber. Each Senate district is composed of exactly two House districts: Senate District 1 contains House Districts 1 and 2, SD 2 contains HD 3 and HD 4, and so on. (Maps of Senate districts can be found in the Oregon State Senate article.) Senate districts contain about 127,700 people, and are redrawn every ten years. The legislature is termed as a Citizen legislature, "citizens' assembly" (meaning that most legislators have other jobs). Since 1885, its regular sessions of up to 160 days occurred in o ...
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Caesarean Section
Caesarean section, also known as C-section, cesarean, or caesarean delivery, is the Surgery, surgical procedure by which one or more babies are Childbirth, delivered through an incision in the mother's abdomen. It is often performed because vaginal delivery would put the mother or child at risk (of paralysis or even death). Reasons for the operation include, but are not limited to, obstructed labor, twin pregnancy, pre-eclampsia, high blood pressure in the mother, breech birth, shoulder presentation, and problems with the placenta or umbilical cord. A caesarean delivery may be performed based upon the shape of the mother's pelvis or history of a previous C-section. A trial of Vaginal birth after previous C-section, vaginal birth after C-section may be possible. The World Health Organization recommends that caesarean section be performed only when medically necessary. A C-section typically takes 45 minutes to an hour. It may be done with a spinal block, where the woman is awake ...
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Obstetrics & Gynecology (journal)
''Obstetrics & Gynecology'' is a peer-reviewed medical journal in the field of obstetrics and gynecology. It is the official publication of the American College of Obstetricians and Gynecologists. It is popularly known as the "Green Journal".Journal Homepage > About the journalRetrieved on May 4, 2019 ''Obstetrics & Gynecology'' has approximately 45,000 subscribers. According to the 2014 ''Journal Citation Reports'', it had an impact factor The impact factor (IF) or journal impact factor (JIF) of an academic journal is a type of journal ranking. Journals with higher impact factor values are considered more prestigious or important within their field. The Impact Factor of a journa ... of 4.982, ranking it 5th among 82 reproductive medicine journals. References {{DEFAULTSORT:Obstetrics and Gynecology (journal) Monthly journals English-language journals Lippincott Williams & Wilkins academic journals Academic journals established in 1953 Obstetrics and gynaecology jou ...
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Washington (state)
Washington, officially the State of Washington, is a U.S. state, state in the Pacific Northwest region of the United States. It is often referred to as Washington State to distinguish it from Washington, D.C., the national capital, both named after George Washington (the first President of the United States, U.S. president). Washington borders the Pacific Ocean to the west, Oregon to the south, Idaho to the east, and shares Canada–United States border, an international border with the Provinces and territories of Canada, Canadian province of British Columbia to the north. Olympia, Washington, Olympia is the List of capitals in the United States, state capital, and the most populous city is Seattle. Washington is the List of U.S. states and territories by area, 18th-largest state, with an area of , and the List of U.S. states and territories by population, 13th-most populous state, with a population of just less than 8 million. The majority of Washington's residents live ...
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National Institute For Health And Clinical Excellence
The National Institute for Health and Care Excellence (NICE) is an executive non-departmental public body of the Department of Health and Social Care. As the national health technology assessment body of England, it is responsible for judging the cost-effectiveness of medicines and making them available on the NHS through reimbursement, with its judgements informing decisions in Wales and Northern Ireland. It also provides a range of clinical guidance to the NHS in England and Wales, which are considered by Northern Ireland. History Organisational history It was set up as the National Institute for Clinical Excellence in 1999, and on 1 April 2005 joined with the Health Development Agency to become the new National Institute for Health and Clinical Excellence (still abbreviated as NICE). Following the Health and Social Care Act 2012, NICE was renamed the National Institute for Health and Care Excellence on 1 April 2013 reflecting its new responsibilities for social ...
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Asphyxia
Asphyxia or asphyxiation is a condition of deficient supply of oxygen to the body which arises from abnormal breathing. Asphyxia causes generalized hypoxia, which affects all the tissues and organs, some more rapidly than others. There are many circumstances that can induce asphyxia, all of which are characterized by the inability of a person to acquire sufficient oxygen through breathing for an extended period of time. Asphyxia can cause coma or death. In 2015, about 9.8 million cases of unintentional suffocation occurred which resulted in 35,600 deaths. The word asphyxia is from Ancient Greek "without" and , "squeeze" (throb of heart). Causes Situations that can cause asphyxia include but are not limited to: airway obstruction (such as from asthma, laryngospasm, or simple blockage from the presence of foreign materials); from being in environments where oxygen is not readily accessible: such as underwater, in a low oxygen atmosphere, or in a vacuum; environments where s ...
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Acidosis
Acidosis is a biological process producing hydrogen ions and increasing their concentration in blood or body fluids. pH is the negative log of hydrogen ion concentration and so it is decreased by a process of acidosis. Acidemia The term acidemia describes the state of low blood pH, when arterial pH falls below 7.35 (except in the fetus – see below) while ''acidosis'' is used to describe the processes leading to these states. The use of acidosis for a low pH creates an ambiguity in its meaning. The difference is important where a patient has factors causing both acidosis and alkalosis, wherein the relative severity of both determines whether the result is a high, low, or normal pH. Alkalemia occurs at a pH over 7.45. Arterial blood gas analysis and other tests are required to separate the main causes. In certain situations the main cause is clear. For instance, a diabetic with ketoacidosis is a recognizable case where the main cause of acidemia is essentially obvious. ...
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Hypoxia (medical)
Hypoxia is a condition in which the body or a region of the body is deprived of an adequate oxygen supply at the tissue (biology), tissue level. Hypoxia may be classified as either ''Generalized hypoxia, generalized'', affecting the whole body, or ''local'', affecting a region of the body. Although hypoxia is often a pathological condition, variations in arterial oxygen concentrations can be part of the normal physiology, for example, during strenuous physical exercise. Hypoxia differs from hypoxemia and anoxemia, in that hypoxia refers to a state in which oxygen present in a tissue or the whole body is insufficient, whereas hypoxemia and anoxemia refer specifically to states that have low or no Oxygen saturation (medicine), oxygen in the blood. Hypoxia in which there is complete absence of oxygen supply is referred to as anoxia. Hypoxia can be due to external causes, when the breathing gas is hypoxic, or internal causes, such as reduced effectiveness of gas transfer in the lung ...
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Apgar Score
The Apgar score is a quick way for health professionals to evaluate the health of all newborns at 1 and 5 minutes after birth and in response to resuscitation. It was originally developed in 1952 by an anesthesiologist at Columbia University, Virginia Apgar, to address the need for a standardized way to evaluate infants shortly after birth. Today, the categories developed by Apgar used to assess the health of a newborn remain largely the same as in 1952, though the way they are implemented and used has evolved over the years. The score is determined through the evaluation of the newborn in five criteria: activity (tone), pulse, grimace, appearance, and respiration. For each criterion, newborns can receive a score from 0 to 2. The list of criteria is a backronym of Apgar's surname. Criteria Interpretation Various members of the healthcare team, including midwives, nurses, or physicians, may be involved in the Apgar scoring of a neonate. The test is generally done at one and ...
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